Cephalexin (Keflex) - Uses, Dose, Side effects, Brands

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.

Dose in specific situations:

  • As an alternative agent in the treatment of mild erysipelas and nonpurulent Cellulitis:
  • 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:
    • 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:
    • 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

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.

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

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:
  • 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