Cefaclor Oral Suspension 50mg/5ml Strawberry: 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 with difficulty breathing
- A rapidly spreading rash with fever or skin peeling
- Severe or bloody diarrhoea with abdominal cramps or fever
- Persistent vomiting that prevents keeping the medicine or fluids down
- Yellowing of the eyes or skin, dark urine, or severe right upper abdominal pain
- Reduced urine output, swelling of the legs, or blood in the urine
- A seizure, confusion, or unusual drowsiness, especially in a child with kidney problems
- Fever that does not improve after three days of treatment or that returns after initial improvement
If experiencing severe symptoms, call emergency services immediately.
What is keflor oral suspension strawberry used for?
This medicine is a strawberry-flavoured oral antibiotic suspension containing cefaclor 50 mg per 5 ml. It treats bacterial infections of the ear, throat, sinuses, chest, skin, and urinary tract by breaking down the bacterial cell wall. It must be taken exactly as prescribed, with the bottle shaken well before each dose, and the full course completed even if symptoms improve early.
- Generic Name: Cefaclor (50mg/5ml)
- Manufacturer: Sun Pharmaceutical Industries Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 keflor oral suspension strawberry के बारे में (Hindi Summary)
उपयोग: यह दवा सेफाक्लोर नामक एंटीबायोटिक का स्ट्रॉबेरी स्वाद वाला ओरल सस्पेंशन है, जो 50 मिलीग्राम प्रति 5 मिलीलीटर की ताकत में आता है। यह कान, गले, साइनस, छाती, त्वचा और मूत्र मार्ग के बैक्टीरियल संक्रमण के इलाज के लिए दी जाती है। यह बैक्टीरिया की कोशिका भित्ति को तोड़कर उन्हें नष्ट करती है, जिससे बुखार, दर्द, सूजन और संक्रमण के लक्षण कम होते हैं। यह दवा वायरल सर्दी-जुकाम या फ्लू पर असर नहीं करती, इसलिए इसे केवल डॉक्टर की सलाह पर ही देना चाहिए। बच्चों को देते समय बोतल को अच्छी तरह हिलाएं और साथ में दी गई मापने वाली चम्मच या सिरिंज से ही सही मात्रा नापें। डॉक्टर द्वारा बताई गई पूरी अवधि तक दवा देना बहुत जरूरी है, भले ही लक्षण जल्दी सुधर जाएं।
साइड इफेक्ट्स: इस दवा के सबसे आम दुष्प्रभाव पेट से जुड़े होते हैं, जैसे ढीले दस्त, जी मिचलाना, उल्टी, पेट में हल्का दर्द या ऐंठन। कुछ बच्चों में त्वचा पर लाल चकत्ते, खुजली या पित्ती दिख सकती है। कभी-कभी सिरदर्द, चक्कर या मुंह में कड़वा स्वाद भी हो सकता है। गंभीर लेकिन दुर्लभ मामलों में चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई या तेज एलर्जी हो सकती है, जिसमें तुरंत डॉक्टर से मिलना चाहिए। बहुत कम मामलों में दवा शुरू करने के कुछ दिनों या हफ्तों बाद पानी जैसा दस्त, बुखार और पेट दर्द हो सकता है, जो एक गंभीर आंत संक्रमण का संकेत हो सकता है। अगर कोई भी दुष्प्रभाव गंभीर या लंबे समय तक बना रहे, तो दवा अपने आप बंद न करें और डॉक्टर से सलाह लें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही दें और पूरा कोर्स पूरा करें, चाहे लक्षण पहले ही ठीक लगने लगें। हर बार देने से पहले बोतल को अच्छी तरह हिलाएं, क्योंकि दवा नीचे बैठ जाती है और बिना हिलाए देने से सही मात्रा नहीं मिलती। मापने के लिए हमेशा साथ दी गई चम्मच, कप या सिरिंज का ही उपयोग करें, घर की चम्मच से नहीं। इसे भोजन के साथ या बिना भोजन के दिया जा सकता है, लेकिन थोड़ा नाश्ता साथ देने से पेट की तकलीफ कम हो सकती है। पानी मिलाने के बाद बोतल को फ्रिज में रखें और लेबल पर लिखे दिनों के भीतर ही इस्तेमाल करें, बाद में बची दवा फेंक दें। यह दवा किसी और के साथ साझा न करें, क्योंकि हर व्यक्ति की खुराक और जरूरत अलग होती है। अगर तेज चकत्ते, सूजन या सांस लेने में परेशानी हो, तो दवा बंद करके तुरंत डॉक्टर से मिलें।
💊 keflor oral suspension strawberry Uses & Benefits
[{"condition":"Acute otitis media","description":"This medicine is used to treat middle-ear infection caused by susceptible bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis, helping to relieve ear pain, fever, and irritability.","evidence":"Well-established"},{"condition":"Pharyngitis and tonsillitis","description":"This medicine is prescribed for bacterial throat infection, including streptococcal pharyngitis, to shorten illness duration and prevent complications such as rheumatic fever.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"This medicine helps clear sinus infection when symptoms such as facial pain, nasal congestion, and purulent discharge persist beyond the usual viral course.","evidence":"Established"},{"condition":"Lower respiratory tract infection","description":"This medicine is used for community-acquired pneumonia and acute bronchitis caused by susceptible bacteria, improving cough, fever, and breathlessness.","evidence":"Established"},{"condition":"Skin and soft tissue infection","description":"This medicine treats uncomplicated skin infections such as impetigo, cellulitis, and infected wounds caused by susceptible staphylococci and streptococci.","evidence":"Established"},{"condition":"Urinary tract infection","description":"This medicine may be used for uncomplicated urinary tract infection caused by susceptible organisms, reducing burning, frequency, and urgency.","evidence":"Limited"}]
Off-label uses: [{"condition":"Dental infection prophylaxis","description":"Occasionally considered for prevention of infection after certain dental procedures in patients who cannot take penicillins, but this is not a standard approved use.","evidence":"Limited"},{"condition":"Lyme disease","description":"Sometimes discussed as an alternative in early Lyme disease when first-line agents are unsuitable, but evidence is limited and guidance varies.","evidence":"Limited"}]
Primary treatment for: Bacterial infections of the ear, throat, sinuses, chest, skin, and urinary tract
Also treats: Acute otitis media, Streptococcal pharyngitis, Acute bacterial sinusitis, Community-acquired pneumonia, Impetigo and cellulitis, Uncomplicated urinary tract infection
📋 Drug Information
| Generic Name(s) | Cefaclor (50mg/5ml) |
| Brand Name | keflor oral suspension strawberry |
| Manufacturer | Sun Pharmaceutical Industries Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Cephalosporins: 2nd generation |
| Route of Administration | Oral |
| Storage | Store the dry powder at room temperature, protected from light and moisture. After reconstitution with water, store the suspension in the refrigerator at 2 to 8 degrees Celsius and use it within the period stated on the label, usually seven to fourteen days. Do not freeze the reconstituted suspension. |
| Shelf Life | The dry powder has a shelf life of approximately 24 months from the date of manufacture when stored as directed. The reconstituted suspension should be used within 7 to 14 days when kept in the refrigerator, as specified on the product label. |
| WHO Guideline | The World Health Organization includes second-generation cephalosporins such as cefaclor among options for certain bacterial infections, but the choice depends on local resistance patterns and national guidelines. This medicine should be used only when a bacterial cause is likely and according to the prescribing clinician's judgement. |
| ICMR Guideline | The Indian Council of Medical Research advises judicious use of antibiotics and recommends selecting the narrowest effective agent based on culture and sensitivity when possible. Cefaclor may be used for susceptible infections, but it should not be used for viral illnesses or without a clear bacterial indication. |
👨⚕️ 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 contains cefaclor, a second-generation cephalosporin antibiotic that kills bacteria by interfering with the synthesis of the bacterial cell wall. Cefaclor binds to specific penicillin-binding proteins located on the inner membrane of susceptible bacteria and blocks the cross-linking of peptidoglycan strands. Without proper cross-linking, the bacterial cell wall becomes weak and cannot withstand internal osmotic pressure, so the bacterium ruptures and dies. Because human cells do not have a peptidoglycan cell wall, this medicine selectively targets bacteria and has little direct effect on human cells. Cefaclor is bactericidal against many gram-positive and gram-negative organisms, although some bacteria produce beta-lactamase enzymes that can inactivate it, which explains why certain infections do not respond.
Mechanism Steps
💡 How to Take keflor oral suspension strawberry
Strength: This medicine is supplied as an oral suspension containing cefaclor 50 mg per 5 ml, with a strawberry flavour, in a multidose bottle that must be reconstituted with water before use.
Dosage Information
| Adult Dosage | For adults, this medicine is usually prescribed as 250 mg every eight hours for mild to moderate infections, or 500 mg every eight hours for more severe infections. The maximum usual adult dose is 2 grams per day, although doses should not exceed 4 grams per day in any circumstance. The exact dose and duration depend on the type and severity of infection, the patient's kidney function, and clinical response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | For children, this medicine is usually prescribed based on body weight, commonly 20 to 40 mg per kilogram per day divided into two or three doses for mild to moderate infections, with higher doses used for more severe infections as determined by the doctor. The suspension strength of 50 mg per 5 ml is suitable for younger children, and the dose must be measured accurately with the supplied device. Pediatric dosing must be individualized by a qualified clinician based on age, weight, kidney function, and the specific infection being treated. |
| Elderly Dosage | Older adults usually receive the same dose as younger adults, but because kidney function tends to decline with age, the doctor may check kidney function and reduce the dose if needed. Elderly patients should be monitored for confusion, dizziness, or seizures, especially if they have kidney impairment or take other medicines. |
| Renal Impairment | In patients with reduced kidney function, the dose of this medicine may need to be reduced or the interval between doses lengthened. For moderate impairment, the usual approach is to give the normal dose less frequently, and for severe impairment, the dose is often reduced further. Dose must be individualized by a qualified clinician based on measured or estimated kidney function. |
| Hepatic Impairment | Cefaclor is not extensively metabolized by the liver, so mild to moderate liver impairment usually does not require a dose adjustment. In severe liver disease with associated kidney impairment, the doctor may adjust the dose based on overall clinical status. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The usual maximum adult dose of this medicine is 2 grams per day, and doses above 4 grams per day should not be used. In children, the maximum daily dose is determined by the doctor based on body weight and should not exceed the adult maximum. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of keflor oral suspension strawberry
✅ 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 | |
| Probenecid | Major | |
| Gentamicin | Major | |
| Furosemide | Moderate | |
| Methotrexate | Moderate | |
| Oral contraceptives | Moderate | |
| Antacids | Minor | |
| Iron supplements | Minor | |
| Paracetamol | Minor | |
| Ibuprofen | Minor |
🚨 Major Interactions
- Warfarin
- Probenecid
- Aminoglycoside antibiotics such as gentamicin
⚡ Moderate Interactions
- Loop diuretics such as furosemide
- Methotrexate
- Oral contraceptives
🍷 Alcohol Interaction
Alcohol does not directly interact with cefaclor, but drinking alcohol while you are unwell with an infection can worsen dehydration, increase stomach irritation, and slow recovery. It is sensible to avoid alcohol until you have completed the course and feel fully well.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known serious allergy to cefaclor or any other cephalosporin antibiotic","Previous severe immediate allergic reaction to penicillin or other beta-lactam antibiotics","Use in patients with a history of anaphylaxis to any beta-lactam antibiotic","Not to be used for viral infections such as the common cold or influenza","Should not be used without dose adjustment in severe kidney impairment"]
⚠️ Warnings & Precautions
["Tell your doctor about any previous allergic reaction to antibiotics before starting this medicine.","Use with caution in patients with kidney disease because the dose may need to be reduced.","Prolonged use can lead to overgrowth of non-susceptible organisms such as Candida, causing thrush or other infections.","Antibiotic-associated diarrhoea can occur during or after treatment, and severe cases need medical assessment.","This medicine may rarely cause seizures, especially in patients with kidney impairment or very high doses.","Do not use leftover antibiotic for future illnesses, because the dose and choice may be wrong.","Complete the full prescribed course even if symptoms improve early to reduce the risk of resistance."]
🤱 Lactation Safety
Cefaclor passes into breast milk in small amounts. It is usually considered compatible with breastfeeding, but it may cause loose stools, thrush, or rash in the nursing infant. Monitor the baby for these effects and consult a doctor if they occur.
💊 Overdose Management
Taking more than the prescribed dose of this medicine can cause nausea, vomiting, stomach pain, and diarrhoea. In severe cases, especially in people with kidney impairment, overdose may lead to seizures or other neurological symptoms. There is no specific antidote, so treatment is supportive and includes stopping the medicine, maintaining hydration, and seeking immediate medical care. If a child has swallowed extra doses, contact a poison control centre or go to the nearest emergency department without delay.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember, provided there is enough time before the next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Never take two doses at the same time to make up for a missed one, because this increases the risk of side effects.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor and complete the full course even if you feel better after a few days. Shake the bottle well before each dose because the cefaclor particles settle at the bottom and an unshaken bottle gives an inaccurate dose. Use the measuring spoon, cup, or oral syringe supplied with the product rather than a household spoon, since household spoons vary in size and can lead to underdosing or overdosing. This medicine can be taken with or without food, but taking it with a small snack may reduce stomach upset. Store the reconstituted suspension in the refrigerator and discard any remaining medicine after the number of days stated on the label, usually seven to fourteen days, because the liquid loses potency over time. Do not share this medicine with anyone else, even if they have similar symptoms, because the dose and choice of antibiotic depend on the individual. Tell your doctor about all other medicines, especially warfarin, probenecid, and other antibiotics, before starting this medicine. If you develop a severe rash, swelling, or breathing difficulty, stop the medicine and seek emergency medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may have reduced kidney function, which can cause this medicine to accumulate and increase the risk of side effects such as confusion, dizziness, or seizures. The doctor may check kidney function before prescribing and adjust the dose or interval accordingly. Elderly patients should also be monitored for dehydration if diarrhoea occurs, and for any signs of allergic reaction.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are already pregnant, tell your doctor before taking this medicine. Cefaclor is generally considered acceptable in pregnancy when there is a clear bacterial infection, but it should be used only under medical supervision. There is no need to delay pregnancy after a short course, but discuss any concerns with your doctor.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform the surgical and anaesthesia team about this medicine and any allergies. This medicine is not usually used for surgical prophylaxis, and the surgeon will choose the most appropriate antibiotic based on the procedure and local guidelines. Continue or stop the medicine only as advised by your treating doctor.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, because it may affect the choice of antibiotic for dental prophylaxis or treatment. This medicine is not a first-line choice for most dental infections, and the dentist may prefer a different antibiotic based on the type of infection and your allergy history. Do not stop the medicine on your own before a dental procedure without medical advice.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Rest is more important than exercise while you are recovering from a bacterial infection. Once fever and fatigue have settled, gentle activity such as walking is fine, but avoid strenuous exercise until you feel fully well. If you experience dizziness, breathlessness, or chest discomfort, stop exercising and seek medical advice.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine rarely affects the ability to work or study, but if you feel dizzy, drowsy, or unwell from the infection, avoid driving or operating heavy machinery until you feel better. Children should stay home from school while they have fever or feel unwell. Most adults can continue desk work, but adequate rest helps faster recovery.
🛑 When to Stop This Medicine
Do not stop this medicine early unless your doctor advises it, because stopping before the full course is complete can allow the infection to return and may promote antibiotic resistance. If you develop a severe allergic reaction, severe diarrhoea, or any other serious side effect, stop the medicine and seek medical help immediately. If the infection has not improved by the end of the prescribed course, contact your doctor for reassessment rather than continuing or restarting on your own.
📅 Long-Term Use Effects
This medicine is usually prescribed for short courses, so long-term effects are uncommon. Prolonged or repeated use can disturb the normal balance of bacteria in the gut and mouth, leading to thrush, diarrhoea, or overgrowth of resistant organisms. Rarely, prolonged use has been associated with blood count changes or kidney effects. If repeated courses are needed, the doctor may investigate for an underlying cause and may monitor blood counts, kidney function, and liver function.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Supports the immune system and helps the body recover alongside antibiotic treatment.
Evidence: Well-establishedCan help relieve nasal congestion in sinusitis and may complement antibiotic therapy.
Evidence: EstablishedSoothes throat pain in pharyngitis and tonsillitis while the antibiotic clears the infection.
Evidence: EstablishedCan be used for fever and pain alongside this medicine, but check with the doctor about dosing and interactions.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics such as this medicine do not usually interfere with most routine vaccines, but if you or your child are unwell with fever, the doctor may advise delaying vaccination until recovery. Live bacterial vaccines such as typhoid Ty21a should not be taken at the same time as antibiotics, because the antibiotic can kill the vaccine bacteria and reduce its effectiveness. Always inform the vaccination provider about any antibiotics being taken.
📦 Storage Guide
✅ DO
Store the dry powder at room temperature, away from moisture and direct sunlight.
❌ DON'T
Do not store the dry powder in the refrigerator or in a bathroom cabinet.
✅ DO
Refrigerate the reconstituted suspension at 2 to 8 degrees Celsius.
❌ DON'T
Do not freeze the reconstituted suspension.
✅ DO
Shake the bottle well before each dose.
❌ DON'T
Do not use the suspension after the discard date written on the label.
✅ DO
Keep the bottle tightly closed and out of reach of children.
❌ DON'T
Do not transfer the medicine to another unlabelled container.
✈️ Traveling with This Medicine
When travelling with this medicine, carry it in its original labelled bottle along with a copy of the prescription, because customs officials may ask for proof that it is for personal medical use. Keep the reconstituted suspension cool during travel by using an insulated pouch or cool bag, since it needs refrigeration after mixing. If you are crossing time zones, ask your doctor how to adjust the dosing schedule so that doses are not missed or doubled. Do not leave the bottle in a hot car or in direct sunlight, and check the expiry and discard date before each dose. If the journey is long, ask the pharmacist whether a fresh bottle should be reconstituted at the destination.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Most people notice improvement in fever and pain within 24 to 48 hours, but the full benefit depends on completing the prescribed course, which is usually five to ten days.
A: Yes, this medicine can be taken with milk or a small snack. Milk does not significantly reduce absorption and may help reduce stomach upset.
A: If vomiting occurs within 15 to 30 minutes of the dose, contact your doctor or pharmacist for advice, because the dose may need to be repeated. Do not give an extra dose without guidance.
A: Loose stools are a common but usually mild side effect. Keep the child hydrated and contact the doctor if diarrhoea is severe, bloody, or accompanied by fever or cramps.
A: No, this medicine only works against bacteria and has no effect on viruses, so it should not be used for viral colds or flu.
A: Store the reconstituted suspension in the refrigerator at 2 to 8 degrees Celsius and use it within the number of days stated on the label, usually seven to fourteen days.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: Antibiotics can cure the common cold and flu.
Fact: This medicine works only against bacteria and has no effect on viruses, so it will not cure viral colds or flu. - Myth: You can stop the antibiotic as soon as you feel better.
Fact: Stopping early can allow surviving bacteria to regrow and cause a relapse or resistance, so the full prescribed course should be completed. - Myth: Leftover antibiotics can be saved for the next illness.
Fact: Leftover antibiotics should never be reused because the dose, choice, and expiry may be wrong, and self-treatment can be harmful. - Myth: Antibiotics always cause loose motions, so they are not safe.
Fact: Loose stools are a common but usually mild side effect, and serious diarrhoea is rare. Hydration and medical advice help manage it. - Myth: A rash after antibiotics always means allergy.
Fact: Some rashes are harmless, but any rash should be assessed by a doctor because it can sometimes signal a serious allergy.
🔄 Alternative Options
Generic Alternatives
- Cefaclor oral suspension 50 mg per 5 ml
- Cefaclor oral suspension 125 mg per 5 ml
- Cefaclor capsules 250 mg
Brand Alternatives
- Keflor oral suspension strawberry