Product image of Keforal (Cefalexin) supplied by GNH India

Keforal

Active Ingredient:
Cefalexin
Origin:
EU

Keforal (Cefalexin)

Cefalexin, the active ingredient in Keforal, is a cephalosporin presented as an oral tablet for oral use. It treats bacterial infections of the skin, respiratory tract, urinary system and bone in adults and children when prescribed by a healthcare professional.

GNH India supplies Keforal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company follows strict quality standards to provide reliable sourcing for global healthcare providers and ensures compliance with regulatory requirements through robust manufacturing and distribution networks.

Manufacturer / TM Owner

Eurocept International Bv

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Indications & Clinical Uses

  • Cefalexin is a broad‑spectrum cephalosporin antibiotic used to treat bacterial infections in various organ systems.
  • Skin and soft tissue infections: effective for cellulitis, impetigo and wound infections.
  • Respiratory tract infections: treats community‑acquired pneumonia, sinusitis and bronchitis caused by susceptible organisms.
  • Urinary tract infections: used for cystitis and pyelonephritis caused by susceptible bacteria.
  • Bone and joint infections: employed in osteomyelitis and septic arthritis when indicated.

How It Works

  • Cefalexin exerts its antibacterial effect by binding to penicillin‑binding proteins (PBPs) located on the bacterial cell wall. This binding inhibits the final transpeptidation step of peptidoglycan synthesis, weakening the cell wall and leading to osmotic lysis of susceptible Gram‑positive and some Gram‑negative bacteria. The drug is bactericidal when concentrations exceed the minimum inhibitory concentration for a sufficient period, and it is eliminated primarily unchanged by the kidneys, allowing high urinary concentrations.

Side Effects

Cefalexin may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Nausea
  • Diarrhea
  • Abdominal pain
  • Vomiting
  • Rash
  • Headache

Serious or Rare Side Effects

  • Anaphylaxis or severe allergic reactions such as Stevens‑Johnson syndrome
  • Clostridioides difficile‑associated colitis
  • Hematologic abnormalities (e.g., neutropenia, thrombocytopenia)
  • Hepatic dysfunction
  • Renal impairment
  • Pseudomembranous colitis

Precautions & Warnings

  • Before prescribing cefalexin, clinicians should consider several precautionary measures to minimize risk.
  • Renal impairment: adjust dose or monitor renal function.
  • Hepatic disease: use with caution in patients with liver dysfunction.
  • Allergy: avoid in patients with known hypersensitivity to cephalosporins or penicillins.
  • Pregnancy and lactation: evaluate risk‑benefit and consult obstetric guidance.
  • Drug interactions: review concomitant medications that may affect cefalexin levels or toxicity.
  • Store at ambient temperature below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Cefalexin can interact with other medicines, altering its effectiveness or increasing toxicity.

Major Interactions (Avoid)

  • Probenecid: may increase cefalexin plasma concentrations leading to toxicity.
  • Live bacterial vaccines: concurrent use may reduce vaccine efficacy and increase infection risk.

Moderate Interactions (Monitor Closely)

  • Warfarin: cefalexin may potentiate anticoagulant effect; monitor INR.
  • Oral contraceptives: reduced plasma levels may decrease contraceptive efficacy; advise additional measures.
  • Aminoglycosides: combined nephrotoxic potential; monitor renal function.

Frequently Asked Questions

Keforal contains cefalexin, a cephalosporin antibiotic indicated for the treatment of bacterial infections such as skin and soft‑tissue infections, respiratory tract infections, urinary tract infections and bone or joint infections. Use is determined by a qualified healthcare professional based on the infection type and patient factors.

Cefalexin works by binding to penicillin‑binding proteins on the bacterial cell wall, blocking the transpeptidation step of peptidoglycan synthesis. This inhibition weakens the wall, causing osmotic lysis of susceptible bacteria. Its bactericidal activity depends on maintaining drug concentrations above the minimum inhibitory concentration for an adequate duration.

The dosage of cefalexin is individualized by the prescribing clinician according to the infection, severity, patient age, weight and renal function. Typical adult regimens range from 250 mg to 1 g every 6–12 hours, but the exact dose and schedule must follow the prescriber’s order.

Safety of cefalexin during pregnancy and lactation has not been definitively established. It should be used only when the potential benefit justifies any possible risk to the fetus or infant, and the prescribing physician should assess each case individually.

To request Keforal, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with penicillin‑based agents, cefalexin offers a broader spectrum against Gram‑positive organisms and some Gram‑negative bacteria and is more resistant to β‑lactamase degradation. However, for infections caused by resistant strains, newer cephalosporins or carbapenems may be preferred.

Keforal tablets should be stored at ambient temperature below 25 °C, in the original container, protected from moisture and direct light. Do not store in areas of high humidity or extreme heat, and keep the medication out of reach of children.

Keforal is taken orally, usually with a glass of water. It may be taken with or without food; taking it with food can help reduce gastrointestinal upset. The exact dosing interval (e.g., every 6 or 12 hours) is determined by the prescriber.

Serious adverse reactions include severe allergic responses such as anaphylaxis or Stevens‑Johnson syndrome, Clostridioides difficile‑associated colitis, hematologic abnormalities like neutropenia, and hepatic or renal dysfunction. Immediate medical attention is required if a patient develops rash, fever, jaundice or persistent diarrhea.

Keforal should be avoided in individuals with a known hypersensitivity to cefalexin, other cephalosporins or penicillins. It is contraindicated in patients with severe renal impairment unless the dose is adjusted, and should be used with caution in those with a history of gastrointestinal disease or colitis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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