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Prescription and over-the-counter medicine

Selenium sulfide First approved as Selsun

Selenium sulfide (Selsun) is a prescription and over-the-counter medicine with an FDA approval on record since 1951. FDA's NDC Directory lists it from 1 generic labeler, and pharmacies paid $0.0141 per mL (Anti-dandruff 1% shampoo) in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the selenium sulfide FDA label on DailyMed (effective February 24, 2026); the NDA 7936 record on Drugs@FDA; every selenium sulfide label on DailyMed.

Highlights of the record

FDA label of February 24, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

helps prevent recurrence of itching, irritation, redness, flaking and scaling associated with dandruff and seborrheic dermatitis

Forms and strengths

  • 2.5 mg/100ml

Lotion.

On the market

Earliest approval on file
May 17, 1951 Selsun, Chattem; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
6 first January 21, 1974; 1 with a marketed status in Drugs@FDA
Labelers listed (NDC)
1 of which 1 under generic applications, 0 under brand applications, repackagers included; 29 more under the over-the-counter monograph, without an application

Supply and safety

Pharmacy cost (NADAC)
$0.0141 per mL Anti-dandruff 1% shampoo
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
936 through July 30, 2026

What is selenium sulfide used for?

From the label: indications and usage

helps prevent recurrence of itching, irritation, redness, flaking and scaling associated with dandruff and seborrheic dermatitis

Conditions named in the indications of selenium sulfide's FDA labels, with every medicine labeled for each:

From other selenium sulfide labels

Fungal infections: INDICATIONS AND USAGE For the treatment of tinea versicolor, seborrheic dermatitis of the scalp, and dandruff.

Source: FDA drug label (Dandruff), H E B, effective February 24, 2026 (SPL set 182ca790-0713-412a-9111-c0cf40f20d02), via openFDA; the full label on DailyMed

Is there a generic for selenium sulfide (Selsun)?

The FDA approved the first generic selenium sulfide on January 21, 1974. 6 generic applications are approved; 1 of them carries a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists selenium sulfide from 1 labeler under a generic (ANDA) application. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1951 earliest approval on file
  • 1974 first generic approved

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for selenium sulfide (Selsun)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.0141 per mL (Anti-dandruff 1% shampoo), down 8% from $0.0153 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Anti-dandruff 1% shampoo (generic)
$0.0157
$0.0128
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Anti-dandruff 1% shampooGeneric$0.0141 per mLn/a-8%
Medicated dandruff 1% shampooGeneric$0.0141 per mLn/a-8%
Selenium sulfide 2.25% shampooGeneric$0.170 per mLn/a-26%
Selenium sulfide 2.5% lotionGeneric$0.0781 per mLn/a+6%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What do FAERS reports show for selenium sulfide?

The FDA Adverse Event Reporting System holds 936 reports that list selenium sulfide among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 23 are coded as a death and 154 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Drug Ineffective (a use or a product term, not a reaction)125
  • Pruritus61
  • Hair Colour Changes55
  • No Adverse Event (a use or a product term, not a reaction)51
  • Alopecia41
  • Pain38
  • Condition Aggravated (a use or a product term, not a reaction)36
  • Fatigue32

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as selenium sulfide?

18 other medicines are given the same way (topical) and in the same FDA class as selenium sulfide or labeled mainly for the same use (fungal infections), the same class first. Fungal infections lists all 33 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (topical)Pharmacy costShortage
TolnaftateFungal infectionsnone listed$0.119 per gram 1% creamNo current entry
ClotrimazoleFungal infections13 labelers$0.133 per gram 1% topical creamNo current entry
MiconazoleFungal infectionsnone listed$0.120 per gram 2% topical creamNo current entry
Undecylenic acidFungal infectionsnone listedn/aNo current entry
KetoconazoleFungal infections25 labelers$0.249 per gram 2% creamNo current entry
CiclopiroxFungal infections14 labelers$0.169 per gram 0.77% creamNo current entry
Nystatin and triamcinoloneFungal infections18 labelers$0.225 per gram Nystatin-triamcinolone creamNo current entry
TerbinafineFungal infections20 labelers$0.353 per gram 1% creamNo current entry

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

How does selenium sulfide compare with medicines for the same use?

1 side-by-side page set selenium sulfide beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Selenium sulfide side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other