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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.
In those cases, one can use penicillin, amoxicillin, cephalosporins, etc... For teens and adults the treatment can be a Z-pak, which contains 6 of the 250mg pills. For children, the dose is 12mg per kg each day (once a day) for 5 days. Larger doses of azithromycin may cause a lot of temporary stomach upset.