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Cephalexin vs. Vibramycin

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

 

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doxycycline hyclate

 

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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 Vibramycin

Prescription only

Doxycycline hyclate is an antibiotic that treats many conditions, including acne, chlamydia, sinus infection, and urinary tract infection (UTI). It's taken by mouth, typically once or twice daily. It comes as capsules, tablets, and a liquid syrup. Side effects of doxycycline hyclate include stomach upset, nausea, and vomiting.

Indications for Vibramycin

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 for Vibramycin

Pros

  • Good alternative for some infections if you're allergic to penicillins
  • Treats many different infections, including severe acne and sexually transmitted infections (STIs) like chlamydia
  • Available as a liquid for those who have trouble swallowing pills
  • Likely safe for people who have kidney problems

Cons

  • Can raise your risk of sunburns
  • Can sometimes cause stomach discomfort or stomach upset
  • Interacts with blood thinners and birth control pills
  • Not safe for young children or pregnant females

Common Side Effects for Vibramycin

  • Stomach upset
  • Nausea
  • Vomiting
  • Loss of appetite
  • Sunburn

Warnings for Vibramycin

  • Permanent tooth discoloration
  • Severe diarrhea
  • Severe skin reactions
  • High pressure in the brain (intracranial hypertension or pseudotumor cerebri)
  • Harm to unborn and young babies
  • Sunburn
  • Damage to the esophagus
  • New infections
  • Drug-resistant bacteria

Prices with our coupons for Cephalexin vs. Vibramycin

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Cephalexin28 capsules / 500mg
$10.68$29.98
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Doxycycline Hyclate14 capsules / 100mg
$10.14$56.00
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