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Cleocin vs. Keflex

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

Key takeaways

Cleocin (clindamycin) and cephalexin are both antibiotics, but they have different uses and forms. Cleocin (clindamycin) is a lincosamide antibiotic used as a vaginal suppository to treat bacterial vaginosis. It is only available as a brand-name medication and is typically used once daily for three days. On the other hand, cephalexin is a cephalosporin antibiotic available in generic form as capsules, tablets, and liquid suspensions. It treats a variety of infections, including respiratory, ear, skin, bone, urinary tract, and reproductive system infections, and is taken orally 2 to 4 times per day for 7 to 14 days. Cleocin (clindamycin) is inserted vaginally, which might be uncomfortable for some, while cephalexin is taken by mouth. Cephalexin can cause side effects like nausea, vomiting, and diarrhea, whereas Cleocin (clindamycin) might cause local side effects like vaginal irritation and yeast infections. Additionally, Cleocin (clindamycin) can weaken condoms and diaphragms, while cephalexin has no such effect.

Cleocin

(clindamycin)

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Cephalexin

 

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Summary for Cleocin

Prescription only

Cleocin (clindamycin) vaginal ovule is an antibiotic suppository that treats bacterial vaginosis (BV), a type of vaginal infection. This medication can be prescribed for adults or adolescent females who've started their menstrual periods. But it's not approved for people who are pregnant. Cleocin (clindamycin) vaginal suppository is inserted vaginally once daily, typically at bedtime, for 3 days. Side effects aren't common, but can include vaginal discomfort, such as irritation and pain.

Indications for Cleocin

Pros and Cons for Cleocin

Pros

  • Only used once a day
  • Typically only used for 3 days
  • Applicator can be washed and reused for each insertion
  • Can be inserted without using an applicator

Cons

  • Vaginal application can be uncomfortable for some people
  • Might cause vaginal yeast infections
  • Can't use condoms, diaphragms, or tampons during and up to 3 days after treatment
  • Recommended to use at bedtime to prevent medication from leaking

Common Side Effects for Cleocin

Warnings for Cleocin

  • Severe diarrhea
  • Vaginal yeast infections
  • Damage to vaginal contraceptives

Summary for Keflex

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 Keflex

Pros and Cons for Keflex

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 Keflex

  • Diarrhea
  • Nausea
  • Vomiting
  • Indigestion
  • Stomach pain

Warnings for Keflex

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

Prices with our coupons for Cleocin vs. Keflex

Price Card Drug Icon
Clindamycin30 capsules / 300mg
$16.95-
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Cephalexin28 capsules / 500mg
$10.68$29.98
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