Cephalexin

Cephalexin is an antibiotic in the cephalosporin class of drugs. It is commonly prescribed to treat bacterial infections affecting various parts of the body, including the respiratory tract, skin, soft tissues, bones, and urinary tract.

By interfering with bacterial cell wall synthesis, Cephalexin effectively eliminates bacteria, preventing the spread and worsening of infections. It is generally well tolerated and is available in different forms, making it a practical choice for many patients. Due to its broad spectrum of activity and established efficacy, healthcare professionals frequently recommend Cephalexin.

What Is Cephalexin?

Cephalexin is a first-generation cephalosporin antibiotic that targets and eliminates bacterial infections. It is primarily effective against Gram-positive bacteria, including Streptococcus and Staphylococcus species, but also exhibits activity against some Gram-negative bacteria.

Cephalexin is commonly prescribed for skin infections, strep throat, pneumonia, and bone infections. It is available in different forms, including capsules, tablets, and oral suspension, providing flexibility for patients with different needs. Since it is an oral antibiotic, it is particularly convenient for outpatient treatment, making it an accessible option for those who do not require hospitalization.

The History of Cephalexin

Cephalexin, a first-generation cephalosporin antibiotic, has been crucial in modern medicine since its introduction in the 1960s. Developed as part of the expanding cephalosporin class, Cephalexin was designed to combat bacterial infections by targeting the bacterial cell wall. Its discovery was influenced by earlier research on cephalosporins derived from Acremonium fungi, leading to a more stable, orally active antibiotic.

Over the decades, Cephalexin has remained a widely prescribed treatment due to its broad spectrum of activity, effectiveness, and favorable safety profile. This article explores Cephalexin’s scientific breakthroughs, clinical applications, and historical significance, tracing its journey from initial research to its role in contemporary medicine.

How Does Cephalexin Work?

Cephalexin works by inhibiting bacterial cell wall synthesis, an essential process for bacterial survival. It specifically binds to penicillin-binding proteins (PBPs) in bacterial cells, disrupting the formation of peptidoglycan, a key structural component of the bacterial cell wall. Without a proper cell wall, bacteria lose their integrity and ultimately burst, destroying them.

Unlike some antibiotics that target bacterial protein synthesis or DNA replication, Cephalexin focuses solely on cell wall disruption, making it particularly effective against actively growing bacteria. Selectively targeting bacterial cells does not affect human cells, which lack cell walls, ensuring a good safety profile.

Pharmacokinetics of Cephalexin

Cephalexin is well absorbed in the gastrointestinal tract, with peak plasma concentrations occurring within one hour of administration. Its bioavailability is approximately 90%, meaning that most of the drug reaches the bloodstream and is available for therapeutic action. Once absorbed, Cephalexin distributes well into various body tissues, including the skin, lungs, bones, and urinary tract, effectively targeting infections in these areas. The drug is primarily eliminated through the kidneys, making renal function a vital consideration when determining dosages. The elimination half-life of Cephalexin is about one hour, meaning it is typically cleared from the body relatively quickly. In patients with impaired kidney function, dosage adjustments may be necessary to prevent accumulation and potential toxicity.

Absorption may be delayed if Cephalexin is taken with food, but the total amount absorbed is not appreciably altered. Up to 15% of a dose is bound to plasma proteins.

Cephalexin is widely distributed in the body but does not enter the CSF in significant quantities. It crosses the placenta, and small quantities of it are found in breast milk. Cefalexin is not metabolised. About 80% or more of a dose is excreted unchanged in the urine in the first 6 hours by glomerular filtration and tubular secretion; urinary concentrations greater than 1 mg/mL have been achieved after a dose of 500 mg.

Probenecid delays urinary excretion. Cephalexin is removed by hemodialysis and peritoneal dialysis.

Indications and Uses

Cephalexin is widely used to treat various bacterial infections, particularly those caused by susceptible organisms. It is frequently prescribed for respiratory tract infections, including bronchitis and pneumonia, as well as skin and soft tissue infections, such as cellulitis and abscesses. It is also commonly used for urinary tract infections, especially when first-line treatments are unsuitable.

In addition, Cephalexin can be used to manage bone infections, such as osteomyelitis, and to treat otitis media in children. Because of its effectiveness in eliminating streptococcal bacteria, it is also used to treat strep throat, helping to prevent complications such as rheumatic fever. In some cases, Cephalexin may be prescribed as a prophylactic antibiotic to prevent infections following specific surgical procedures, particularly in patients at high risk of bacterial complications.

Learn more about Cephalexin Uses.

Dosage and Administration

Dosage
The dosage of Cephalexin depends on several factors, including the severity of the infection, the patient’s age, weight, and kidney function.

In adults, the standard dose ranges from 250 mg to 500 mg every 6 to 12 hours, depending on the type and severity of the infection. Pediatric dosing is typically based on weight, with standard regimens ranging from 25 mg to 50 mg per kilogram daily, divided into multiple doses. Cephalexin should be taken at evenly spaced intervals to maintain consistent levels in the bloodstream. It is essential to complete the full course of treatment, even if symptoms improve before the medication is finished, to prevent Antibiotic Resistance and recurrence of infection.

Read more information about Cephalexin Dosage and Contraindications to Cephalexin by Different Age Gropus.

Different Forms of Cephalexin

Cephalexin is available in multiple formulations to accommodate different patient needs. The most common forms include capsules and tablets, which are typically used by adults and older children who can swallow pills. An oral suspension is available for patients with difficulty swallowing and can be easily measured and administered. The liquid form is handy for young children and elderly patients who may struggle with solid dosage forms.

Each formulation contains the same active ingredient but may differ in absorption rate and convenience for the patient. Choosing the appropriate form depends on factors such as patient preference, severity of infection, and ease of administration.

A comparison of different forms of Cephalexin is here.

Interactions

Cephalexin may interact with other medications, potentially altering its effectiveness or increasing the risk of side effects. One notable interaction occurs with probenecid, a medication used to treat gout. Probenecid can slow the elimination of Cephalexin from the body, leading to higher drug levels and prolonged effects. Probenecid delays the renal excretion of cefalexin and many other cephalosporins. There have been isolated reports of cefalexin decreasing the efficacy of oestrogen-containing oral contraceptives.

Patients taking metformin, a common diabetes medication, should also exercise caution, as Cephalexin can increase the risk of lactic acidosis. Additionally, Cephalexin may interact with anticoagulants such as warfarin, increasing the risk of bleeding. Patients should always inform their healthcare provider about their medications before starting Cephalexin.

Check out the full list of Cephalexin Interactions. In case you consider other antibiotic, check our Comparison of Cephalexin with Other Antibiotics article.

Contraindications and Precautions

Warning
Cephalexin should not be used in individuals with known allergies to cephalosporin antibiotics or those with a history of severe reactions to penicillins.

Patients with kidney disease should have their dosage adjusted to prevent the drug from accumulating in the body. Those with a history of gastrointestinal diseases, particularly colitis, should use Cephalexin cautiously, as it may disrupt normal gut flora and exacerbate conditions such as Clostridium difficile infection. Pregnant and breastfeeding women should consult their doctor before taking Cephalexin, as it crosses the placenta and is excreted in breast milk.

Discover more about Cephalexin Precautions.

Dangerous Signs and Side Effects

Although Cephalexin is generally well tolerated, some patients may experience side effects such as nausea, vomiting, diarrhea, or stomach pain. Allergic reactions may also occur, including skin rashes, itching, and swelling.

The most common adverse effects of cefalexin and other oral cephalosporins are gastrointestinal disturbances and hypersensitivity reactions. Pseudomembranous colitis has been reported. Cephalexin is considered unsafe in patients with porphyria, although there is conflicting experimental evidence of porphyrinogenicity.

In rare cases, severe adverse reactions such as anaphylaxis or Clostridium difficile-associated diarrhea can develop. Any unusual symptoms, particularly difficulty breathing, severe diarrhea, or swelling of the face and throat, should be reported to a healthcare provider immediately.

Here is the complete information on Cephalexin Side Effects.

Prescription

Cephalexin is a prescription-only antibiotic that must be obtained through a licensed healthcare provider. This regulation is essential to prevent misuse, which can lead to antibiotic resistance and reduced effectiveness over time. Physicians prescribe Cephalexin based on the type and severity of bacterial infections, ensuring the correct dosage and duration for optimal treatment. Patients are advised to follow their prescriptions carefully, completing the course even if symptoms improve early. Additionally, purchasing Cephalexin from reputable sources is crucial to avoid counterfeit medications and ensure safety. This article explores the importance of prescription regulations, the risks of self-medication, and guidelines for responsible antibiotic use.

Keflex (Cephalexin) Use in Veterinary Medicine

Keflex (Cephalexin) is prescribed for dogs and cats to treat bacterial infections, including skin infections (pyoderma), urinary tract infections, respiratory infections, and soft tissue infections.

As a first-generation cephalosporin, it effectively targets Gram-positive bacteria and some strains of Gram-negative bacteria. Veterinarians typically prescribe it in oral forms, such as capsules, tablets, or liquid suspension, with dosages determined by the animal’s weight and the severity of the infection.

While generally safe, potential side effects may include gastrointestinal upset, allergic reactions, and, rarely, kidney or liver problems. Pet owners should adhere to veterinary guidance regarding dosage and duration to prevent antibiotic resistance.

Keflex (Cephalexin) is sometimes used for livestock and horses, primarily to treat bacterial infections affecting the skin, respiratory system, and joints. Although it is not FDA-approved for all species, veterinarians may prescribe it off-label when necessary. It is less commonly prescribed in horses due to challenges with oral absorption; however, it may be administered in specific cases.

Cephalexin can be used in cattle and pigs to address mastitis or respiratory infections. Withdrawal times must be strictly observed in food-producing animals to ensure that drug residues do not enter the food supply. As with any antibiotic, veterinary supervision ensures safe and effective use.

Mail Order

Cephalexin can be purchased online through mail-order pharmacy services, allowing patients to obtain their medication without visiting a physical pharmacy. This option is especially beneficial for individuals with mobility limitations or those living in remote areas with limited pharmacy access. Patients must complete and submit a brief medical questionnaire before placing an order. This process ensures privacy and confidentiality, as medications are discreetly shipped via postal services, keeping patient information secure. It also minimizes delays in receiving essential treatments. For more details, refer to our Buy Cephalexin Online article.

As an effective antibiotic used to combat bacterial infections, Cephalexin must be taken responsibly to ensure safety and efficacy. Patients should adhere to prescribed dosages, be aware of possible side effects, and consider the risks of antibiotic resistance.

Brand Names of Cephalexin in Different Countries

Country

Medication Names

Argentina

Beliam; Cefalexi; Cefapoten; Cefarinol; Cefasporina; Cefosporen; Ceporexin; Fabotop; Keforal; Lars; Lexin; Lorbicefax; Novalexin; Pectorina; Permvastat; Sanibiotic; Septilisin; Trexina; Triblix; Velexina

Australia

Cilex; lalex; Ibilex; Keflex; Rancef; Sporahexal

Austria

Cepexin; Cephalobene; Keflex; Ospexin; Sanaxin

Belgium

Ceporex; Keforal

Brazil

Betacef; Ce-faben; Cefagel; Cefagon; Cefagran; Cefalexan; Cefanal; Cefaxon; Cefexina; Ceflexin; Celen; Celexin; Celinax; Ceporexin; Falexin; Kefalexin; Keflaxina; Keflex; Keforal; Kiflexin; Lexin; Lifalexin; Neo Ceflex; Neoceflex; Primace; Profalexina; Todexin; Valflex

Canada

Apo-Cephalex; Novo-Lexin; Nu-Cephalex

Czech Republic

Cefaclen; Oracef; Ospexin; Sporidex

Denmark

Keflex

Finland

Kefalex; Kefexin; Orakef

France

Cefacet; Ceporexine; Keforal

Germany

Cephalex; Ceporexin; Oracef

Hong Kong

Anxer; Cefacin-M; Cefacure; Ceporex; Felexin; Keflex; Medolexin; Ospexin; Sofilex; Solulexin

Hungary

Keflex; Pyassan; Servispor

India

Alexin; Betaspore; Cefmix; Cephadex; Cephaxin; Nufex; Phexin; Flofex; Sepexin; Sporidex

Indonesia

Cefabiotic; Madlexin; Ospexin; Pralexin; Tepaxin; Theralexin

Ireland

Ceporex; Kefexin; Keflex

Israel

Cefalin; Ceforal; Cefovit; Keflex

Italy

Ceporex; Keforal; Lafarin

Japan

Larixin

Malaysia

Cefax; Celexin; Ceporex; Felexin; Kefexin; Medolexin; Ospexin; Refex; Sofilex; Sporidex; Uphalexin

Mexico

Acacin; Arlexen; Cefalver; Ceporex; Facelit; Falexol; Fleximin; Flextinol; Keflex; Nafacil; Nixelaf-C; Optoce; Paferxin; Quimosporina; Servicef

Netherlands

Keforal

Norway

Keflex

New Zealand

Keflex

Philippines

Airex; Bacilexin; Bandax; Bloflex; Canelin; Cefalin; Cendalex; Ceporex; Civalex; Eliphorin; Forexine; Halcepin; Infexin; Keflex; Lewimycin; Lexum; Lonarel; Lyceplix; Madexin; Medilexin; Medoxine; Montralex; Nefadon; Neolecsin; Nerfalex; Oneflex; Respinal; Selze; Servispor; Sorlex; Sporidex; Xinflex; Zepharyl; Zeporin; Zucoflaxin

Poland

Keflex

Portugal

Ceflax; Ceporex; Keflex

South Africa

Fexin; Keflex; Lenoce; Ranceph

Singapore

Celexin; Ce-phalen; Cephanmycin; Ceporex; Felexin; Ospexin; Sofilex; Sporidex; Uphalexin

Spain

Bioscefal; Cefalexgobens; Defaxina; Kefloridina; Lexince; Sulquipen; Torlasporin

Sweden

Keflex

Thailand

AnxerF; Cefexin; Cefxin; Celex; Celexin; Cephalexyl; Cephin; Ceporex; Farmalex; Felexin; Ibilex; Keflex; Pondnace; Sefasin; Sialexin; Sporice; Sporidex; Toflex; Ulflex; Zeplex

Turkey

Maksipor

United Arab Emirates (UAE)

Cefrin

UK

Ceporex; Keflex

USA

Biocef; Cefanex; Keflex; Keftab

Venezuela

Bidoce; Cefaloga; Keforal; Strice

Multi-ingredient

Country

Medication Names

India

Cacef; Cephadex LB

Mexico

Arlexen B; Cefabroxil; Cepobrom; Mucoce; Rombox

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