Ketonext CT Shampoo is a medicated topical formulation containing Ketoconazole 2% w/v and Coal Tar 2% w/v, indicated for the treatment of various scalp conditions such as seborrheic dermatitis, dandruff, and psoriasis. Ketoconazole is an imidazole antifungal agent that exhibits broad-spectrum activity against dermatophytes, yeasts, and other fungi by inhibiting ergosterol synthesis, thereby disrupting fungal cell membrane integrity. Coal Tar acts as a keratolytic and anti-inflammatory agent, helping to reduce scaling, itching, and inflammation associated with chronic scalp disorders. The combination of these active ingredients provides a synergistic effect, addressing both fungal proliferation and symptomatic relief of scalp irritation. Ketonext CT Shampoo is applied topically to the affected scalp areas, typically used two to three times weekly or as directed by a healthcare professional. It is important to avoid contact with eyes and mucous membranes. Patients should be advised to rinse thoroughly after application. This shampoo is contraindicated in individuals with known hypersensitivity to Ketoconazole, Coal Tar, or any other component of the formulation. Use during pregnancy and lactation should be under medical supervision. Adverse effects are generally mild and may include local irritation or dryness. Ketonext CT Shampoo offers an effective therapeutic option for managing persistent scalp dermatoses with fungal involvement.