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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.
For strep throat, give 1 injection of the dose above. For someone who has had rheumatic fever, inject the dose above 1 time every 4 weeks. Continue this treatment for 5 to 10 years to prevent rheumatic heart disease. For syphilis in newborns, inject 50,000 units per kg, 1 time only.