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. Nizoral® Pre-Shampoo Scalp Build-Up Remover, 5 fl oz.Non-medicated with Micro Exfoliating Technology.Removes scalp build-up, dead skin cells, & residue.Exfoliates & renews scalp.Helps prepare scalp for anti-dandruff shampoo treatment.For all hair types.