Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Cephalexin (Keflex) and doxycycline hyclate (Vibramycin, Doryx) are both antibiotics used to treat bacterial infections, including respiratory tract infections and urinary tract infections (UTIs). However, they belong to different medication classes: cephalexin is a cephalosporin antibiotic, while doxycycline hyclate is a tetracycline antibiotic. Cephalexin is typically taken 2 to 4 times a day and is available in capsules, tablets, and liquid suspensions, whereas doxycycline hyclate is usually taken once or twice daily and comes in capsules, tablets, and liquid syrup. Cephalexin is only available as a lower-cost generic, while doxycycline hyclate is available as both generic and several brand names, such as Vibramycin and Doryx. Common side effects of cephalexin include nausea, vomiting, and diarrhea, while doxycycline hyclate can cause stomach upset, nausea, and sunburn. Doxycycline hyclate can interact with blood thinners and birth control pills, while cephalexin may interact with metformin and probenecid. Additionally, doxycycline hyclate is not safe for young children or pregnant women, whereas cephalexin is generally considered safe during pregnancy and breastfeeding.
Cephalexin
Doxycycline hyclate
Cephalexin
Doxycycline hyclate
Summary of Cephalexin vs. Vibramycin
Summary for Cephalosporin antibiotic
Prescription only
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.
Doxycycline hyclate is used to prevent malaria due to the parasite Plasmodium falciparum and to treat many different infections caused by bacteria. Some examples include:
•Respiratory tract infections, including in the nose, throat, and lungs
•Infections caused by ticks, mites, or fleas (Rocky Mountain spotted fever or typhus fever)
•Sexually-transmitted infections (STIs) like chlamydia, gonorrhea, chancroid, and syphilis
•Lyme disease
•Urinary tract infections (UTIs)
•Severe acne
•Anthrax
•Plague
•Cholera
Pros and Cons of Cephalexin vs. Vibramycin
Pros and Const for Cephalosporin antibiotic
Pros
•Treats several common types of bacterial infections
•Can use for adults and children over the age of 1
•Available as a liquid for people who have trouble swallowing pills