New! With micro exfoliating technology HELPS REMOVE SCALP BUILD UP, dead skin cells and residue Exfoliates scalp DESIGNED FOR ALL hair types Nizoral Pre-Shampoo Scalp Build-Up Remover is designed to be used before treating with Anti-Dandruff Shampoo (Ketoconazole 2%). Its unique formulation with micro exfoliating technology is designed to help remove scalp build-up & dead skin cells and help prepare the scalp for anti-dandruff shampoo treatment. It gently exfoliates and is designed to be used for all hair types.