Skip to main content

What the FDA labels say about taking them together

Cephalexin and metformin

Cephalexin's FDA label of December 31, 2020 names metformin in its drug interactions section; the metformin labels PlainMeds reads (3) do not name cephalexin. The cephalexin label: “DRUG INTERACTIONS Metformin: increased metformin concentrations.”

Check it at the source: the cephalexin FDA label on DailyMed (effective December 31, 2020, Teva Pharmaceuticals USA, Inc.); the metformin FDA label on DailyMed (effective September 3, 2026, Granules India Ltd).

What does the cephalexin label say about metformin?

Cephalexin label, drug interactions

DRUG INTERACTIONS Metformin: increased metformin concentrations.

Source: FDA drug label (Cephalexin), Teva Pharmaceuticals USA, Inc., effective December 31, 2020 (SPL set 19307ff0-71de-477b-965d-ea243e5ede3a), via openFDA; the full label on DailyMed

What does the metformin label say about cephalexin?

Metformin's label (effective September 3, 2026) and its 2 other brand-application labels do not name cephalexin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (METFORMIN HYDROCHLORIDE), Granules India Ltd, effective September 3, 2026 (SPL set 73197cb5-3e23-4ac0-b189-f9bc848bce66), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

35Cephalexin generic labelers
80Metformin generic labelers
CephalexinMetformin
Labeled forBacterial infections, Urinary tract infectionsType 2 diabetes
Boxed warningNoYes
Pharmacy cost (NADAC)$0.120 per capsule 500 mg capsule$0.0145 per tablet 500 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?