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Cephalexin 500mg
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Cephalexin 500mg is a prescription antibiotic used to treat certain bacterial infections. This page summarizes what the medicine does, how it is commonly taken, and key safety considerations. It also explains how CanadianInsulin coordinates dispensing through licensed pharmacies with US shipping from Canada for cash-pay access without insurance.
Information here is general and label-aligned. Diagnosis, treatment choice, and exact dosing depend on the infection, medical history, and laboratory results when available.
What Cephalexin 500mg Is and How It Works
Cephalexin is a first-generation cephalosporin antibiotic (a beta-lactam medicine). It treats susceptible bacteria by disrupting bacterial cell-wall synthesis, which can stop growth and lead to bacterial death. It does not treat viral illnesses such as colds or influenza. In practice, cephalexin may be used for skin and soft-tissue infections, certain respiratory infections, urinary tract infections, and other infections when the organism is expected to be sensitive.
CanadianInsulin operates as a prescription referral service linking requests to licensed Canadian pharmacies. Because antibiotics work best when matched to the right bacteria, prescribers may choose cephalexin based on exam findings, culture results, and local resistance patterns. In veterinary settings, cephalexin is also commonly selected for similar bacterial conditions, but species-specific factors (such as weight and kidney function) can change how it is used.
Who It’s For
Cephalexin is prescribed for people (and, in many cases, animals under veterinary direction) when a bacterial infection is likely to respond to a cephalosporin. Common use cases include infections involving the skin, throat, urinary tract, and bones or joints, depending on clinical judgment and local guidance. Some infections require a different antibiotic, combination therapy, or non-antibiotic care, especially if an abscess needs drainage or a device-related infection is suspected.
This medicine is not appropriate for everyone. Cephalexin is generally avoided in individuals with a history of severe hypersensitivity (allergic reaction) to cephalosporins, and it may require added caution in those with a serious penicillin allergy due to potential cross-reactivity. Prescribers also consider kidney disease, a history of antibiotic-associated colitis, and prior culture results when selecting therapy. For browsing related hubs, see Infectious Disease and Skin Infection.
Dosage and Usage
Cephalexin is taken by mouth in schedules set by a prescriber. For many infections, dosing is divided through the day to keep antibiotic levels steady, and the duration depends on the site and severity of infection. A 500 mg strength is often used when higher per-dose amounts are required, but the actual regimen depends on the indication, kidney function, and the formulation provided.
Why it matters: Skipping doses or stopping early can increase relapse and resistance risk.
Administration details vary by form. Capsules and tablets are typically swallowed with water and may be taken with food if stomach upset occurs. If a dose is missed, product labeling commonly advises taking it when remembered unless it is near the next dose; doubling is generally not advised unless specifically directed. For additional context on veterinary use patterns, the article Cephalexin For Dogs And Cats provides a practical overview while still deferring to the treating clinician’s plan.
Strengths and Forms
Cephalexin is manufactured in multiple oral dosage forms, and availability can differ by pharmacy and country. Many people recognize the brand reference “Keflex,” and listings may also show cephalexin monohydrate 500 mg on the label. When reviewing a package, confirm the exact form and strength because directions can differ between a cephalexin 500 mg capsule and a cephalexin 500 mg tablet.
The following table describes common presentations. The dispensed product may look different from a prior fill if a different manufacturer is supplied (generic substitution), but the active ingredient remains cephalexin when the label states it.
| Form | How it’s described on labels | Notes |
|---|---|---|
| Capsule | cephalexin 500 mg oral capsule | Often used for divided daily dosing; swallow whole unless directed. |
| Tablet | cephalexin oral capsule 500 mg (wording may vary) or tablet labeling | Some markets supply tablets; follow the printed directions. |
| Liquid (suspension) | Oral suspension (strength varies) | Common in pediatrics and veterinary care; shaking and measuring are important. |
Storage and Travel Basics
Storage depends on the dispensed form and the manufacturer’s labeling. Many solid oral products are stored at controlled room temperature in a dry place, protected from excess heat and moisture. Keep the medicine in its original container with the pharmacy label intact, since the label includes the lot details and beyond-use information.
Quick tip: When traveling, carry doses in the labeled container, not a loose pill box.
Liquid suspensions may have different requirements after mixing and may have a limited beyond-use time. Because instructions vary, confirm the storage directions printed on the bottle and the auxiliary stickers. Do not use medication past its stated expiry or beyond-use date. If a prescriber changes therapy based on culture results, unused antibiotic should be handled according to pharmacy guidance rather than saved for a future illness.
Side Effects and Safety
Like many antibiotics, cephalexin can cause gastrointestinal effects such as nausea, stomach discomfort, or diarrhea. Mild rash can occur as well. Some people notice vaginal yeast symptoms after antibiotics, which may relate to changes in normal flora (healthy bacteria). These effects are often manageable, but persistent symptoms warrant review by a healthcare professional.
Serious reactions are less common but require urgent assessment. Signs include anaphylaxis (severe allergic reaction) such as facial swelling, trouble breathing, or widespread hives. Severe or watery diarrhea, especially with abdominal pain or fever, can indicate C. difficile (severe diarrhea infection) and can occur during or after antibiotic use. When required, prescriptions are confirmed with the original prescriber before dispensing. For condition hubs that often overlap with antibiotic use, see Urinary Tract Infection and Ear Infection.
For the 500 mg strength, adverse effects and precautions are similar to other strengths. If Cephalexin 500mg is used in an individual with reduced kidney function, prescribers may adjust dosing intervals to lower accumulation risk. Any new rash, severe fatigue, or unusual bruising should be evaluated, since antibiotics can rarely affect blood counts or other systems.
Drug Interactions and Cautions
Cephalexin has fewer interactions than some antibiotic classes, but important cautions still apply. Kidney function affects clearance, so other medicines that impact kidneys may prompt closer monitoring. Laboratory interference can occur with some urine glucose tests, which can matter in diabetes management. Clinicians may recommend specific testing methods if urine glucose results are being used for decisions.
Anticoagulants (blood thinners) and other high-risk medicines may require monitoring for changes in effect, depending on the overall regimen and clinical context. Probenecid can increase cephalexin levels by reducing renal excretion. In veterinary care, concurrent medications and supplements should be reviewed because pets can have different metabolic and toxicity profiles.
Alcohol is not known to directly inactivate cephalexin, but stomach upset can be worse with alcohol and illness. If multiple antibiotics are being used or a person has a history of allergic reactions, prescribers may choose alternatives or advise additional precautions based on the official labeling.
Compare With Alternatives
Antibiotic selection depends on suspected bacteria, infection site, allergy history, and local resistance patterns. Cephalexin is often chosen for certain skin and soft-tissue infections because of its activity against many gram-positive organisms, but it may not be the best option for every urinary or respiratory infection. Culture and susceptibility testing, when feasible, provides the most specific guidance.
Common alternatives considered by prescribers include:
- Amoxicillin-clavulanate: broader coverage for some bite wounds or mixed infections (see Clavamox for one formulation).
- Doxycycline: used in selected respiratory, tick-borne, and atypical infections (see Doxycycline for one listing).
- Clindamycin or fluoroquinolones: reserved for specific indications, guided by risk and susceptibility.
For longer-form background on related antibiotics in pets, consult Clavamox Uses And Safety, Doxycycline Pet Antibiotic Guide, and Baytril Antibiotic Guide.
Pricing and Access
Out-of-pocket pricing for antibiotics can vary based on dosage form, manufacturer, quantity, and dispensing fees. People comparing cephalexin pills 500 mg across pharmacies often see differences between local retail chains and mail-dispensed options. For those managing cephalexin 500 mg cost without insurance, the practical questions usually involve total quantity, whether a capsule or tablet is supplied, and whether a liquid form is needed.
Access is cash-pay focused, which can help when insurance coverage isn’t used. CanadianInsulin facilitates cross-border fulfillment by coordinating prescription documentation and routing the request to a licensed dispensing pharmacy when appropriate. Available site-wide programs are listed on Promotions, and eligibility details are shown there.
When a prescription specifies ic cephalexin 500 mg capsule or another manufacturer description, the dispensing pharmacy may supply an equivalent generic if allowed, unless “no substitution” is documented. If Cephalexin 500mg is being continued after a hospital or urgent-care visit, keeping the original directions and remaining doses available can reduce transcription errors when the prescription is reviewed.
Authoritative Sources
The references below provide label-based and clinically reviewed information on cephalexin, including safety warnings and patient counseling points. These resources can help interpret terms found on a pharmacy label, such as indications, contraindications, and adverse reactions.
- Patient-facing medication overview: MedlinePlus Cephalexin
- Regulatory prescribing information references: FDA Drugs@FDA Database
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This content is for informational purposes only and is not a substitute for professional medical advice.
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What infections can cephalexin pills treat in pets?
Veterinarians use this antibiotic for susceptible bacterial infections such as skin and soft-tissue infections, urinary tract infections, certain ear infections, and bone infections when appropriate. Use only under veterinary guidance.
How should I give cephalexin 500 mg to my dog or cat?
Follow your veterinarian’s instructions exactly. Many pets take oral doses twice daily, sometimes with food to reduce stomach upset. Do not change the dose or stop early unless your veterinarian instructs you to do so.
Can I open capsules or crush tablets?
Ask your veterinarian first. Some pets can take contents mixed with a small amount of food, but taste can be bitter. Accuracy and tolerance matter; the veterinarian may recommend a liquid if easier.
What if my pet vomits after a dose?
Contact your veterinarian for instructions. They may advise giving with food, monitoring, or adjusting the plan in some cases. Do not re-dose without guidance if you are unsure whether the dose was retained.
Is lab monitoring needed during treatment?
Monitoring depends on your pet’s health and infection site. Pets with kidney disease or prolonged courses may need periodic checks. Follow your veterinarian’s schedule for re-evaluation.
Can cephalexin be used with probiotics?
Your veterinarian may suggest probiotics during or after antibiotic therapy to support GI balance. Use products recommended by your veterinarian to ensure suitability and timing with antibiotics.
Is a prescription required for cephalexin 500 mg?
Yes. This antibiotic is prescription-only. Your order requires a valid veterinary prescription that matches product, strength, and quantity.
What is cephalexin used for?
Cephalexin is a cephalosporin antibiotic used for infections caused by susceptible bacteria. Prescribers commonly select it for certain skin and soft-tissue infections, some respiratory tract infections, and selected urinary tract infections, depending on local resistance patterns and the patient’s history. It is not effective for viral illnesses such as colds or influenza. When possible, culture and susceptibility testing can help confirm whether cephalexin is an appropriate choice for the specific organism involved.
How long does cephalexin take to work?
Response time varies by infection type, severity, and how well the bacteria responds to the antibiotic. Some symptoms may start improving within a couple of days, while deeper or more complicated infections can take longer and may need reassessment. Lack of improvement does not always mean failure, but it can signal resistance, an incorrect diagnosis, or a source that needs drainage or other care. Worsening symptoms, new fever, or spreading redness should be reviewed promptly by a healthcare professional.
Can cephalexin cause diarrhea or yeast infections?
Diarrhea is a common antibiotic side effect because treatment can disrupt normal gut bacteria. Mild diarrhea can be self-limited, but severe, watery, or persistent diarrhea can indicate a more serious condition such as C. difficile infection and needs medical evaluation. Some individuals may also develop yeast-related symptoms after antibiotics due to changes in normal flora. Reporting these effects to a clinician is important, especially if there is dehydration, blood in stool, significant abdominal pain, or recurrent symptoms.
What should be monitored while taking cephalexin?
Monitoring depends on the person’s risk factors and the infection being treated. Clinicians may watch for allergic reactions, rash, and gastrointestinal intolerance. Kidney function can matter because cephalexin is largely cleared through the kidneys, and reduced function may require regimen adjustments. For prolonged courses or complicated infections, a prescriber may request follow-up to confirm clinical response and, when relevant, repeat cultures. Any signs of severe diarrhea, unusual bruising, or breathing difficulty warrant urgent assessment.
What should I ask my clinician or veterinarian before starting cephalexin?
Key questions include whether the infection is likely bacterial, whether culture testing is recommended, and what duration is expected for the specific diagnosis. It is also important to review allergy history (especially prior reactions to penicillins or cephalosporins), kidney disease, pregnancy or lactation considerations, and a complete medication list. In veterinary care, species, weight, and concurrent conditions can change how antibiotics are used, so asking about dosing schedules and follow-up signs to watch for is helpful.
Can I take cephalexin if I’m allergic to penicillin?
Some people with penicillin allergy can take cephalexin, but the risk depends on the type of prior reaction. Immediate reactions such as anaphylaxis, angioedema, or severe hives may increase concern for cross-reactivity with cephalosporins. Non-severe reactions in the distant past may carry a lower risk, but evaluation is still important. Prescribers may choose an alternative antibiotic, recommend allergy assessment, or provide a plan for monitoring, based on clinical history and the urgency of treatment.
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