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Keflex is an antibiotic medication that contains cephalexin or cefalexin. Cephalexin works in a similar way to penicillin antibiotics. It attacks the bacteria that cause the infection and prevents them from forming cell walls. Without a cell wall, the bacteria are unable to survive. In this way Keflex reduces the number of bacteria at the site of infection allowing the symptoms … CEPHALEXIN (sef a LEX in) treats infections caused by bacteria. It belongs to a group of medications called cephalosporin antibiotics. It will not treat colds, the flu, or infections caused by viruses. Take this medication by mouth. Take it as directed on the prescription label at the same time every day. You can take it with or without food. We also offer medication counseling to help you take your prescription safely and effectively. Final Thoughts In the U.S., you cannot get antibiotics without a prescription, but that doesn't mean you're without support. 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