Drug Detail:Keflex (Cephalexin [ sef-a-lex-in ])
Generic Name: CEPHALEXIN 250mg
Dosage Form: capsule
Drug Class: First generation cephalosporins
Drug Detail:Keflex (Cephalexin [ sef-a-lex-in ])
Generic Name: CEPHALEXIN 250mg
Dosage Form: capsule
Drug Class: First generation cephalosporins
The usual dose of oral KEFLEX is 250 mg every 6 hours, but a dose of 500 mg every 12 hours may be administered. Treatment is administered for 7 to 14 days.
For more severe infections larger doses of oral KEFLEX may be needed, up to 4 grams daily in two to four equally divided doses.
The recommended total daily dose of oral KEFLEX for pediatric patients is 25 to 50 mg/kg given in equally divided doses for 7 to 14 days. In the treatment of β-hemolytic streptococcal infections, duration of at least 10 days is recommended. In severe infections, a total daily dose of 50 to 100 mg/kg may be administered in equally divided doses.
For the treatment of otitis media, the recommended daily dose is 75 to 100 mg/kg given in equally divided doses.
Administer the following dosing regimens for KEFLEX to patients with renal impairment [see Warnings and Precautions (5.4) and Use in Specific Populations (8.6)].
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*There is insufficient information to make dose adjustment recommendations in patients on hemodialysis. |
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Renal function | Dose regimen recommendation |
Creatinine clearance ≥ 60 mL/min | No dose adjustment |
Creatinine clearance 30 to 59 mL/min | No dose adjustment; maximum daily dose should not exceed 1 g |
Creatinine clearance 15 to 29 mL/min | 250 mg, every 8 hours or every 12 hours |
Creatinine clearance 5 to 14 mL/min not yet on dialysis* | 250 mg, every 24 hours |
Creatinine clearance 1 to 4 mL/min not yet on dialysis* | 250 mg, every 48 hours or every 60 hours |