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Cefalexin

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Cefalexin
Systematic (IUPAC) name
8-(2-amino-2-phenyl-acetyl)amino -4-methyl-7-oxo-2-thia-6-azabicyclo [4.2.0]oct-4-ene-5-carboxylic acid
Identifiers
CAS number 15686-71-2
ATC code J01DB01
PubChem 2666
DrugBank APRD00250
Chemical data
Formula C16H17N3O4S 
Mol. weight 347.39 g/mol
Pharmacokinetic data
Bioavailability Well absorbed
Metabolism 90% excreted unchanged
Half life 0.9 hours
Excretion Renal
Therapeutic considerations
Pregnancy cat.

A(AU) B(US)

Legal status

S4(AU) POM(UK)

Routes Oral

Cefalexin (INN) (IPA: [kɛfəˈlɛksən, sɛfə-]) or cephalexin (USAN) is a first-generation cephalosporin antibiotic. It is an orally-administered agent with a similar antimicrobial spectrum to the intravenous agents cefalotin and cefazolin. It is commonly marketed under the trade name Keflex (Lilly).

Contents

[edit] Clinical use

Main article: Cephalosporin

[edit] Indications

Cefalexin is used to treat urinary tract infections, respiratory tract infections (including sinusitis, otitis media, pharyngitis, tonsillitis and pneumonia), skin and soft tissue infections.

Although it is not generally considered first-line therapy for any indication, it is a useful alternative to penicillins in patients with penicillin hypersensitivity. There is, however, cross-reactivity in 10% of patients with hypersensitivity to penicillins and carbapenems.

[edit] Formulations

Cefalexin is commonly marketed as capsules (250 mg and 500 mg), tablets, and powder for oral suspension (125 mg/5 mL and 250 mg/5 mL).

It is marketed by generic pharmaceutical manufacturers under a wide range of brand names, including: Apo-Cephalex, Biocef, Cefanox, Ceporex, Cilex, Keflet, Keflex, Keforal, Keftab, Keftal, Lopilexin, Novo-Lexin and Panixine Disperdose.

[edit] See also


Cephalosporin Antibiotics (J01D) edit
First Generation:

Cefacetrile, Cefadroxil, Cefalexin, Cefaloglycin, Cefalonium, Cefaloridine, Cefalotin, Cefapirin, Cefatrizine, Cefazaflur, Cefazedone, Cefazolin, Cefradine, Cefroxadine, Ceftezole

Second Generation:

Cefaclor, Cefamandole, Cefonicid, Ceforanide, Cefotiam, Cefprozil, Cefuroxime, Cefuzonam

Third Generation:

Cefcapene , Cefdaloxime, Cefdinir, Cefditoren, Cefetamet, Cefixime, Cefmenoxime, Cefodizime, Cefoperazone, Cefotaxime, Cefpimizole, Cefpiramide, Cefpodoxime, Cefsulodin, Ceftazidime, Cefteram, Ceftibuten, Ceftiofur, Ceftiolene, Ceftizoxime, Ceftriaxone, Latamoxef

Fourth Generation:

Cefclidine, Cefepime, Cefetecol, Cefluprenam, Cefoselis, Cefozopran, Cefpirome, Cefquinome

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