Ketosh Shampoo contains Ketoconazole 2% w/v, an antifungal agent indicated for the treatment of dandruff and seborrheic dermatitis of the scalp. Ketoconazole is a broad-spectrum imidazole antifungal that exerts its effect by inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes, thereby disrupting membrane integrity and leading to fungal cell death. Ketosh Shampoo is effective against Malassezia species, which are commonly implicated in dandruff and seborrheic dermatitis. The formulation is intended for topical use on the scalp and should be applied to wet hair, massaged gently into the scalp, left for 3-5 minutes, and rinsed thoroughly. Regular use can reduce scaling, itching, and redness associated with fungal infections of the scalp. Ketosh Shampoo is generally well tolerated; however, mild local irritation or dryness may occur. It is contraindicated in individuals with known hypersensitivity to ketoconazole or any shampoo excipients. Use with caution in patients with open wounds or severe skin conditions. Avoid contact with eyes; if accidental contact occurs, rinse thoroughly with water. Ketosh Shampoo should be used as directed by a healthcare professional, and prolonged or excessive use should be avoided to minimize the risk of adverse effects.