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Nizoral Pre-Shampoo Scalp Build-Up Remover is designed to be used before treating with Nizoral Anti-Dandruff Shampoo (Ketoconazole 1%). Its unique formulation with micro exfoliating technology is designed to help remove salp build-up & dead skin cells and help prepare the scalp for anti-dandruff shampoo treatment. It gently exfoliates and renews the scalp and is designed to be used for all hair types.