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Cephalexin vs. Clindamycin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Cephalexin (Keflex) and Clindamycin (Cleocin) are both antibiotics used to treat bacterial infections, but they belong to different medication classes. Cephalexin is a cephalosporin antibiotic, while Clindamycin is a lincosamide antibiotic. Both medications can treat skin infections and bone infections, but Clindamycin is also used for more serious infections like lower respiratory tract infections and bloodstream infections. Cephalexin is available as capsules, tablets, and liquid suspensions, and is typically taken 2 to 4 times a day. Clindamycin is available as capsules, liquid, and injections, and is usually taken 3 to 4 times a day. Both medications are available as lower-cost generics. Common side effects of Cephalexin include nausea, vomiting, and diarrhea, while Clindamycin can cause stomach upset, itching, and rash. Both medications can cause a serious type of diarrhea related to *Clostridioides difficile* infection. Cephalexin may interact with metformin and probenecid, while Clindamycin can interact with medications like warfarin and amiodarone.

Cephalexin

 

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Clindamycin

(Cleocin)

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Summary for Cephalexin

Prescription only

Cephalexin, also commonly known as Keflex, is a cephalosporin antibiotic for people ages 1 year and older. It can treat many types of bacterial infections. This includes ear infections, skin infections like cellulitis, urinary tract infections (UTIs), and strep throat. Cephalexin comes as capsules, tablets, and a liquid suspension. It's taken by mouth 2 to 4 times per day. Side effects can include nausea, vomiting, and diarrhea. Cephalexin is a generic medication; its brand name Keflex is no longer available.

Indications for Cephalexin

Pros and Cons for Cephalexin

Pros

  • Treats several common types of bacterial infections
  • Okay for children as young as 1 year old to take
  • Available as a liquid for people who have trouble swallowing pills

Cons

  • Usually need to take a few times per day
  • Might not be able to take if you're allergic to penicillins or other cephalosporin antibiotics
  • Not recommended for the cold or flu (these are viral illnesses, not bacterial infections)

Common Side Effects for Cephalexin

  • Diarrhea
  • Nausea
  • Vomiting
  • Indigestion
  • Stomach pain

Warnings for Cephalexin

  • Allergic reactions
  • Diarrhea from Clostridioides difficile infection
  • Seizures
  • Higher risk of bleeding
  • Possible development of drug-resistant bacteria

Summary for Clindamycin

Prescription only

Clindamycin (Cleocin) is a lincosamide antibiotic that's used to treat many different serious bacterial infections, such as strep throat and skin infections. This antibiotic is approved for use in both adults and children. Clindamycin (Cleocin) is available as a capsule and liquid that are taken 3 or 4 times per day, depending on your age and your infection. It's also available as an injection that's given by a healthcare professional. Side effects include stomach upset, itching, and rash.

Indications for Clindamycin

Pros and Cons for Clindamycin

Pros

  • Can treat many different infections throughout the body
  • Available as lower-cost generic capsule, liquid, and injection
  • Can take if you have a penicillin allergy

Cons

Common Side Effects for Clindamycin

  • Diarrhea
  • Nausea
  • Vomiting
  • Stomach pain
  • Skin rash
  • Itching

Warnings for Clindamycin

  • Severe allergic reactions and skin reactions
  • Diarrhea from Clostridioides difficile infection
  • Development of drug-resistant bacteria

Prices with our coupons for Cephalexin vs. Clindamycin

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Cephalexin28 capsules / 500mg
$11.63$16.47
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Clindamycin30 capsules / 300mg
$15.59$50.48
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