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Cephalexin vs. Penicillin

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

Key takeaways

Cephalexin (Keflex) and penicillin V potassium (Penicillin VK) are both antibiotics used to treat bacterial infections, but they belong to different medication classes. Cephalexin is a cephalosporin antibiotic, while penicillin V potassium is a penicillin antibiotic. Both medications can treat respiratory and skin infections, but cephalexin is also used for urinary tract infections (UTIs) and bone infections, while penicillin V potassium is used for strep throat and to prevent rheumatic fever. Cephalexin is typically taken 2 to 4 times a day, whereas penicillin V potassium is taken 3 to 4 times a day. Cephalexin is available as a generic in capsules, tablets, and liquid forms, while penicillin V potassium is available as a generic in tablets and suspension. Common side effects for both include nausea, vomiting, and diarrhea, but cephalexin can also cause dizziness and fatigue. Cephalexin may interact with metformin and probenecid, while penicillin V potassium should not be taken with other antibiotics unless prescribed together. Both medications require a prescription and should be taken exactly as directed to avoid resistance and ensure effectiveness.

Cephalexin

 

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Penicillin V potassium

(Penicillin VK)

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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 Penicillin

Prescription only

Penicillin V potassium (Penicillin VK) is an antibiotic used to treat several types of infections throughout the body in adults and children. It's available as tablets and suspension that are taken by mouth. The dosage depends on the type of infection you have and how severe it is, but the medication is typically taken every 6 to 12 hours. Side effects include nausea, diarrhea, and vomiting.

Indications for Penicillin

Pros and Cons for Penicillin

Pros

  • Works well to treat many different bacterial infections
  • Can use for adults and children
  • Can be taken with or without food
  • Available as a tablet and suspension

Cons

  • Can cause stomach side effects like nausea, vomiting, and diarrhea
  • Might not be able to take this medication if you've had a severe allergy to penicillin
  • Not recommended for treating a cold or the flu because these are viral infections
  • Needs to be taken every 6 to 8 hours

Common Side Effects for Penicillin

  • Nausea
  • Vomiting
  • Stomach upset
  • Diarrhea

Warnings for Penicillin

  • Allergic reaction
  • Infectious diarrhea
  • Development of drug-resistant bacteria

Prices with our coupons for Cephalexin vs. Penicillin

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Cephalexin28 capsules / 500mg
$10.68$29.98
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Penicillin V Potassium28 tablets / 500mg
$13.97-
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