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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.
Amoxicillin kills strep throat readily, and a 20 mg per kg, per day dosage should be sufficient. With more stubborn infections, such as ear infections, the 40 mg per kg is a standard dose. But whenever resistant bacteria are suspected, high dose treatment with 60 to 100 mg per kg per day might be best.