Cefex 500 mg Capsule

First-generation cephalosporin antibiotic for:

• Skin and soft-tissue infections (boils, cellulitis, infected wounds, impetigo)
• Throat and tonsil infections, otitis media
• Urinary tract infections (including in pregnancy)
• Bone and joint infections
• Respiratory tract infections caused by sensitive bacteria

Adults: 250–500 mg every 6 hours, or 500 mg–1 g every 12 hours (skin infections, sore throat); up to 4 g/day in severe infections.

Children: 25–50 mg/kg/day in 2–4 divided doses (up to 100 mg/kg/day in severe infections), as prescribed. Typical: under 1 year 125 mg twice daily; 1–5 years 125 mg three times daily; 5–12 years 250 mg three times daily.

• Can be taken with or without food.
• Reduce the dose in kidney impairment.

• Allergy to cephalosporins
• History of severe immediate allergy to penicillins

Common: diarrhoea, nausea, indigestion, abdominal pain.

Less common: rash, itching, hives, vaginal thrush, dizziness, headache.

Rare: severe allergy, C. difficile colitis, liver inflammation, kidney problems, blood disorders, hallucinations.

• Tell your doctor about penicillin allergy.
• Severe diarrhoea: stop and seek advice.
• May cause false-positive urine glucose and Coombs tests.

Widely used and considered safe in pregnancy. Small amounts in breast milk — compatible with breastfeeding.

• Metformin (cephalexin may increase metformin levels)
• Probenecid (raises cephalexin levels)
• Warfarin (bleeding risk)

Nausea, vomiting, stomach pain, diarrhoea, blood in urine. Treat symptoms.

Store below 30°C. Reconstituted suspension: refrigerate and use within 10–14 days.