Monograph Details

Infections & Infestations > Bacterial infections
KEFLEX
Manufacturer
MiddleBrook Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Cephalosporin.
Generic Name
Cephalexin 250mg, 333mg, 500mg, 750mg; caps.
Indications
Susceptible infections including otitis media, skin and skin structure, bone, respiratory or genitourinary tract.
Children
25–50mg/kg per day in divided doses; max 100mg/kg per day. Otitis media: 75–100mg/kg per day in 4 divided doses. Strep pharyngitis (>1 year of age) or skin and skin structure: may give in 2 divided doses every 12 hours.
Adults
1–4g/day in divided doses. Usual dose: 250mg every 6 hours. Strep pharyngitis, skin and skin structure, and uncomplicated cystitis (>15 years of age): 500mg every 12 hours. Treat cystitis for 7–14 days. Max 4g/day.
Precautions
Penicillin or other allergy. Severe renal dysfunction. GI disease (esp. colitis). Discontinue if colitis occurs and treat. Pregnancy (Cat.B). Nursing mothers.
Interactions
Potentiates metformin (monitor and adjust metformin dose). Potentiated by probenecid. May cause false (+) Coomb's test or glucose test with Clinitest or Benedict's or Fehling's soln.
Adverse Reactions
Diarrhea, other GI disturbances, dizziness, fatigue, headache, hypersensitivity reactions, itch; rare: blood dyscrasias, elevated liver enzymes.
How Supplied
Caps 250mg, 500mg—20, 100
333mg—(available soon)
750mg—50
Additional Resources
Related Prescribing Note