Cefuroxime and Cephalexin interaction

Cefuroxime and Cephalexin: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Cefuroxime (Cefuroxime axetil) label · effective 2026-01-16

Major

Known hypersensitivity (e.g., anaphylaxis) to cefuroxime axetil or to other β-lactams (e.g., penicillins and cephalosporins).

Contraindicationsby drug classView label on DailyMed

From the Cephalexin label · effective 2026-03-25

Major

Cephalexin is contraindicated in patients with known hypersensitivity to cephalexin or other members of the cephalosporin class of antibacterial drugs.

Contraindicationsby drug classView label on DailyMed
Major

Patients with known hypersensitivity to cephalexin or other members of the cephalosporin class of antibacterial drugs.

Contraindicationsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.