Head-to-head comparisons of medication uses, side effects, warnings, and more.
Sulfamethoxazole/trimethoprim (Bactrim, Septra) and cephalexin (Keflex) are both antibiotics used to treat bacterial infections, but they belong to different classes. Sulfamethoxazole/trimethoprim is a combination of a sulfonamide and an antifolate, while cephalexin is a cephalosporin antibiotic. Sulfamethoxazole/trimethoprim is typically taken twice a day and can be used for a variety of infections, including UTIs, ear infections, and certain types of pneumonia. Cephalexin, on the other hand, is usually taken 2 to 4 times a day and is used for respiratory tract infections, skin infections, and bone infections, among others. Both medications are available in generic forms and can be taken as tablets, capsules, or liquid suspensions. However, sulfamethoxazole/trimethoprim is not recommended for people with sulfa allergies, while cephalexin may not be suitable for those with severe allergies to penicillin or other cephalosporins. Common side effects for both include nausea, vomiting, and diarrhea, but sulfamethoxazole/trimethoprim can also make your skin more sensitive to the sun.
Sulfamethoxazole/trimethoprim (sometimes known as SMZ/TMP) is a combination medication containing an antifolate and sulfa antibiotic. It's used to treat different types of infections, such as urinary tract infections (UTIs), ear infections, and lung infections. This antibiotic has two different brand names, Bactrim and Septra, and it's also available as a lower-cost generic. It's a tablet that's taken by mouth, typically twice daily for most types of infections. This antibiotic also comes as a suspension under the brand name Sulfatrim for people who can't swallow tablets and as an injection for people in the hospital. Common side effects include nausea, diarrhea, and rash.
Cephalexin is a common antibiotic that's used to treat many different bacterial infections including urinary tract infections (UTIs), ear infections, and sinus infections, to name a few. Cephalexin is a cephalosporin antibiotic that kills bacteria to fight the infection. It's safe to use in people over the age of 1, and it's typically taken by mouth 2 to 4 times per day. This medication is available as a lower-cost generic capsule, tablet, and suspension; the brand name Keflex is no longer available. Side effects can include nausea, vomiting, and diarrhea.
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