What are the side effects of Cephalexin (Keflex)? | Rounds What are the side effects of Cephalexin (Keflex)? | Rounds
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What are the side effects of Cephalexin (Keflex)?

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Cephalexin Adverse Effects (Keflex)

Cephalexin commonly causes gastrointestinal adverse reactions. [1] Serious reactions include hypersensitivity reactions and severe cutaneous adverse reactions. [1]

Common Side Effects

  • Diarrhea [1]
  • Nausea [1]
  • Vomiting [1]
  • Dyspepsia [1]
  • Abdominal pain [1]

Hypersensitivity Reactions

  • Rash [1]
  • Urticaria [1]
  • Angioedema [1]
  • Anaphylaxis [1]
  • Erythema multiforme [1]
  • Stevens-Johnson syndrome [1]
  • Toxic epidermal necrolysis [1]

Genitourinary and Mucocutaneous Effects

  • Genital pruritus [1]
  • Vaginitis [1]
  • Vaginal discharge [1]
  • Genital candidiasis [1]

Neuropsychiatric and Musculoskeletal Effects

  • Dizziness [1]
  • Fatigue [1]
  • Headache [1]
  • Agitation [1]
  • Confusion [1]
  • Hallucinations [1]
  • Arthralgia [1]
  • Arthritis and joint disorder [1]

Less Common/Other Reported Laboratory and Drug-Class Effects

  • Blood dyscrasias have been reported with cephalosporins, including thrombocytopenia and neutropenia [2]
  • Eosinophilia and other altered laboratory findings have been reported [2]

When to Seek Urgent Care

Urgent evaluation is indicated for features of severe allergy such as anaphylaxis, angioedema, or severe skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis. [1]

Medication Effects That Can Affect Testing

  • Cephalexin may cause a false-positive result for glucose in urine testing. [1]

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