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Cephalexin oral suspension comes in 2 strengths: 125mg/5ml or 250mg/5ml the recommended dosage for a child with strep throat is between 25-50mg/kg (2.2 lbs) twice a day for 10 days. If he is on the 125mg /5ml then he is getting about 312.5mg/dose.
Studies have shown that approximately 60 to 80 percent of children treated for strep are prescribed amoxicillin; 10 to 20 percent are prescribed penicillin; and just 10 to 20 percent receive a cephalosporin.