Cephalexin (Keflex) is a first-generation cephalosporin that inhibits bacterial cell wall synthesis. It is used to treat the following conditions:

• Treatment of infections of the bone caused by Staphylococcus aureus or Proteus mirabilis.
• Treatment of infections of the genitourinary tract (including acute prostatitis), caused by Escherichia coli, P. mirabilis, and Klebsiella pneumoniae.
• Treatment of otitis media caused by Streptococcus pneumoniae, H. influenzae, Staphylococcus aureus, Streptococcus pyogenes, and Moraxella catarrhalis.
• Treatment of infections of the respiratory tract caused by Strep. pneumoniae and Strep. pyogenes.
• Treatment of skin and soft tissue infections caused by Staph. aureus or S. pyogenes

Off-Label Use of Cephalexin (Keflex) in Adults include:

• For the prophylaxis of endocarditis
• Prosthetic joint infection

Cephalexin Dose in Adults

• The usual dose is 250 to 1,000 mg 4 times a day or 500 mg twice daily to a maximum dose of 4 gms/day.

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Dose in specific situations:

• As an alternative agent in the treatment of mild erysipelas and nonpurulent Cellulitis:
  • 500 mg 6 hourly for at least 5 days. The duration may be prolonged if the response to treatment is slow

    ---

• As n alternative agent in the treatment of uncomplicated Cystitis:
  • 500 mg twice daily for 5 to 7 days.

    ---

• As an alternative agent for the prophylaxis of endocarditis prior to a dental or invasive respiratory tract procedure:
  • 2 gms 30 - 60 minutes before the procedure.

    ---

• Treatment of Impetigo or ecthyma:
  • 250 to 500 mg 6 hourly for 7 days.

    ---

• Treatment of Prosthetic joint infection:
  • • It should be used following intravenous therapy and joint debridement. The duration of therapy may vary from a minimum of 3 months to indefinitely
  • Methicillin-susceptible Staphylococci:
    • • 500 mg every three or four times a day (in combination with rifampin for the first 3 to 6 months of therapy)
    • As an alternative agent for beta-hemolytic Streptococci:
      • 500 mg every three or four times a day
    • As an alternative agent for Cutibacterium spp:
      • 500 mg every three or four times a day

        ---

• As an alternative agent for group A Streptococcal pharyngitis in patients with mild penicillin allergy:
  • 500 mg twice daily for 10 days

Cephalexin Dose in Childrens

Usual dosing for the treatment of susceptible infections:

• Infants, Children, and Adolescents:
  • Mild to moderate infection:
    • 25 to 50 mg/kg/day in two to four divided doses to a maximum daily dose of 2,000 mg/day
  • Severe infections:
    • 75 to 100 mg/kg/day in three or four divided doses to a maximum daily dose of 4,000 mg/day

---

Peritoneal Catheter infections:

• Infants, Children, and Adolescents:
  • 10 to 20 mg/kg/day orally once a day in two divided doses to a maximum dose of 1,000 mg/dose

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Dose in group A streptococcal Pharyngitis & tonsillitis:

• Children and Adolescents less than 15 years of age:
  • 25 to 50 mg/kg/day orally in two divided doses to a maximum dose of 500 mg/dose
• Adolescents older than 15 years:
  • 500 mg orally in two divided doses
• IDSA recommendation (alternate dosing):
  • Infants, Children, and Adolescents:
    • 20 mg/kg/dose in two divided doses for 10 days to a maximum dose of 500 mg/dose.

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Impetigo (caused by Staphylococcus or streptococcus):

• Infants, Children, and Adolescents:
  • 25 to 50 mg/kg/day in three or four divided doses to a maximum dose of 250 mg/dose for 7 days.

---

Acute Otitis media:

• Infants and Children:
  • 75 to 100 mg/kg/day  in four divided doses to the usual maximum dose of 500 mg/dose in mild to moderate infections and 1000 mg/dose in severe infections.

---

Skin and soft tissue infections like cellulitis and erysipelas:

• Infants, Children, and Adolescents less than 15 years:
  • 25 to 50 mg/kg/day in two divided doses to a maximum dose of 500 mg/dose (for a total of 10 days in patients with infections caused by β-hemolytic streptococcal infections)
• Adolescents older than 15 years:
  • 500 mg twice daily.
• IDSA recommendations:
  • Infants, Children, and Adolescents:
    • 25 to 50 mg/kg/day in four divided doses to a maximum dose of 500 mg/dose for a minimum of 5 days

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For prophylaxis of Endocarditis prior to a dental or respiratory tract procedure:

• Infants, Children, and Adolescents:
  • 50 mg/kg administered 30 to 60 minutes before the procedure to a maximum dose of 2,000 mg/dose.

---

Use in treatment of Mild community-acquired Pneumonia and mild infections caused by Methicillin-sensitive S. aureus.

• Infants older than 3 months, Children, and Adolescents:
  • 75 to 100 mg/kg/day orally in three or four divided doses to a maximum daily dose of 4000 mg/day

---

Use of Cephalexin in the treatment of Urinary tract infection:

• Empiric therapy in febrile patients:
  • Infants older than 2 months and Children less than 2 years of age:
    • 50 to 100 mg/kg/day in four divided doses for 7 - 14 days
• Treatment:
  • Children and Adolescents less than 15 years of age:
    • 25 to 50 mg/kg/day in two or four divided doses to a maximum dose of 500 mg/dose for 7 - 14 days
    • A dose of 50 to 100 mg/kg/day in two or four divided doses to am amximum dose of 4000 mg day may be advised in severe infections
  • Adolescents older than 15 years:
    • 250 mg every 6 hours or 500 mg twice daily for 7 - 14 days. Higher doses upto 4 gms may be required in severe infections.

---

As a step-down therapy in Osteoarticular infection like septic arthritis and osteomyelitis:

• Infants, Children, and Adolescents:
  • 100 mg/kg/day in three or four divided doses to a maximum daily dose of 4000 mg.

Pregnancy Risk Factor B

• Cephalexin crosses the placental barrier however, adverse fetal outcomes have not been observed when used during pregnancy.
• It may be used for the prevention of endocarditis in high-risk patients before a vaginal delivery.

Cephalexin (Keflex) use during breastfeeding:  

• Cephalexin enters breastmilk. It may modify the infant's bowel flora and may cause GI disturbances in the infant.
• The manufacturer recommends weighing the benefits of breastfeeding and risks to the infant and the benefits of maternal treatment.
• It may also be used to treat mastitis if other first-line agents cannot be used.

Cephalexin Dose in Renal Disease:

• CrCl  of more than 30 mL/minute.
  • No dose adjustment is required

• CrCl 15 - 29 mL/minute:
  • 250 mg twice or thrice daily.
• CrCl 5 - 14 mL/minute:
  • 250 mg once a day
• CrCl 1 - 4 mL/minute:
  • 250 mg every second or third day.

• End-stage renal disease (ESRD) on intermittent hemodialysis:
  • 250 - 500 mg once or twice daily. 20 - 50% of the dose may be given after dialysis.

• Peritoneal dialysis:
  • 250 to 500 mg once or twice daily.

Cephalexin Dose in Liver Disease:

The manufacturer has not recommended any dose adjustment in patients with liver disease.

Common Side Of Cephalexin Include:

• Central nervous system:
  • Agitation
  • Confusion
  • Dizziness
  • Fatigue
  • Hallucination
  • Headache
• Dermatologic:
  • Erythema multiforme
  • Genital pruritus
  • Skin rash
  • Stevens-Johnson syndrome 
  • Toxic epidermal necrolysis
  • Urticaria
• Gastrointestinal:
  • Abdominal pain
  • Diarrhea
  • Dyspepsia
  • Gastritis
  • Nausea
  • Pseudomembranous colitis
  • Vomiting
• Genitourinary:
  • Genital candidiasis
  • Vaginal discharge
  • Vaginitis
• Hematologic & oncologic:
  • Eosinophilia
  • Hemolytic anemia
  • Neutropenia
  • Thrombocytopenia
• Hepatic:
  • Cholestatic jaundice
  • Hepatitis
  • Increased serum ALT
  • Increased serum AST
• Hypersensitivity:
  • Anaphylaxis
  • Angioedema
  • Hypersensitivity reaction
• Neuromuscular & skeletal:
  • Arthralgia
  • Arthritis
  • Arthropathy
• Renal:
  • Interstitial nephritis (rare)

Contraindication to Cephalexin (Keflex) include:

• Allergic reactions to cephalexin, penicillins, other cephalosporins, or any component of the formulation

Warnings & Precautions

• Hypersensitivity reactions:
  • Allergic reactions including a rash, urticaria, anaphylaxis, angioedema, erythema multiforme, SJS (Stevens-Johnson syndrome), toxic epidermal necrolysis [TEN]) have been reported.
  • Treatment should be discontinued if allergic reactions are noted.

• Elevated INR:
  • It may result in coagulopathy manifested by an increase in INR, especially in patients with liver and renal impairment, patients with nutritional deficiency, and those on prolonged therapy

• Seizure disorder:
  • High levels of cephalexin especially in patients with renal impairment are at risk of developing seizures.

• Superinfection:
  • Patients on prolonged cephalexin therapy (more than 2 months) may develop superinfections including fungal and bacterial superinfections (e.g. C. difficile-associated diarrhea (CDAD) and pseudomembranous colitis)

• Renal impairment:
  • It should be used with caution in patients with renal impairment. The dose may need to be modified in such cases.

Cephalexin: Drug Interaction

Note: Drug Interaction Categories:

• Risk Factor C: Monitor When Using Combination
• Risk Factor D: Consider Treatment Modification
• Risk Factor X: Avoid Concomitant Use

Risk Factor C (Monitor therapy)
BCG Vaccine (Immunization)	Antibiotics may diminish the therapeutic effect of BCG Vaccine (Immunization).
Lactobacillus and Estriol	The therapeutic effects of Lactobacillus and Estriol may be reduced by antibiotics.
MetFORMIN	Cephalexin may raise the level of MetFORMIN in the serum.
Probenecid	Cephalosporins' serum concentration can rise.
Vitamin K Antagonists (eg, warfarin)	The anticoagulant action of Vitamin K antagonists may be increased by cephalosporins.
Risk Factor D (Consider therapy modification)
Multivitamins/Minerals (with ADEK, Folate, Iron)	Cephalexin serum concentration can drop. Particularly, the zinc present in many multivitamins may reduce the absorption of cephalexin. Administration of multivitamins at least three hours after cephalexin is a possible treatment option.
Multivitamins/Minerals (with AE, No Iron)	Cephalexin serum concentration can drop. Particularly, the zinc present in many multivitamins may reduce the absorption of cephalexin. Administration of multivitamins at least three hours after cephalexin is a possible treatment option.
Sodium Picosulfate	Antibiotics may reduce Sodium Picosulfate's therapeutic impact. Management: If a patient previously used or is currently using an antibiotic, think about utilising an alternative product for bowel cleansing prior to a colonoscopy.
Sucroferric Oxyhydroxide	Cephalexin serum concentration can drop. Sucroferric oxyhydroxide should be administered at least an hour before cephalexin.
Typhoid Vaccine	The Typhoid Vaccine's therapeutic benefits may be reduced by antibiotics. The only strain impacted is the live attenuated Ty21a strain. Treatment: Patients receiving systemic antibacterial drugs should refrain from receiving the live attenuated typhoid vaccination (Ty21a). It is recommended to wait at least 3 days following the last dose of antibacterial medication before administering this vaccine.
Zinc Salts	Cephalexin absorption might be decreased. Treatment: Take into account giving zinc salts orally at least 3 hours after cephalexin.
Risk Factor X (Avoid combination)
BCG (Intravesical)	Antibiotics may diminish the therapeutic effect of BCG (Intravesical).
Cholera Vaccine	Antibiotics may diminish the therapeutic effect of Cholera Vaccine. Management: Avoid cholera vaccine in patients receiving systemic antibiotics, and within 14 days following the use of oral or parenteral antibiotics.

Monitoring Parameters:

• Monitor renal function, hepatic function, and hematologic parameters periodically in patients on prolonged therapy.
• Monitor for allergic reactions and signs of anaphylaxis during first dose.

How to take Cephalexin?

• Administer without regard to meals.
• It may be administered with meals if the patient develops GI distress.
• It should be administered round the clock to minimize variation in the peak and trough levels.

Mechanism of action of Cephalexin:

Cephalexin (Keflex) is a first-generation cephalosporin that binds to the penicillin-binding proteins (PBPs) and inhibits bacterial cell wall synthesis. Bacteria are then lysed by the action of autolytic enzymes 90% of it is rapidly absorbed and is 6 - 15 % protein bound. It is widely distributed into most tissues and body fluids including the gallbladder, bile, liver, kidneys, bone, sputum, pleural and synovial fluids. It has poor CSF penetration. The half-life elimination in neonates is 5 hours, in children is 2.5 hours and in adults is 0.5 to 1.2 hours. The time to peak serum concentration is about one hour. It is primarily excreted via urine within 8 hours (80 - 100% as unchanged drug)

International Brands of Cephalexin:

• APO-Cephalex
• AURO-Cephalexin
• DOM-Cephalexin
• Keflex
• LUPIN-Cephalexin
• PMS-Cephalexin
• TEVA-Cephalexin
• TEVA-Cephalexin 125
• TEVA-Cephalexin 250
• Acelex
• Airex
• Alexin
• Arlexin
• Asef
• Avloxin
• Axcel
• Bloflex
• Capxin
• Cecan
• Cefabiotic
• Cefacet
• Cefadal
• Cefadin
• Cefadyl
• Cefalin
• Cefalver
• Cefamor
• Cefastad
• Ceff
• Cefovit
• Cefrax
• Celexin
• Cephadar Forte
• Cephalen
• Cephalex
• Cephalexyl
• Cephanmycin
• Cephast
• Cephoxin
• Ceporex Forte
• Ceporexin
• Ceprax
• Ceproex
• Cerexin
• Erocetin
• Falexin
• Farmalex
• Felexin
• Glexil
• Glopixin
• Ibilex
• Inphalex
• Italcefal
• Kefacin
• Kefalex
• Kefalospes
• Kefaxin
• Keflex
• Kefloridina
• Keforal
• Kidolex
• Larixin
• LCLexin
• Lecef
• Lenocef
• Lexin
• Lexipron
• Madlexin
• Meceta
• Medolexin
• Midaflex
• Monocef
• Nafacil-S
• Neokef
• Nufex
• Oracef
• Oriphex
• Ospeksyn
• Ospexin
• Paferxin
• Palitrex
• Pectril
• Pharmexin
• Plecef
• Proxicef
• Ramoxin
• Rancef
• Relaxin
• Sanaxin
• Sef
• Sepexin
• Septilisin
• Servicef
• Servispor
• Sialexin
• Sofilex
• Solulexin
• Sorlex
• Sporicef
• Sporidex
• Sporidin
• Sporidin AF
• Torlasporin
• Uphalexin
• Winlex
• Zecef
• Zelexin

Cephalexin Brands in Pakistan:

Cephalexin (Monohydrate) [Inj 1 g]
CIZLIN	SHROOQ PHARMACEUTICALS
ZEPORIN	Z-JANS PHARMACEUTICAL (PVT) LTD.

 

Cephalexin (Monohydrate) [Inj 250 mg]
CIZLIN	SHROOQ PHARMACEUTICALS
ZEPORIN	Z-JANS PHARMACEUTICAL (PVT) LTD.

 

Cephalexin (Monohydrate) [Inj 500 mg]
CEPOREX	GLAXOSMITHKLINE
CIZLIN	SHROOQ PHARMACEUTICALS
IPRALEXIN	IPRAM INTERNATIONAL
LEXHAL	POLYFINE CHEMPHARMA (PVT) LTD.
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
ZEPORIN	Z-JANS PHARMACEUTICAL (PVT) LTD.

 

Cephalexin (Monohydrate) [Inj-IV 500 mg]
CEPOREX	GLAXOSMITHKLINE
IPRALEXIN	IPRAM INTERNATIONAL

 

Cephalexin (Monohydrate) [Drops 100 mg/ml]
AG-CIN	SAYDON PHARMACEUTICAL INDUSTRIES (PVT) LTD.
CEFLIN	FEROZSONS LABORATOIES LTD.
CEPOREX PAED	GLAXOSMITHKLINE
FRELEXIN	FRIENDS PHARMA (PVT) LTD
KAVELEX	DON VALLEY PHARMACEUTICALS (PVT) LTD.
KEFLEX	AGP (PRIVATE) LTD.
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
NAVELEX	SPADIX PHARMACEUTICALS
OCEFLOX	SAFE PHARMACEUTICAL (PVT) LTD.
PALAXIN	PLIVA PAKISTAN (PVT) LIMITED
SEFOLEX	QURESHI PHARMA (PVT) LTD.
VG-LEX	FOZAN PHARMACEUTICALS INDUSTRIERS (PVT) LTD

 

Cephalexin (Monohydrate) [Drops 125 mg/ml]
LEXCEF	LOWITT PHARMACEUTICALS (PVT) LTD

 

Cephalexin (Monohydrate) [Syrup 125 mg/5ml]
CELEXIN	GRAY`S PHARMACEUTICALS

 

Cephalexin (Monohydrate) [Syrup 250 mg/5ml]
CELEXIN	GRAY`S PHARMACEUTICALS
Lexin	AGROR PHARMA

 

Cephalexin (Monohydrate) [Susp 125 mg/5ml]
ABIREX	ALLIANCE PHARMACEUTICALS (PVT) LTD.
AG-CIN	SAYDON PHARMACEUTICAL INDUSTRIES (PVT) LTD.
ALEXIN	ALSON PHARMACEUTICALS
ANGLOLEXIN	EURO PHARMA INTERNATIONAL
B-LEX	RASCO PHARMA
BACTEX	RORYAN PHARMACEUTICAL INDUSTRIES (PVT) LTD
BENDROX	BENSON PHARAMCEUTICALS.
BLOCEF	BLOOM PHARMACEUTICALS (PVT) LTD.
C-XIN	CROWN PHARMACEUTICALS
CARAPHALEX	CARAWAY PHARMACEUTICALS
CEFADROX	FEDRO PHARMACEUTICAL
CEFALEX	ROYAL CONSUMER MANUFACTURING COMPANY
CEFANEX	PARAMOUNT PHARMACEUTICALS
CEFLEX SUSPENSION	FEDRO PHARMACEUTICAL
CEFLIN	FEROZSONS LABORATOIES LTD.
CEFOCURE	GLOBAL PHARMACEUTICALS
CEKALEXIN	SHAFAZ PHARMA INTERNATIONAL (PVT) LTD.
CELERIM	DR. RAZA PHARMA (PRIVATE) LIMITED
CEOXIL	POLYFINE CHEMPHARMA (PVT) LTD.
CEPAXIN	EPOCH PHARMACEUTICAL
CEPEL-X	JAWA PHARMACEUTICALS(PVT) LTD.
CEPHALIN	SHAREX LABORATORIES (PVT.) LTD.
CEPOADVAN	ADVANCED PHARMACEUTICALS
CEPOREX	GLAXOSMITHKLINE
CEROX	S.J. & G. FAZUL ELLAHIE (PVT) LTD.
CESAL	GOODMAN LABORATORIES
CIBLEXIN	CIBEX (PRIVATE) LIMITED
D-MAX	ELKO ORGANIZATION (PVT) LTD.
DEFALEX	DANAS PHARMACEUTICALS (PVT) LTD
DELEXIN	MEGA PHARMACEUTICALS (PVT) LTD
EFALEXIN	BIOREX PHARMACEUTICALS
ELEXIN	ELITE PHARMA
EUROCEF	EURO PHARMA INTERNATIONAL
FRELEXIN	FRIENDS PHARMA (PVT) LTD
IPRALEXIN	IPRAM INTERNATIONAL
JAFLEX	JAFSON PHARMACEUTICALS (PVT) LTD.
JLEX	WISE PHARMACEUTICALS (PVT) LTD
KAVELEX	DON VALLEY PHARMACEUTICALS (PVT) LTD.
KEFLEX	AGP (PRIVATE) LTD.
KELEY	EPHARM LABORATORIES
KEPHALEXIN	WERRICK PHARMACEUTICALS
LEADOXIN	LEADS PHARMA (PVT) LTD
LEXCEF	LOWITT PHARMACEUTICALS (PVT) LTD
LEXICEF	SYNCHRO PHARMACEUTICALS
Lexin	AGROR PHARMA
LEXIWAN	NAWAN LABORATORIES (PVT) LTD.
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
MEDILEX	MEDIATE PHARMACEUTICALS (PVT) LTD
NENFLEX	NENZA PHARMACEUTICALS (PVT) LIMITED
NEULEXIN	NEUTRO PHARMA (PVT) LTD.
NUFEX	NOVA MED PHARMACEUTICALS
OCEFLOX	SAFE PHARMACEUTICAL (PVT) LTD.
ORALEXIN	PHARMEDIC (PVT) LTD.
OSPEXIN	NOVARTIS PHARMA (PAK) LTD
PLIVACEF	PLIVA PAKISTAN (PVT) LIMITED
REKOSPORIN	REKO PHARMACAL (PVT) LTD.
RELIC	FYNK PHARMACEUTICALS
ROXICEF	PEARL PHARMACEUTICALS
SAFALEX	LISKO PAKISTAN (PVT) LTD
SAFEXIN	SWISS PHARMACEUTICALS (PVT) LTD.
SEFOLEX	QURESHI PHARMA (PVT) LTD.
SPURGE	WILSHIRE LABORATORIES (PVT) LTD.
SYNAXIN	SYNTEX PHARMACEUTICALS
VG-LEX	FOZAN PHARMACEUTICALS INDUSTRIERS (PVT) LTD
WEBOLAXACIN	WEBROS PHARMACEUTICALS
ZAFALEXIN	ZAFA PHARMACEUTICAL LABORATORIES (PVT) LTD.
ZAPHALEX	ZANCTOK PHARMACEUTICALS

 

Cephalexin (Monohydrate) [Susp 250 mg/5ml]
ABIREX	ALLIANCE PHARMACEUTICALS (PVT) LTD.
AG-CIN	SAYDON PHARMACEUTICAL INDUSTRIES (PVT) LTD.
ALEXIN	ALSON PHARMACEUTICALS
B-LEX	RASCO PHARMA
BACTEX	RORYAN PHARMACEUTICAL INDUSTRIES (PVT) LTD
BAXCEPH	Baxter Karachi
BENDROX	BENSON PHARAMCEUTICALS.
BLOCEF	BLOOM PHARMACEUTICALS (PVT) LTD.
CARAPHALEX	CARAWAY PHARMACEUTICALS
CEFADROX	FEDRO PHARMACEUTICAL
CEFALEX	ROYAL CONSUMER MANUFACTURING COMPANY
CEFANEX	PARAMOUNT PHARMACEUTICALS
CEFARID	ENVOY PHARMA
CEFLIN	FEROZSONS LABORATOIES LTD.
CEFOCURE	GLOBAL PHARMACEUTICALS
CELERIM	DR. RAZA PHARMA (PRIVATE) LIMITED
CEOXIL	POLYFINE CHEMPHARMA (PVT) LTD.
CEPAXIN	EPOCH PHARMACEUTICAL
CEPHALIN	SHAREX LABORATORIES (PVT.) LTD.
CEPOADVAN	ADVANCED PHARMACEUTICALS
CEPOREX	GLAXOSMITHKLINE
CEROX	S.J. & G. FAZUL ELLAHIE (PVT) LTD.
D-MAX	ELKO ORGANIZATION (PVT) LTD.
DEFALEX	DANAS PHARMACEUTICALS (PVT) LTD
DELEXIN	MEGA PHARMACEUTICALS (PVT) LTD
EFALEXIN	BIOREX PHARMACEUTICALS
ELEXIN	ELITE PHARMA
FRELEXIN	FRIENDS PHARMA (PVT) LTD
IPRALEXIN	IPRAM INTERNATIONAL
JAFLEX	JAFSON PHARMACEUTICALS (PVT) LTD.
JLEX	WISE PHARMACEUTICALS (PVT) LTD
KAVELEX	DON VALLEY PHARMACEUTICALS (PVT) LTD.
KEFLEX	AGP (PRIVATE) LTD.
KEFPORIN	HELICON PHARMACEUTEK PAKISTAN (PVT) LTD.
KELEY	EPHARM LABORATORIES
KEPHALEXIN	WERRICK PHARMACEUTICALS
KINGCEF	ENGLISH PHARMACEUTICALS INDUSTRIES
LEADOXIN	LEADS PHARMA (PVT) LTD
LEXCEF	LOWITT PHARMACEUTICALS (PVT) LTD
LEXICEF	SYNCHRO PHARMACEUTICALS
LEXIWAN	NAWAN LABORATORIES (PVT) LTD.
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
MEDILEX	MEDIATE PHARMACEUTICALS (PVT) LTD
NENFLEX	NENZA PHARMACEUTICALS (PVT) LIMITED
NUFEX	NOVA MED PHARMACEUTICALS
ORALEXIN	PHARMEDIC (PVT) LTD.
OSPEXIN	NOVARTIS PHARMA (PAK) LTD
PLIVACEF	PLIVA PAKISTAN (PVT) LIMITED
REKOSPORIN	REKO PHARMACAL (PVT) LTD.
RELIC	FYNK PHARMACEUTICALS
ROXICEF	PEARL PHARMACEUTICALS
SAFEXIN	SWISS PHARMACEUTICALS (PVT) LTD.
SEFOLEX	QURESHI PHARMA (PVT) LTD.
SPURGE	WILSHIRE LABORATORIES (PVT) LTD.
SYNAXIN	SYNTEX PHARMACEUTICALS
VG-LEX	FOZAN PHARMACEUTICALS INDUSTRIERS (PVT) LTD
WEBOLAXACIN	WEBROS PHARMACEUTICALS
ZAFALEXIN	ZAFA PHARMACEUTICAL LABORATORIES (PVT) LTD.
ZAPHALEX	ZANCTOK PHARMACEUTICALS

 

Cephalexin (Monohydrate) [Dry Susp 125 mg/5ml]
ASTELEXIN	ASTELLAS PHARMACEUTICALS
CEPHCARE	CSH PHARMACEUTICALS-NORTH (PVT) LTD
FASCEPH	FASSGEN PHARMACEUTICALS

 

Cephalexin (Monohydrate) [Dry Susp 250 mg/5ml]
ASTELEXIN	ASTELLAS PHARMACEUTICALS
CEPHCARE	CSH PHARMACEUTICALS-NORTH (PVT) LTD
FASCEPH	FASSGEN PHARMACEUTICALS

 

Cephalexin (Monohydrate) [Tabs 1 g]
ORALEXIN	PHARMEDIC (PVT) LTD.
OSPEXIN	NOVARTIS PHARMA (PAK) LTD

 

Cephalexin (Monohydrate) [Tabs 250 mg]
CEFLIN	FEROZSONS LABORATOIES LTD.
LEXIWAN	NAWAN LABORATORIES (PVT) LTD.
ORALEXIN	PHARMEDIC (PVT) LTD.

 

Cephalexin (Monohydrate) [Tabs 500 mg]
CEFLIN	FEROZSONS LABORATOIES LTD.
LEXIWAN	NAWAN LABORATORIES (PVT) LTD.
ORALEXIN	PHARMEDIC (PVT) LTD.
OSPEXIN	NOVARTIS PHARMA (PAK) LTD

Cephalexin (Monohydrate) [Caps 1 g]
ENVERA	NAVEGAL LABORATORIES

Cephalexin (Monohydrate) [Caps 250 mg]
ABIREX	ALLIANCE PHARMACEUTICALS (PVT) LTD.
AG-CIN	SAYDON PHARMACEUTICAL INDUSTRIES (PVT) LTD.
ALEXIN	ALSON PHARMACEUTICALS
ANGLOLEXIN	EURO PHARMA INTERNATIONAL
BACTEX	RORYAN PHARMACEUTICAL INDUSTRIES (PVT) LTD
BLOCEF	BLOOM PHARMACEUTICALS (PVT) LTD.
C-XIN	CROWN PHARMACEUTICALS
CARAPHALEX	CARAWAY PHARMACEUTICALS
CEFALEX	ROYAL CONSUMER MANUFACTURING COMPANY
CEFANEX	PARAMOUNT PHARMACEUTICALS
CEFLEX	KARACHI PHARMACEUTICAL LABORATORY
CEFLEX	KARACHI PHARMACEUTICAL LABORATORY
CEFOCURE	GLOBAL PHARMACEUTICALS
CELERIM	DR. RAZA PHARMA (PRIVATE) LIMITED
CELEXIN	GRAY`S PHARMACEUTICALS
CEPALEX	LAHORE CHEMICAL & PHARMACEUTICAL WORKS (PVT) LTD
CEPAXIN	EPOCH PHARMACEUTICAL
CEPHALIN	SHAREX LABORATORIES (PVT.) LTD.
CEPHCARE	CSH PHARMACEUTICALS-NORTH (PVT) LTD
CEPOADVAN	ADVANCED PHARMACEUTICALS
CEPOREX	GLAXOSMITHKLINE
CEROX	S.J. & G. FAZUL ELLAHIE (PVT) LTD.
CESAL	GOODMAN LABORATORIES
CIBLEXIN	CIBEX (PRIVATE) LIMITED
DEFALEX	DANAS PHARMACEUTICALS (PVT) LTD
DELEXIN	MEGA PHARMACEUTICALS (PVT) LTD
EFALEXIN	BIOREX PHARMACEUTICALS
ELEXIN	ELITE PHARMA
EUROCEF	EURO PHARMA INTERNATIONAL
FASCEPH	FASSGEN PHARMACEUTICALS
JAFLEX	JAFSON PHARMACEUTICALS (PVT) LTD.
JLEX	WISE PHARMACEUTICALS (PVT) LTD
KAVELEX	DON VALLEY PHARMACEUTICALS (PVT) LTD.
KEFLEX	AGP (PRIVATE) LTD.
KELEY	EPHARM LABORATORIES
KEPHALEXIN	WERRICK PHARMACEUTICALS
LEADOXIN	LEADS PHARMA (PVT) LTD
LEXCEF	LOWITT PHARMACEUTICALS (PVT) LTD
LEXICEF	SYNCHRO PHARMACEUTICALS
Lexin	AGROR PHARMA
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
MEDILEX	MEDIATE PHARMACEUTICALS (PVT) LTD
MONOLEXIN	PEARL PHARMACEUTICALS
NENFLEX	NENZA PHARMACEUTICALS (PVT) LIMITED
NEULEXIN	NEUTRO PHARMA (PVT) LTD.
NUFEX	NOVA MED PHARMACEUTICALS
OCEFLOX	SAFE PHARMACEUTICAL (PVT) LTD.
OSPEXIN	NOVARTIS PHARMA (PAK) LTD
PHAXIN	SHAWAN PHARMACEUTICALS
PLIVACEF	PLIVA PAKISTAN (PVT) LIMITED
REKOSPORIN	REKO PHARMACAL (PVT) LTD.
ROXICEF	PEARL PHARMACEUTICALS
SAFEXIN	SWISS PHARMACEUTICALS (PVT) LTD.
SEFOLEX	QURESHI PHARMA (PVT) LTD.
SPURGE	WILSHIRE LABORATORIES (PVT) LTD.
SYNAXIN	SYNTEX PHARMACEUTICALS
VG-LEX	FOZAN PHARMACEUTICALS INDUSTRIERS (PVT) LTD
WEBOLAXACIN	WEBROS PHARMACEUTICALS
WEFLEX	WARAFANA PHARMACEUTICALS
ZAFALEXIN	ZAFA PHARMACEUTICAL LABORATORIES (PVT) LTD.
ZAFALEXIN	ZAFA PHARMACEUTICAL LABORATORIES (PVT) LTD.
ZAPHALEX	ZANCTOK PHARMACEUTICALS
ZEPORIN	Z-JANS PHARMACEUTICAL (PVT) LTD.

 

Cephalexin (Monohydrate) [Caps 500 mg]
ABIREX	ALLIANCE PHARMACEUTICALS (PVT) LTD.
AG-CIN	SAYDON PHARMACEUTICAL INDUSTRIES (PVT) LTD.
ALEXIN	ALSON PHARMACEUTICALS
ANGLOLEXIN	EURO PHARMA INTERNATIONAL
B-LEX	RASCO PHARMA
BACTEX	RORYAN PHARMACEUTICAL INDUSTRIES (PVT) LTD
Bacticlor	HIRANIS PHARMACEUTICALS PVT LTD
BENDROX	BENSON PHARAMCEUTICALS.
BLOCEF	BLOOM PHARMACEUTICALS (PVT) LTD.
C-XIN	CROWN PHARMACEUTICALS
CARAPHALEX	CARAWAY PHARMACEUTICALS
CEFADROX	FEDRO PHARMACEUTICAL
CEFALEX	ROYAL CONSUMER MANUFACTURING COMPANY
CEFANEX	PARAMOUNT PHARMACEUTICALS
CEFARID	ENVOY PHARMA
CEFLEX	KARACHI PHARMACEUTICAL LABORATORY
CEFLEX	KARACHI PHARMACEUTICAL LABORATORY
CEFOCURE	GLOBAL PHARMACEUTICALS
CELERIM	DR. RAZA PHARMA (PRIVATE) LIMITED
CELEXIN	GRAY`S PHARMACEUTICALS
CEOXIL	POLYFINE CHEMPHARMA (PVT) LTD.
CEPALEX	LAHORE CHEMICAL & PHARMACEUTICAL WORKS (PVT) LTD
CEPAXIN	EPOCH PHARMACEUTICAL
CEPHALIN	SHAREX LABORATORIES (PVT.) LTD.
CEPHCARE	CSH PHARMACEUTICALS-NORTH (PVT) LTD
CEPOADVAN	ADVANCED PHARMACEUTICALS
CEPOREX	GLAXOSMITHKLINE
CEROX	S.J. & G. FAZUL ELLAHIE (PVT) LTD.
CESAL	GOODMAN LABORATORIES
CIBLEXIN	CIBEX (PRIVATE) LIMITED
D-MAX	ELKO ORGANIZATION (PVT) LTD.
DEFALEX	DANAS PHARMACEUTICALS (PVT) LTD
DELEXIN	MEGA PHARMACEUTICALS (PVT) LTD
EFALEXIN	BIOREX PHARMACEUTICALS
ELEXIN	ELITE PHARMA
ENVERA	NAVEGAL LABORATORIES
EUROCEF	EURO PHARMA INTERNATIONAL
FASCEPH	FASSGEN PHARMACEUTICALS
FRELEXIN	FRIENDS PHARMA (PVT) LTD
JAFLEX	JAFSON PHARMACEUTICALS (PVT) LTD.
JLEX	WISE PHARMACEUTICALS (PVT) LTD
KAVELEX	DON VALLEY PHARMACEUTICALS (PVT) LTD.
KEFLEX	AGP (PRIVATE) LTD.
KELEY	EPHARM LABORATORIES
KEPHALEXIN	WERRICK PHARMACEUTICALS
KINGCEF	ENGLISH PHARMACEUTICALS INDUSTRIES
LEADOXIN	LEADS PHARMA (PVT) LTD
LEXCEF	LOWITT PHARMACEUTICALS (PVT) LTD
LEXICEF	SYNCHRO PHARMACEUTICALS
Lexin	AGROR PHARMA
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
MACLEXIN	MASS PHARMA (PRIVATE) LIMITED
MEDILEX	MEDIATE PHARMACEUTICALS (PVT) LTD
MONOLEXIN	PEARL PHARMACEUTICALS
NENFLEX	NENZA PHARMACEUTICALS (PVT) LIMITED
NUFEX	NOVA MED PHARMACEUTICALS
OCEFLOX	SAFE PHARMACEUTICAL (PVT) LTD.
PHAXIN	SHAWAN PHARMACEUTICALS
PLIVACEF	PLIVA PAKISTAN (PVT) LIMITED
REKOSPORIN	REKO PHARMACAL (PVT) LTD.
SAFEXIN	SWISS PHARMACEUTICALS (PVT) LTD.
SEFOLEX	QURESHI PHARMA (PVT) LTD.
SOLVOCEF	PLATINUM PHARMACEUTICALS (PVT.) LTD.
SPIC-LEXIN	S. EJAZUDDIN & COMPANY
SPURGE	WILSHIRE LABORATORIES (PVT) LTD.
SYNAXIN	SYNTEX PHARMACEUTICALS
ULTROXIL	HIMONT PHARMACEUTICALS (PVT) LTD.
VG-LEX	FOZAN PHARMACEUTICALS INDUSTRIERS (PVT) LTD
WEBOLAXACIN	WEBROS PHARMACEUTICALS
ZAFALEXIN	ZAFA PHARMACEUTICAL LABORATORIES (PVT) LTD.
ZAPHALEX	ZANCTOK PHARMACEUTICALS
ZEPORIN	Z-JANS PHARMACEUTICAL (PVT) LTD.

 

Cephalexin (Monohydrate) [Caps 500 mg/5ml]
SAFALEX	LISKO PAKISTAN (PVT) LTD