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4% Neutar (coal tar 1.0%). Controls redness, intense itching and flaking of severe scalp conditions. Starts working after just one use. Dandruff, psoriasis, seborrheic dermatitis. No. 1 dermatologist recommended medicated shampoo brand. Neutrogena T/Gel Extra Strength Formula Therapeutic Shampoo is recommended by dermatologists to effectively control even the most resistant scalp conditions. Contains twice the amount of active ingredient as T/Gel Original Formula. Effective from the first use. Keeps working long after the shampoo is rinsed off. Gentle enough for everyday use. Alcohol-free. Made in USA of domestic and foreign components.