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Home > Drugs > First generation cephalosporins > Cephalexin
First generation cephalosporins

Cephalexin

https://themeditary.com/drug/cephalexin-141.html
Medically Reviewed by Kaci Durbin, MD TheMediTary.Com | Reviewed: Jul 10, 2023  Additional Content by TheMediTary.Com

Generic name: cephalexin [ sef-a-lex-in ]

Drug class: First generation cephalosporins

Availability: Prescription only

Pregnancy & Lactation: Risk data available

Brand names: Keflex

Contents
Uses Warnings Before Taking Dosage Side effects Interactions FAQ
  • Cephalexin (Cephalexin [ sef-a-lex-in ])-SQUIBB 181-250 MG-Gray / Red-Capsule-shape Cephalexin 250 MG (SQUIBB 181)
  • Cephalexin (Cephalexin [ sef-a-lex-in ])-SQUIBB 239-500 MG-Red-Capsule-shape Cephalexin 500 MG (SQUIBB 239)
  • Cephalexin (Cephalexin [ sef-a-lex-in ])-Lederle C65-500 mg-Red-Capsule-shape Cephalexin 500 mg (Lederle C65)
  • Cephalexin (Cephalexin [ sef-a-lex-in ])-93 541-250 mg-Brown / Red-Capsule-shape Cephalexin 250 mg (93 541)
  • View all images

What is Cephalexin?

Cephalexin is a cephalosporin (SEF a low spor in) antibiotic. It works by fighting bacteria in your body.

Cephalexin is used to treat infections caused by bacteria, including upper respiratory infections, ear infections, skin infections, urinary tract infections and bone infections.

Cephalexin is used to treat infections in adults and children who are at least 1 year old.

Warnings

You should not use this medicine if you are allergic to cephalexin or to similar antibiotics, such as Ceftin, Cefzil, Omnicef, and others. Tell your doctor if you are allergic to any drugs, especially penicillins or other antibiotics.

Before taking this medicine

Do not use this medicine if you are allergic to cephalexin or to other cephalosporin antibiotics, such as:

  • cefaclor (Ceclor, Raniclor);

  • cefadroxil (Duricef);

  • cefazolin (Ancef, Kefzol);

  • cefdinir (Omnicef);

  • cefditoren (Spectracef);

  • cefpodoxime (Vantin);

  • cefprozil (Cefzil);

  • ceftibuten (Cedax);

  • cefuroxime (Ceftin); and others

To make sure cephalexin is safe for you, tell your doctor if you have ever had

  • an allergy to any drug (especially penicillin);

  • liver or kidney disease; or

  • intestinal problems, such as colitis.

Cephalexin is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant.

Cephalexin can pass into breast milk. Tell your doctor if you are breast-feeding a baby.

Cephalexin pregnancy and breastfeeding warnings (more detail)

How should I take Cephalexin

Cephalexin comes as a capsule, tablet, and suspension (liquid) to take by mouth. It is usually taken with or without food every 6 or 12 hours for 7 to 14 days, depending on the condition being treated. Take cephalexin at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take cephalexin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Shake the liquid well before each use to mix the medication evenly.

You should begin to feel better during the first few days of treatment with cephalexin. If your symptoms do not improve or get worse, call your doctor.

Continue to take cephalexin until you finish the prescription even if you feel better. If you stop taking cephalexin too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.

Dosing information

Take cephalexin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Do not use cephalexin to treat any condition that has not been checked by your doctor.

Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Use cephalexin for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. This medicine will not treat a viral infection such as the flu or a common cold.

Do not share cephalexin with another person, even if they have the same symptoms you have.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using this medicine.

Store the tablets and capsules at room temperature away from moisture, heat, and light.

Store the liquid medicine in the refrigerator. Throw away any unused liquid after 14 days.

Detailed Cephalexin dosage information
Cephalexin Dosage information (more detail)

Before Taking

Do not use this medicine if you are allergic to cephalexin or to other cephalosporin antibiotics, such as:

  • cefaclor (Ceclor, Raniclor);

  • cefadroxil (Duricef);

  • cefazolin (Ancef, Kefzol);

  • cefdinir (Omnicef);

  • cefditoren (Spectracef);

  • cefpodoxime (Vantin);

  • cefprozil (Cefzil);

  • ceftibuten (Cedax);

  • cefuroxime (Ceftin); and others

To make sure cephalexin is safe for you, tell your doctor if you have ever had

  • an allergy to any drug (especially penicillin);

  • liver or kidney disease; or

  • intestinal problems, such as colitis.

Cephalexin is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant.

Cephalexin can pass into breast milk. Tell your doctor if you are breast-feeding a baby.

Cephalexin pregnancy and breastfeeding warnings (more detail)

Related/similar drugs

prednisone, amoxicillin, doxycycline, ciprofloxacin, metronidazole, azithromycin, clindamycin

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, stomach pain, diarrhea, and blood in your urine.

What should I know about storage and disposal of this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the capsules and tablets at room temperature and away from excess heat and moisture (not in the bathroom). Keep liquid medicine in the refrigerator, tightly closed, and dispose of any unused medication after 14 days. .

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet.

What should I avoid while using Cephalexin?

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine.

Cephalexin side effects

Get emergency medical help if you have signs of an allergic reaction to cephalexin (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Call your doctor at once if you have:

  • severe stomach pain, diarrhea that is watery or bloody (even if it occurs months after your last dose);

  • unusual tiredness, feeling light-headed or short of breath;

  • easy bruising, unusual bleeding, purple or red spots under your skin;

  • a seizure;

  • pale skin, cold hands and feet;

  • yellowed skin, dark colored urine;

  • fever, weakness; or

  • pain in your side or lower back, painful urination.

Common cephalexin side effects may include:

  • diarrhea;

  • nausea, vomiting;

  • indigestion, stomach pain; or

  • vaginal itching or discharge.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See more: Cephalexin Side Effects

What other drugs will affect Cephalexin?

Tell your doctor about all your other medicines, especially:

  • metformin; or

  • probenecid.

This list is not complete. Other drugs may interact with cephalexin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

What other information should I know?

Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your response to cephalexin.

Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking cephalexin.

If you are diabetic and test your urine for sugar, use Clinistix or TesTape (not Clinitest) to test your urine while taking this medication.

Do not let anyone else take your medication. Your prescription is probably not refillable.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

What to Expect

You should start to feel better within a few days of taking cephalexin.

Let your physician know if you don’t feel better after two to three days of using cephalexin or if you feel worse at any time.

It’s important to keep taking this medicine for as long as your doctor tells you to, even if your symptoms improve.

Additional Dosage Information

Your dosage will depend on your medical condition, your age, your weight, and other factors.

Secondary Uses

Cephalexin is used to treat many types of infections. Your doctor may recommend it for conditions that aren’t listed in this guide.

Popular FAQ

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More FAQ

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View more FAQ

More about Cephalexin (Cephalexin [ sef-a-lex-in ])

Dosage information
Cephalexin Side Effects
Patient tips
During pregnancy
Drug images
Side effects
Drug class: First generation cephalosporins

Patient resources

Cephalexin Capsules and Tablets
Cephalexin Suspension

Related treatment guides

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Bacterial Endocarditis Prevention (Bacterial Endocarditis Prophylaxis)
Bladder Infection
Acne
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