Complex question: it depends on the type of reaction when you were exposed to penicillin, what's comforting though is that it took place 45 yrs ago, and possibility of having a reaction with cephalexin is minimal, now 2 options: either ask your doctor for an alternate drug, or, take the cephalexin first dose in your doctor's office under his/her supervision, serious reactions occur within the 1st hr of the 1st dose
Answered 1/28/2015
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Usually okay.: We were taught for years that there is about a 10% risk of being allergic to cephalosporins (like Keflex) in people who were allergic to drugs in the penicillin family. Later research has said that is a myth, and there is less than a 1% risk depending on the type of cephalosporin. See http://www.ncbi.nlm.nih.gov/pubmed/21742459. Talk to your doctor about your fears, though.
Answered 6/5/2018
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