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Treatment of androgenetic alopecia. Ketoconazole is better absorbed in the presence of antacids. Recent research indicates that long-term use of Nizoral helps prevent hair loss and improves the scalp condition. Nizoral is one of the most commonly prescribed treatments, and helps get it back in balance. The scalp condition. It is given with food. Ketoconazole reaches the surface of the skin through normal blood circulation. Nizoral shampoo is unique because its effect is long lasting.