Phexin 500mg Capsule (Cefalexin): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, tongue, or throat, or difficulty breathing.
- A widespread, painful rash with blisters or peeling skin, or sores in the mouth or eyes.
- Severe or bloody diarrhoea, fever, and stomach cramps during or after treatment.
- Yellowing of the eyes or skin, dark urine, or pale stools.
- A big drop in urine output or swelling of the legs and feet.
- Unusual bruising or bleeding, or a fever with repeated infections.
- A seizure or sudden confusion, especially in people with kidney disease.
- Chest pain, fainting, or a very fast heartbeat.
If experiencing severe symptoms, call emergency services immediately.
What is gerfex 500mg capsule used for?
This medicine is a cephalosporin antibiotic that contains Cefalexin 500mg. It is used to treat bacterial infections of the throat, ears, sinuses, chest, urinary tract, skin, bones, and teeth. It works by breaking down the bacterial cell wall, which kills the bacteria. It is not effective against viral infections such as the common cold. Take it exactly as prescribed, with or without food, and finish the full course.
- Generic Name: Cefalexin (500mg)
- Manufacturer: Zydus Cadila
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 gerfex 500mg capsule के बारे में (Hindi Summary)
उपयोग: यह दवा सेफालेक्सिन 500 मिलीग्राम कैप्सूल है, जो एक एंटीबायोटिक है और बैक्टीरिया से होने वाले संक्रमणों के इलाज के लिए दी जाती है। यह गले, टॉन्सिल, कान, साइनस, छाती, फेफड़ों, मूत्र मार्ग, त्वचा, हड्डियों और दांतों के बैक्टीरियल संक्रमण में उपयोग की जाती है। यह दवा बैक्टीरिया की कोशिका भित्ति को तोड़कर उन्हें मार देती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू पर असर नहीं करती। इसे डॉक्टर के बताए अनुसार पूरा कोर्स करें, भले ही आप जल्दी ठीक महसूस करने लगें।
साइड इफेक्ट्स: इस दवा से आमतौर पर हल्के दुष्प्रभाव होते हैं। कुछ लोगों को जी मिचलाना, उल्टी, पेट में गड़बड़ी, दस्त, सिरदर्द, चक्कर आना या हल्के दाने हो सकते हैं। कभी-कभी मुंह या योनि में फंगल संक्रमण हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर चेहरे, होंठ, जीभ या गले में सूजन, सांस लेने में कठिनाई, तेज बुखार, खूनी दस्त, त्वचा पर छाले, या पेशाब कम आना जैसी समस्या हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और पूरा कोर्स पूरा करें। कैप्सूल को पानी के साथ निगलें, चबाएं नहीं। अगर पेट खराब लगे तो इसे भोजन के साथ लें। शराब न पिएं। अपनी सभी दवाओं और बीमारियों की जानकारी डॉक्टर को दें, खासकर अगर आप खून पतला करने वाली दवा लेते हैं या किडनी की समस्या है। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के यह दवा दूसरों को न दें और न ही बचाकर रखें।
💊 gerfex 500mg capsule Uses & Benefits
[{"condition":"Upper respiratory tract infections","description":"Used to treat bacterial infections of the throat, tonsils, sinuses, and middle ear, including streptococcal pharyngitis and otitis media.","evidence":"Well-established"},{"condition":"Lower respiratory tract infections","description":"Prescribed for bacterial bronchitis and some cases of community-acquired pneumonia when the likely bacteria are susceptible to cefalexin.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Used for uncomplicated bacterial cystitis and other urinary tract infections caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats bacterial skin infections such as impetigo, cellulitis, and infected wounds caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Bone and joint infections","description":"Used in some cases of bacterial bone infection and joint infection, often as part of a longer treatment plan.","evidence":"Established"},{"condition":"Dental infections","description":"Prescribed for dental abscesses and other bacterial dental infections, sometimes before or after dental procedures.","evidence":"Established"}]
Off-label uses: [{"condition":"Prevention of infection after certain surgical or dental procedures","description":"Sometimes used as a preventive antibiotic in selected patients, although local guidelines and the patient's allergy history must be considered.","evidence":"Limited"},{"condition":"Eradication of group A streptococcus in special situations","description":"May be used when penicillin cannot be used, but this decision must be made by a clinician based on culture results and allergy history.","evidence":"Limited"}]
Primary treatment for: Bacterial infections caused by susceptible organisms
Also treats: Streptococcal pharyngitis, Otitis media, Sinusitis, Bronchitis, Urinary tract infection, Cellulitis, Impetigo, Dental abscess
📋 Drug Information
| Generic Name(s) | Cefalexin (500mg) |
| Brand Name | gerfex 500mg capsule |
| Manufacturer | Zydus Cadila |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Cephalosporins: 1st generation |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature, between 15°C and 30°C, in a dry place. Keep it in the original container with the lid tightly closed. Protect it from direct sunlight and moisture. Do not store it in the bathroom or near the kitchen sink. Keep it out of the reach of children and pets. |
| Shelf Life | The shelf life is usually 24 to 36 months from the date of manufacture, depending on the manufacturer and pack. Always check the expiry date printed on the pack and do not use the medicine after that date. |
| WHO Guideline | Not established from the available information for this specific product. Cefalexin is included in some national and international guidelines for specific infections, but recommendations vary by country and condition. |
| ICMR Guideline | Not established from the available information for this specific product. Always follow the advice of your treating doctor and local antibiotic stewardship guidelines. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by stopping bacteria from building a strong cell wall. Cefalexin binds to specific proteins in the bacterial cell membrane called penicillin-binding proteins, which are needed to cross-link the peptidoglycan strands that give the cell wall its strength. When these links cannot form, the bacterial cell wall becomes weak and the cell bursts under normal internal pressure. Because human cells do not have a peptidoglycan cell wall, this medicine mainly affects bacteria and has little direct effect on human cells. This medicine is usually bactericidal, meaning it kills the bacteria rather than only stopping their growth, but it only works against bacteria that are still actively multiplying and that have the right target proteins.
Mechanism Steps
💡 How to Take gerfex 500mg capsule
Strength: Cefalexin 500mg immediate-release capsule for oral use.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 250mg to 500mg taken by mouth every 6 to 12 hours, depending on the type and severity of the infection. For example, uncomplicated urinary tract infections and skin infections are often treated with 250mg every 6 hours or 500mg every 12 hours, while more serious infections may need 500mg every 6 hours. The exact dose, frequency, and duration must be individualized by a qualified clinician based on the indication, age, weight, kidney and liver function, and the bacteria causing the infection. Always follow the prescription label and never change the dose on your own. |
| Pediatric Dosage | Pediatric dosing is not established from the available information for this specific capsule. Cefalexin is used in children, but the dose depends on the child's weight, age, kidney function, and the type of infection, and it is usually calculated by a pediatrician. Do not give this adult capsule to a child unless a doctor has specifically prescribed it and calculated the correct dose. |
| Elderly Dosage | Older adults can usually take the same adult dose, but the dose may need to be reduced if kidney function is reduced, which is more common with age. Your doctor may check your kidney function before and during treatment and adjust the dose accordingly. Older adults should also watch for confusion, dizziness, or falls, and report these to their doctor. |
| Renal Impairment | If you have kidney problems, the dose and dosing interval may need to be adjusted. In general, people with mild kidney impairment may take the usual dose, but those with moderate or severe impairment may need a lower dose or longer intervals between doses. Your doctor will decide the exact dose based on your creatinine clearance or estimated glomerular filtration rate. Do not adjust the dose yourself. |
| Hepatic Impairment | Cefalexin is not significantly broken down by the liver, so liver disease usually does not require a dose change. However, if you have both liver and kidney disease, your doctor will assess your overall condition and adjust the dose if needed. |
| Maximum Daily Dose | The maximum adult daily dose is usually 4 grams per day, divided into smaller doses. Higher doses may be used in some serious infections, but only under close medical supervision and with adjustment for kidney function. Never exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of gerfex 500mg capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Methotrexate | Major | |
| Live typhoid vaccine | Major | |
| Furosemide | Moderate | |
| Gentamicin | Moderate | |
| Probenecid | Moderate | |
| Oral iron supplements | Minor | |
| Aluminium or magnesium antacids | Minor |
🚨 Major Interactions
- Warfarin and other vitamin K antagonists
- Methotrexate
- Live typhoid vaccine
⚡ Moderate Interactions
- Loop diuretics such as furosemide
- Aminoglycoside antibiotics such as gentamicin
- Probenecid
🍷 Alcohol Interaction
It is best to avoid alcohol while taking this medicine. Alcohol can increase the chance of stomach upset, nausea, and dizziness, and it may make it harder for you to notice whether the infection is improving. There is no specific chemical reaction between alcohol and cefalexin like the one seen with some other antibiotics, but avoiding alcohol is still the safer choice until you have finished the course and feel well again.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to cefalexin or any other cephalosporin antibiotic.","Previous severe allergic reaction to penicillin or other beta-lactam antibiotics, unless a doctor has assessed the risk and decided it is safe.","Use of the live typhoid vaccine during treatment.","Not suitable for treating viral infections such as the common cold or influenza."]
⚠️ Warnings & Precautions
["Tell your doctor if you have ever had an allergic reaction to any antibiotic, especially penicillin or cephalosporins.","Use with caution if you have kidney disease, because the dose may need to be reduced.","Watch for severe or bloody diarrhoea, which may be a sign of a serious bowel infection and needs urgent medical attention.","Tell your doctor if you take warfarin or another blood thinner, because the risk of bleeding may increase.","Do not use this medicine to treat infections that have not been diagnosed by a doctor.","Finish the full course prescribed, even if you feel better early, to reduce the risk of resistance.","If you are pregnant or breastfeeding, speak to your doctor before taking this medicine.","Keep this medicine out of the reach of children."]
🤱 Lactation Safety
Cefalexin passes into breast milk in small amounts. It is usually considered compatible with breastfeeding, but it can sometimes cause loose stools, thrush, or a rash in the baby. If you are breastfeeding, talk to your doctor before starting this medicine, and watch your baby for any changes such as diarrhoea, excessive crying, or a rash.
💊 Overdose Management
Taking too much of this medicine can cause nausea, vomiting, stomach pain, diarrhoea, and, in severe cases, seizures or kidney problems. If you think you or someone else has taken an overdose, contact a doctor or go to the nearest emergency department immediately. Do not try to make yourself vomit unless a healthcare professional tells you to. Treatment is supportive and may include fluids, monitoring of kidney function, and, in serious cases, removal of the drug from the blood by dialysis. Always take the medicine exactly as prescribed to avoid overdose.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, unless it is almost time for your next dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure what to do, call your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as your doctor has prescribed, and finish the full course even if you start feeling better after a few days. Stopping early can allow the infection to return and can encourage bacteria to become resistant. Swallow the capsule whole with a glass of water, and take it with or just after food if it upsets your stomach. Do not chew or crush the capsule unless your doctor or pharmacist has told you it is safe to do so. Tell your doctor about all other medicines you take, especially blood thinners such as warfarin, because this medicine can increase the risk of bleeding. If you have kidney problems, your doctor may need to adjust the dose, so always share your full medical history. Avoid alcohol while you are taking this medicine, as it can worsen stomach upset and dizziness. Do not use leftover antibiotics for a future illness, and do not share this medicine with family or friends. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before taking this medicine. Keep all follow-up appointments so your doctor can check whether the infection is clearing and whether any blood tests are needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more likely to have reduced kidney function, which can cause this medicine to build up in the body. Your doctor may check your kidney function and adjust the dose or the time between doses. Older adults should also watch for dizziness, confusion, or falls, and report these symptoms to their doctor. It is important to take the medicine exactly as prescribed and to stay well hydrated.
🤰 Pregnancy Planning (TTC)
If you are trying to conceive or planning a pregnancy, tell your doctor before taking this medicine. Cefalexin is generally considered acceptable in pregnancy when there is a clear bacterial infection, but the decision should be made by your doctor after weighing the benefits and risks. If you become pregnant while taking this medicine, contact your doctor for advice. Do not stop or start any medicine during pregnancy without medical guidance.
🏥 Post-Surgery Considerations
This medicine may be prescribed after some surgical procedures to prevent or treat bacterial infection. Take it exactly as prescribed and keep the surgical wound clean and dry. Watch for signs of infection such as increasing redness, swelling, pain, pus, or fever, and report them to your surgeon. If you are taking other medicines after surgery, tell your doctor so they can check for interactions. Do not stop the antibiotic early unless your surgeon tells you to.
🦷 Dental Procedures
This medicine may be used to treat dental infections or to prevent infection before certain dental procedures in people at risk. Tell your dentist if you are allergic to penicillin or cephalosporins, and provide a full list of your medicines. If you are taking this medicine for a dental infection, finish the full course and keep your follow-up dental appointments. Good oral hygiene, including regular brushing and flossing, helps prevent dental infections.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can usually continue light exercise if you feel well, but avoid strenuous activity while you are recovering from an infection. If you feel dizzy, weak, or short of breath, rest and do not push yourself. People with bone or joint infections should follow their doctor's advice about movement and physiotherapy. If you develop diarrhoea or dehydration, avoid intense exercise until you are fully recovered.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
Most people can continue their usual work and daily activities while taking this medicine. If you feel dizzy, tired, or unwell, avoid driving or operating heavy machinery until you feel better. If your job involves handling food or caring for others, follow good hand hygiene to avoid spreading infection. If you develop diarrhoea, take extra care with hand washing and stay hydrated. If your symptoms are severe or you have a contagious infection, your doctor may advise you to stay home until you are no longer infectious.
🛑 When to Stop This Medicine
You should stop this medicine only after finishing the full course prescribed by your doctor. Do not stop early just because you feel better, as this can allow the infection to return and can lead to antibiotic resistance. If you develop a serious side effect such as a severe allergic reaction, severe diarrhoea, or a widespread rash, stop the medicine and seek medical help immediately. If your doctor decides to stop the medicine early for any reason, follow their instructions carefully.
📅 Long-Term Use Effects
This medicine is usually taken for a short, fixed course, so long-term effects are not common. If it is used for a long time or in repeated courses, it can disturb the normal balance of bacteria in the body, leading to fungal infections such as thrush or antibiotic-associated diarrhoea. Rarely, prolonged use can lead to blood, liver, or kidney problems. Your doctor may monitor your kidney function, blood counts, and liver tests if you need repeated or prolonged treatment. Always take this medicine only for the duration prescribed and do not use it for self-treatment of minor illnesses.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Getting enough rest and drinking plenty of fluids can help your body recover from mild infections.
Evidence: Well-establishedSimple pain relievers such as paracetamol can help with fever and pain while the antibiotic works, but they do not treat the infection.
Evidence: Well-establishedSome studies suggest probiotics may help reduce antibiotic-associated diarrhoea, but they should not replace the antibiotic prescribed for a bacterial infection.
Evidence: LimitedFrequent hand washing and keeping wounds clean can help prevent the spread of infection.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine can make the live typhoid vaccine less effective because it kills the weakened bacteria in the vaccine. Do not take the live typhoid vaccine while you are on this medicine. Wait until you have finished the antibiotic course and your doctor confirms it is safe before getting vaccinated. Other vaccines, such as the flu shot or COVID-19 vaccine, are not known to interact with this medicine, but always tell your vaccination provider about all medicines you are taking.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not store in the refrigerator unless the label says so.
✅ DO
Keep the capsules in the original container with the lid tightly closed.
❌ DON'T
Do not transfer them to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom or near the kitchen sink.
✅ DO
Keep out of the reach of children and pets.
❌ DON'T
Do not use after the expiry date printed on the pack.
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Keep a copy of your prescription with you, especially if you are crossing international borders, because some countries have strict rules about antibiotics. Store the capsules in a cool, dry place away from direct sunlight, and do not leave them in a hot car or in checked luggage where they may freeze or overheat. If you are crossing time zones, ask your doctor how to adjust the timing of your doses so that they remain evenly spaced. Continue taking the medicine exactly as prescribed during your trip, and do not skip doses because of travel. If you need a refill while away, visit a local pharmacy with your prescription and identification.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to feel better within 24 to 48 hours, but it can take a few days for symptoms such as fever and pain to improve fully. Always finish the full course prescribed by your doctor.
A: Yes, you can take this medicine with or without food. Taking it with food may help reduce stomach upset.
A: If you remember within half the dosing interval, take the missed dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: It is best to avoid alcohol while taking this medicine, as it can worsen stomach upset and dizziness.
A: This medicine is generally considered acceptable in pregnancy when prescribed by a doctor, but you should always speak to your doctor before taking it.
A: Cefalexin is used in children, but the dose must be calculated by a pediatrician based on the child's weight and kidney function. Do not give this adult capsule to a child without medical advice.
A: Common side effects include nausea, diarrhoea, stomach discomfort, headache, and mild rash. Serious side effects are rare but require urgent medical attention.
A: Cefalexin is not known to reduce the effectiveness of birth control pills. However, if you have diarrhoea or vomiting, the pill may not be absorbed properly, so use extra precautions during that time.
A: Store it at room temperature between 15°C and 30°C in a dry place, away from direct sunlight and out of the reach of children.
A: No, you should finish the full course prescribed by your doctor, even if you feel better early. Stopping early can allow the infection to return and can lead to antibiotic resistance.
🤔 Common Patient Concerns
🔄 Substitutes for gerfex 500mg capsule
View AllAlternative brands with exact same active ingredient:
-
spocelin forte 500mg capsuleMedley Pharmaceuticals ₹23.25 0.5% CHEAPER
-
Ridrox 500mg TabletReliance Formulation Pvt Ltd ₹25.59 9.5% COSTLIER
-
cephadex 500mg syrupCipla Ltd ₹28.85 23.4% COSTLIER
-
alceff 500mg capsuleAlkem Laboratories Ltd ₹30.47 30.4% COSTLIER
-
staphydex 500mg capsuleNovartis India Ltd ₹31.05 32.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antibiotics can cure the common cold and flu.
Fact: This medicine only works against bacteria. Colds and flu are caused by viruses, so this medicine will not help and may cause unnecessary side effects. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You should finish the full course prescribed by your doctor. Stopping early can allow the infection to return and can make bacteria resistant to antibiotics. - Myth: This medicine can be shared with family members who have similar symptoms.
Fact: Antibiotics are prescribed for a specific person and infection. Sharing them can be harmful and can lead to the wrong treatment. - Myth: This medicine weakens the immune system.
Fact: This medicine kills susceptible bacteria but does not weaken the immune system. It can disturb the normal balance of bacteria in the body, which may lead to thrush or diarrhoea. - Myth: You should always take antibiotics with milk.
Fact: This medicine can be taken with or without food, including milk. Food may reduce stomach upset, but it does not significantly change how well the medicine is absorbed.
🔄 Alternative Options
Generic Alternatives
- Cefalexin 500mg capsule
- Cefalexin 500mg tablet
- Cefalexin 250mg capsule
- Cefalexin oral suspension
Brand Alternatives
- Phexin 500mg capsule
- Ceff 500mg capsule
- Sporidex 500mg capsule
- Cefalin 500mg capsule
- Cephadex 500mg capsule