Like other β-lactam antibiotics, renal excretion of cefalexin is delayed by probenecid. It is also not recommended to take cefalexin with dofetilide, live Cholera vaccine, warfarin, and cholestyramine. Alcohol consumption reduces the rate at which it is absorbed. Cefalexin also interacts with metformin, an antidiabetic drug, and this can lead to higher concentrations of metformin in the body. Histamine H receptor antagonists like cimetidine and ranitidine may reduce the efficacy of cefalexin by delaying its absorption and altering its antimicrobial pharmacodynamics. Zinc and zinc supplements also interact with cefalexin and may reduce the amount of cefalexin in the body.