Prescription Drug (A doctor's prescription is required to purchase this product.)

Note: Penicillin is the usual drug of choice in the treatment and prevention of streptococcal infections, including the prophylaxis of rheumatic fever. Cefalexin is generally effective in the eradication of streptococci from the nasopharynx; however, substantial data establishing the efficacy of Cefalexin in the subsequent prevention of rheumatic fever are not available at present.

Dosage/Direction for Use:

Cefalexin is administered orally.
Usual Adult Dose: 250 mg every 6 hours (Maximum Dose: 4 g/day).
For streptococcal pharyngitis, skin and skin structure infections and uncomplicated cystitis (in patients > 15 years old): 500 mg every 12 hours.
Larger doses (up to 4 g daily) may be needed for more severe infections or those caused by less susceptible organisms. If daily doses of cefalexin greater than 4 g are required, initial therapy with parenteral cephalosporins, in appropriate doses, should be considered.
Elderly: Follow the usual adult dose. However, dosage should be reduced in case of renal impairment.
Patients with Renal Impairment: The initial dose is the same as in patients with normal renal function.

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