Brand Name Ceflex
Type Capsule
Weight 500 mg
Generic Cephalexin
Manufacturer Therapeutics Bangladesh Ltd.

About Ceflex

Ceflex Capsule (Therapeutics Bangladesh Ltd.) is a brand medicine containing the generic Cephalexin .

Medical information for Ceflex Capsule 500 mg

Uses, dosage, side effects, and safety details below apply to Ceflex Capsule 500 mg (generic: Cephalexin). This is general information — consult a doctor before use.

Introduction

Ceflex Capsule 500 mg is the first of the first generation cephalosporins. This antibiotic contains a beta lactam and a dihydrothiazide. Ceflex Capsule 500 mg is used to treat a number of susceptible bacterial infections through inhibition of cell wall synthesis.

Uses

Ceflex Capsule 500 mg is a first generation cephalosporin used to treat certain susceptible bacterial infections.

Ceflex Capsule 500 mg is indicated for the treatment of certain infections caused by susceptible bacteria. These infections include respiratory tract infections, otitis media, skin and skin structure infections, bone infections, and genitourinary tract infections.

Associated Conditions

  • Bone Infection
  • Genitourinary tract infection
  • Otitis Media (OM)
  • Respiratory Tract Infections (RTI)
  • Skin and skin structure infections
  • Acute Prostatitis

Pharmacodynamics

Ceflex Capsule 500 mg (also called Cefalexin) is a first generation cephalosporin antibiotic. It is one of the most widely prescribed antibiotics, often used for the treatment of superficial infections that result as complications of minor wounds or lacerations. It is effective against most gram-positive bacteria through its inihibition of the cross linking reaction between N-acetyl muramicacid and N-acetylglucosamine in the cell wall, leading to cell lysis.

Mechanism of Action

Ceflex Capsule 500 mg is a first generation cephalosporin antibiotic. Cephalosporins contain a beta lactam and dihydrothiazide. Unlike penicillins, cephalosprins are more resistant to the action of beta lactamase. Ceflex Capsule 500 mg inhibits bacterial cell wall synthesis, leading breakdown and eventualy cell death.

Absorption

Well absorbed from the upper gastrointestinal tract with nearly 100% oral bioavailability. Ceflex Capsule 500 mg is not absorbed in the stomach but is absorbed in the upper intestine.

Patients taking 250mg of cephalexin reach a maximum plasma concentration of 7.7mcg/mL and patients taking 500mg reach 12.3mcg/mL.

Volume of Distribution

5.2-5.8L.

Protein Binding

Ceflex Capsule 500 mg is 10-15% bound to serum proteins including serum albumin.[A179053]

Route of Elimination

Ceflex Capsule 500 mg is over 90% excreted in the urine after 6 hours by glomerular filtration and tubular secretion with a mean urinary recovery of 99.3%. Ceflex Capsule 500 mg is unchanged in the urine.

Half Life

The half life of cephalexin is 49.5 minutes in a fasted state and 76.5 minutes with food though these times were not significantly different in the study.

Clearance

Clearance from one subject was 376mL/min.

Toxicity

Symptoms of overdose include blood in the urine, diarrhea, nausea, upper abdominal pain, and vomiting. An overdose is generally managed through supportive treatment as diuresis, dialysis, hemodialysis, and charcoal hemoperfusion are not well studied in this case.

The oral median lethal dose of cephalexin in rats is >5000 mg/kg. The oral LD50 in a monkey is >1g/kg and the lowest dose causing a toxic effect in humans is 14mg/kg.

Ceflex Capsule 500 mg has not been shown to be harmful in pregnancy and is not associated with teratogeniticy. Ceflex Capsule 500 mg is present in breast milk, though infants may be exposed to Label The effects of breast milk exposure to cephalexin have not been established and so caution must be exercised and the risk and benefit of cephalexin use in breastfeeding must be weighed.

Ceflex Capsule 500 mg has not been studied for carcinogenicity or mutagenicity. Ceflex Capsule 500 mg has no affect on fertility in rats.

Food Interactions

  • Take with or without food.

Dosage

Adult:
  • The usual dose is 250 mg to 500 mg every 6 hour.
  • For skin and soft tissue infections, streptococcal pharyngitis and uncomplicated cystitis, in patients over 15 years of age: 500 mg of the drug may be administered every 12 hour.
  • In severe or deep seated infections the dose can be increased up to 3 g to 6 g daily.
Children: The dosage range is 25-100 mg/kg/day in divided doses to a maximum of 4 g daily

Children's Weight Recommended Dose:
  • 10 kg (22 Ibs): 62.5 mg to 125 mg qid or 125 mg to 250 mg bid
  • 20 kg (44 Ibs): 125 mg to 250 mg qid or 250 mg to 500 mg bid
  • 40 kg (88 Ibs): 250 mg to 500 mg qid or 500 mg to 1 g bid
For streptococcal pharyngitis, skin and soft tissue infections and in patients over 1 year of age the total daily dose may be divided and administered every 12 hour. In the therapy of otitis media 75-100 mg/kg/day in four divided doses may be required. In the treatment of β haemolytic streptococcal infections a therapeutic dosage of the drug should be given at least for 10 days.

Frequently Asked Questions About Ceflex Capsule 500 mg

1. What is Ceflex Capsule 500 mg?

Ceflex Capsule 500 mg is an oral antibiotic in the cephalosporin class, specifically a first-generation cephalosporin. It is used to treat a variety of bacterial infections by interfering with the bacteria’s cell wall synthesis, leading to their death. It’s available under brand names like Keflex or as a generic in capsules, tablets, or liquid suspension.

2. What class of drug is Ceflex Capsule 500 mg?

Ceflex Capsule 500 mg belongs to the cephalosporin class of antibiotics, which are beta-lactam antibiotics similar to penicillins. As a first-generation cephalosporin, it’s particularly effective against gram-positive bacteria and some gram-negative bacteria.

3. How does Ceflex Capsule 500 mg work?

Ceflex Capsule 500 mg works by binding to penicillin-binding proteins (PBPs) in bacterial cell walls, inhibiting the final step of peptidoglycan synthesis. This weakens the cell wall, causing the bacteria to burst due to osmotic pressure. It’s bactericidal, meaning it kills bacteria rather than just stopping their growth.

4. What conditions does Ceflex Capsule 500 mg treat?

It treats infections caused by susceptible bacteria, including:

  • Skin infections: E.g., cellulitis, impetigo.
  • Respiratory tract infections: E.g., streptococcal pharyngitis (strep throat).
  • Urinary tract infections (UTIs): E.g., cystitis.
  • Bone infections: E.g., osteomyelitis.
  • Ear infections: E.g., otitis media.
It’s not effective against viral infections.

5. Is Ceflex Capsule 500 mg used for anything other than infections?

Its primary use is for bacterial infections. It’s occasionally used prophylactically (e.g., before dental procedures in patients with heart conditions to prevent endocarditis), but this is less common and depends on medical guidelines.

6. How is Ceflex Capsule 500 mg taken?

Ceflex Capsule 500 mg is taken orally as capsules, tablets, or a liquid suspension. It’s usually taken every 6–12 hours (2–4 times daily) with or without food, though food may reduce stomach upset. The liquid form should be shaken well before use.

7. What is the typical dosage for adults?

For adults, the usual dose is 250–500 mg every 6 hours or 500 mg every 12 hours, depending on the infection’s severity. For severe infections, up to 4 grams daily may be prescribed, split into doses. Treatment typically lasts 7–14 days.

8. What is the dosage for children?

For children, the dose is based on weight, typically 25–50 mg/kg/day, divided into 2–4 doses. For example, a 20 kg child might take 500–1000 mg daily. Higher doses (up to 100 mg/kg/day) may be used for severe infections, under medical supervision.

9. Can Ceflex Capsule 500 mg be taken with food?

Yes, it can be taken with or without food. Taking it with food may reduce stomach irritation, though it slightly slows absorption without affecting overall effectiveness.

10. What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember unless it’s nearly time for the next dose. In that case, skip the missed dose and continue the schedule. Don’t double up, as this increases side effect risks.

11. How quickly does Ceflex Capsule 500 mg work?

Ceflex Capsule 500 mg starts killing bacteria within hours, but symptom relief may take 1–2 days. Full resolution depends on the infection type and severity, often requiring the full course (7–14 days) to prevent recurrence.

12. What are the common side effects?

Common side effects include:

  • Diarrhea: Due to gut flora disruption.
  • Nausea: Mild stomach upset.
  • Vomiting: Less common but possible.
  • Rash: Mild skin reactions.
These are usually temporary and mild.

13. What are the serious side effects?

Rare but serious side effects include:

  • Allergic reactions: Rash, swelling, or difficulty breathing.
  • Clostridium difficile colitis: Severe diarrhea from gut overgrowth.
  • Liver issues: Yellowing skin (jaundice).
  • Kidney problems: Reduced urine output.
Seek immediate medical help if these occur.

14. Why does Ceflex Capsule 500 mg cause diarrhea?

It disrupts normal gut bacteria, allowing overgrowth of harmful bacteria like *Clostridium difficile*. This can lead to loose stools or, rarely, severe colitis. Probiotics may help, but consult a doctor if diarrhea persists.

15. Can Ceflex Capsule 500 mg cause allergic reactions?

Yes, especially in those allergic to cephalosporins or penicillins (due to cross-reactivity). Symptoms include rash, itching, or anaphylaxis (rare). Stop use and seek help if severe reactions occur.

16. Who should not take Ceflex Capsule 500 mg?

It’s contraindicated for:

  • People allergic to cephalosporins: Or with penicillin allergy history (10% cross-reactivity risk).
  • Severe kidney disease: Without dose adjustment.
Caution is needed in these cases.

17. Is Ceflex Capsule 500 mg safe during pregnancy?

Yes, it’s classified as Category B by the FDA, meaning no evidence of fetal harm in animal studies. It’s often used in pregnancy for UTIs, but only under medical supervision.

18. Can I take Ceflex Capsule 500 mg while breastfeeding?

Yes, it passes into breast milk in small amounts but is generally safe. Monitor the infant for diarrhea or rash, and consult a doctor if concerned.

19. Does Ceflex Capsule 500 mg interact with other medications?

Yes, it may interact with:

  • Probenecid: Increases Ceflex Capsule 500 mg blood levels.
  • Metformin: May increase metformin levels.
  • Warfarin: Rarely enhances bleeding risk.
Inform your doctor of all medications.

20. Can I drink alcohol while taking Ceflex Capsule 500 mg?

Alcohol doesn’t directly interact with Ceflex Capsule 500 mg, but it may worsen side effects like nausea or delay healing. Moderate drinking is usually fine, but avoid excess.

21. Does Ceflex Capsule 500 mg cause weight gain?

No, it doesn’t affect metabolism or cause weight gain. Any weight change might relate to illness or recovery.

22. Can Ceflex Capsule 500 mg be taken at night?

Yes, it can be taken at any time, as long as doses are evenly spaced (e.g., every 6 6 or 12 hours). Nighttime dosing is fine if it fits your schedule.

23. How long do I need to take Ceflex Capsule 500 mg?

Complete the full course (usually 7–14 days), even if symptoms improve, to prevent bacterial resistance or recurrence. Stopping early can worsen the infection.

24. Can Ceflex Capsule 500 mg be stopped suddenly?

Don’t stop early unless advised by a doctor, as it may lead to incomplete treatment. There’s no withdrawal risk, but the infection could return.

25. Does Ceflex Capsule 500 mg affect blood sugar?

No, it doesn’t directly affect blood sugar. Any changes would be unrelated to the drug.

26. Can Ceflex Capsule 500 mg cause yeast infections?

Yes, by disrupting normal flora, it can increase the risk of vaginal yeast infections or oral thrush, especially in women or those with diabetes.

27. What should I avoid while taking Ceflex Capsule 500 mg?

Avoid skipping doses and unnecessary antibiotics to prevent resistance. No specific food or activity restrictions apply.

28. Can Ceflex Capsule 500 mg cause fatigue?

Fatigue isn’t a common side effect. If it occurs, it’s likely from the infection, not the drug.

29. Is Ceflex Capsule 500 mg safe for elderly patients?

Yes, but dose adjustments may be needed for reduced kidney function, common in older adults. Monitoring is key.

30. Does Ceflex Capsule 500 mg affect the liver?

Rarely, it may cause mild liver enzyme elevations, but significant liver damage is uncommon unless pre-existing liver disease exists.

31. Can Ceflex Capsule 500 mg be used in children?

Yes, it’s safe for children with weight-based dosing (25–100 mg/kg/day). It’s commonly used for ear or skin infections.

32. What’s the maximum dose of Ceflex Capsule 500 mg?

The maximum is 4 grams daily for adults, split into doses, though this is rare and reserved for severe infections.

33. Can Ceflex Capsule 500 mg cause dizziness?

Dizziness is rare and not a typical side effect. If it occurs, it might relate to dehydration or the infection.

34. How is Ceflex Capsule 500 mg different from other antibiotics?

Compared to penicillins, it’s broader-spectrum but less effective against some gram-negative bacteria than later cephalosporins. It’s oral and well-tolerated.

35. Can Ceflex Capsule 500 mg prevent infections?

It’s not typically used preventatively except in specific cases (e.g., endocarditis prophylaxis). It’s mainly for active infections.

36. Does Ceflex Capsule 500 mg affect cholesterol?

No, it has no impact on cholesterol levels.

37. Can Ceflex Capsule 500 mg be taken with other antibiotics?

Rarely, it’s combined with others for complex infections, but this is doctor-directed. Usually, it’s used alone.

38. What tests should I get while on Ceflex Capsule 500 mg?

For long-term or high-dose use, check kidney function and liver enzymes. Routine monitoring isn’t needed for short courses.

39. Can Ceflex Capsule 500 mg cause depression?

No, it doesn’t affect mood or the brain. Depression would be unrelated.

40. Is Ceflex Capsule 500 mg addictive?

No, it’s not addictive or habit-forming.

41. Can Ceflex Capsule 500 mg be crushed?

Capsules shouldn’t be crushed, but tablets can be if needed (check with a pharmacist). Liquid forms are available.

42. Does Ceflex Capsule 500 mg cause hair loss?

No, hair loss isn’t a side effect. Any loss would be from another cause.

43. Can Ceflex Capsule 500 mg be used for acne?

It’s not a first-line acne treatment but may be used for severe bacterial skin infections contributing to acne.

44. What’s the half-life of Ceflex Capsule 500 mg?

Its half-life is about 1 hour in healthy adults, longer with kidney impairment, requiring dose adjustments.

45. Can Ceflex Capsule 500 mg cause a rash?

Yes, a mild rash is possible, especially with sensitivity. A severe rash may signal an allergy—stop use and seek help.

46. Does Ceflex Capsule 500 mg affect exercise?

No direct effect, but if you’re unwell, exercise may feel harder. Side effects like diarrhea could also impact activity.

47. Can Ceflex Capsule 500 mg be taken with aspirin?

Yes, there’s no significant interaction. It’s safe to combine if needed.

48. Is Ceflex Capsule 500 mg expensive?

No, as a generic, it’s affordable, often costing $10–$20 for a course, depending on dose and region.

49. Can Ceflex Capsule 500 mg cause stomach pain?

Yes, mild stomach pain or nausea can occur, especially if taken on an empty stomach. Food may help.

50. How should Ceflex Capsule 500 mg be stored?

Store at room temperature (15–30°C or 59–86°F), away from moisture and heat. Keep liquid forms refrigerated if specified.

Medical review

Last reviewed: 24 Jul 2026

Medically reviewed by:

This is general information, not personal medical advice. Consult a doctor before taking any medicine.

Taking medicines without doctor's advice can cause long-term problems.
Prof. Dr. Md. Rashidul Hassan

Prof. Dr. Md. Rashidul Hassan

Chest Diseases & Respiratory Medicine Specialist

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Dr. Mushfiqur Rahman

Dr. Mushfiqur Rahman

Internal Medicine Specialist

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Dr. Md. Saiful Haque

Dr. Md. Saiful Haque

General, Laparoscopic & Colorectal Surgeon

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