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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.
Here are general guidelines for cephalexin dosage: 1  The usual adult dose ranges from 1 to 4 grams a day, given in divided doses.  Typical adult doses of cephalexin are 250 mg every 6 hours, or 500 mg every 12 hours.