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Fish Flex (Fix Flex) 250mg/500mg 30/60ct

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Fix Flex (Fish Flex Forte) Cephalexin Capsules

Fix Flex (Fish Flex Forte) Cephalexin Capsules - Fish & Bird Antibacterial Treatment 250 mg / 500 mg

Fix Flex at a Glance
For Ornamental aquarium fish and non-food pet birds
Helps with Fin and tail rot, skin ulcers, infected wounds, red patches, pop-eye
Form Capsules, 250 mg or 500 mg each
Count Sizes 30 count, 100 count
Water Type Freshwater and saltwater
Made In United States by Aqua Soma Labs

Fix Flex is an antibacterial treatment in capsule form for ornamental aquarium fish and non-food pet birds. Made by Aqua Soma Labs, it supplies cephalexin in 250 mg and 500 mg capsule strengths and comes in bottles of 30 or 100 capsules with fresh expiration dates.

Often called Fish Flex, Fin Flex or simply fishflex in the hobby community, this product is an online alternative to the discontinued Thomas Labs Fish Flex, Fish Flex Forte, Fish Aid Cephalexin, Aqua Ceph 500mg, Aqua Flex and FISHBIOTIC Cephalexin products. Aquarists and bird keepers also search for it as fish cephalexin, fish cephalexin 500mg or cephalexin for fish. It helps manage common bacterial issues such as fin and tail rot, skin ulcers, infected wounds and lesions, red patches, pop-eye, and dropsy (pinecone disease) in freshwater and saltwater aquariums. Bird keepers also use it, under veterinary guidance, for conditions like bumblefoot, skin infections or joint infections in pigeons and other non-food pet birds.

The capsules can be opened so the powder dissolves quickly and the contents spread evenly through the water or a separate hospital tank.

This treatment from Aqua Soma Labs gives hobbyists flexible options with two strengths and two bottle sizes, whether they maintain a single hospital tank, several community aquariums, or need treatment support for a small bird flock or aviary.

Use this product when you notice early signs of bacterial stress such as frayed or ragged fins, red or pale fin edges, open sores, localized swelling, cloudy patches on the body, pop-eye (exophthalmia) or a persistent loss of appetite in fish. For birds, watch for swollen foot pads (bumblefoot), skin redness, joint swelling, ruffled feathers or reduced activity. Addressing potential bacterial issues early with appropriate treatment, together with good water quality, suitable housing and advice from an aquatic or avian professional when available, helps your fish and birds maintain a stable, healthy aquarium or aviary.

Fish-Specific Symptoms

  • Fin and tail rot (frayed or ragged fins)
  • Skin ulcers, open sores and infected wounds
  • Red patches or cloudy patches on the body
  • Pop-eye (exophthalmia)
  • Dropsy (pinecone disease)
  • Loss of appetite or listless behavior

Bird-Specific Symptoms (Under Veterinary Guidance)

  • Bumblefoot (swollen foot pads)
  • Skin infections or redness
  • Joint infections or swelling
  • Ruffled feathers
  • Reduced activity

Fix Flex is formulated, labeled and sold exclusively as an antibacterial treatment for ornamental aquariums and pet birds.

Order online for same-day dispatch on orders placed before 1:30 p.m. CT, Monday through Friday. Your order ships directly from our U.S. warehouse via USPS or UPS.

Important Notice: This product is intended for aquarium and ornamental fish and pet birds only. It is not for animals used for food.


Fish Flex vs Fix Flex: What Changed?

If you previously purchased Thomas Labs Fish Flex, Fish Flex Forte, Aqua Ceph, Aqua Flex or FISHBIOTIC Cephalexin, here is what has changed and what remains the same:

Same Cephalexin The replacement contains the same cephalexin per capsule that you relied on with Fish Flex and Aqua Ceph, and it targets the same bacteria.

New Manufacturer The new product is made by Aqua Soma Labs, replacing the discontinued Thomas Labs line, and is manufactured in the United States.

Same Capsule Form It uses the same capsule format as the original Fish Flex, making it easy to open and dissolve the powder in aquarium water or mix with soft food for birds.

Available in Two Strengths and Two Sizes Choose 250 mg or 500 mg capsules in bottles of 30 or 100, matching the flexibility that Fish Flex and Fish Flex Forte offered for different aquarium volumes and treatment plans.


Benefits of Fix Flex for Fish & Birds

  • Bacterial Support for Fish and Birds

    This treatment provides cephalexin coverage for aquarium fish and pet birds. It helps manage common problems such as fin and tail rot, skin ulcers, infected wounds, red patches and early signs of bacterial stress when used as directed.

  • Made in the United States

    Fix Flex is made in the United States by Aqua Soma Labs. Domestic production supports consistent capsule quality from batch to batch, which matters when you are treating fish or birds in a hospital tank or cage.

  • Two Strengths to Match Your Tank

    Use 250 mg capsules for smaller aquariums, hospital tanks or lightly stocked systems, and 500 mg capsules for larger volumes or when higher total amounts are needed, always following the label directions.

  • Consistent Capsules

    Each capsule delivers a consistent amount of cephalexin, making it easier to scale treatment from a single quarantine tank up to larger community aquariums, lofts or aviaries without complicated calculations.

  • Easy to Use

    These capsules can be opened and the powder dissolved directly in aquarium water or mixed with soft food, providing flexible options for shy, stressed or hard-to-handle fish and birds while minimizing handling and extra stress.

  • Works in Freshwater, Saltwater & Aviary Setups

    Hobbyists reach for this treatment in both freshwater and marine systems, and as a convenient option for pigeons and other ornamental birds kept in lofts, cages or aviaries when an antibacterial treatment is appropriate.

  • Good for Hospital Tanks and Quarantine

    Using this treatment in a separate hospital tank or treatment cage helps protect the main aquarium's biofilter and reduces unnecessary exposure of healthy tank mates or flock members while you focus treatment where it is needed most.


Usage Guidelines & Instructions

Directions for Use:

  1. Set Up a Separate Treatment Area

    Move affected fish to a dedicated hospital tank and, where practical, house birds needing treatment in a small treatment cage. This helps protect healthy tank mates or flock members and lets you control the amount more precisely.

  2. Choose the Right Strength

    These cephalexin capsules are available in 250 mg and 500 mg strengths. Select the strength that matches your aquarium volume or your professional's advice, and follow the product label for the number of capsules and how often to use it. Do not increase the amount or shorten the intervals on your own.

  3. Directions for Fish Aquariums

    Add one dissolved 250 mg dose per 10 gallons (38 L) of water. Open the capsule, stir the powder into a cup of aquarium water, then pour it evenly around the hospital tank. Repeat every 24 hours with a partial water change between treatments for 5 to 10 days, and discontinue use if there is no improvement after 5 days. See the chart below for common tank sizes.

  4. Use in Pet Birds (Under Veterinary Guidance)

    Only give this treatment to pigeons and other pet birds under the direction of an avian veterinarian. Your vet can advise you on the correct amount for the bird's weight, frequency and duration. Capsule contents may be mixed into soft food or drinking water exactly as instructed.

  5. Maintain Water Quality & Finish the Treatment

    Perform partial water changes as needed between doses to keep ammonia and nitrite low and ensure good aeration in the hospital tank. Continue treatment for the full recommended number of days even if fish or birds appear better; stopping early can allow symptoms to return. If there is no improvement after several days, or if signs worsen, consult an aquatic or avian professional.

Fix Flex Amounts by Aquarium Size
Tank volume Cephalexin per use 250 mg capsules 500 mg capsules
10 gallons (38 L) 250 mg 1 n/a (use 250 mg)
20 gallons (76 L) 500 mg 2 1
30 gallons (114 L) 750 mg 3 1 + one 250 mg
40 gallons (151 L) 1000 mg 4 2
55 gallons (208 L) about 1375 mg 5 to 6 3

These figures follow the Fix Flex product label: add one dissolved 250 mg dose per 10 gallons (38 L) of water, repeat every 24 hours with a partial water change between treatments for 5 to 10 days, and discontinue use if there is no improvement after 5 days. Dose by the water volume of your treatment tank, not by the number of fish, and round to the nearest practical capsule. The bottle label or your aquatic veterinarian takes priority over this quick-reference chart.

What to Expect During Treatment

Days 1 to 2

Fish may hide or eat less, and the water can look slightly cloudy. This is normal early on. Keep dosing on schedule and keep aeration strong.

Days 3 to 5

Look for signs it is working: sores and red patches stop spreading, appetite starts to return, and breathing steadies. If there is no change by day 5, discontinue use and ask an aquatic veterinarian.

Days 5 to 10

Even if the fish are improving, finish the full treatment so the infection does not return. Afterward, run a partial water change and put activated carbon back in to clear any leftover cephalexin.

What You Need for Treatment

A little setup before the first dose saves trouble later.

  • A separate hospital or quarantine tank, so you are not treating the whole display.
  • A heater and an air stone or sponge filter for steady temperature and strong aeration.
  • An ammonia and nitrite test kit to keep tabs on water quality.
  • A dechlorinator for the water changes between doses.
  • A small net and a clean cup for gentle transfer and measuring the dose.

Pro Tip: Always quarantine infected fish and birds away from healthy companions during treatment to reduce stress and help prevent the spread of disease. A small, dedicated hospital tank with a heater, air stone and no substrate makes dosing and water changes easier.


How Fix Flex Works

Fix Flex supplies cephalexin, the active ingredient, at 250 mg or 500 mg per capsule. It works against a range of Gram-positive bacteria and some Gram-negative species that affect the skin, fins and soft tissue of fish and birds, helping to slow or stop their growth.

Each capsule is a hard gelatin shell that holds the cephalexin powder, along with standard ingredients that hold the capsule together and help the contents disperse evenly when dissolved in aquarium water or mixed with soft food.


Safety and Tank Notes

When used as directed, this product usually causes no problems in ornamental fish and pet birds. As with any antibacterial treatment, incorrect amounts or prolonged use can increase the risk of side effects and bacterial resistance.

  • Fish

    This treatment may cause temporary stress or hiding behavior, mild water cloudiness and reduced appetite during treatment. If fish show severe distress such as rapid gill movement, loss of balance, gasping at the surface or lying on the bottom, stop treatment, improve aeration and seek aquatic veterinary advice.

  • Birds

    When the treatment is given in food or drinking water, possible reactions include decreased appetite, loose or changed droppings and lethargy, especially if the amount is too high or the bird is sensitive. If your bird appears fluffed up, inactive or stops eating, discontinue use and contact an avian veterinarian.

  • Invertebrates

    Do not use this product in display tanks that contain shrimp, snails or other invertebrates, as strong treatments of this kind may harm them or disrupt the tank ecosystem. Whenever possible, move affected fish to a separate hospital tank.

  • Safe use in your system

    Treat fish in a hospital or quarantine tank whenever you can, remove activated carbon and turn off UV sterilizers during treatment, and monitor ammonia, nitrite and temperature closely. Do not mix this product with other treatments unless advised by a veterinarian.

  • Important safety warning

    Fix Flex is intended for ornamental aquarium fish and non-food pet birds only. It is not for animals raised for food. Store capsules in a cool, dry place away from direct sunlight and keep out of reach of children and pets. Always follow the directions on the label.


Shipping & Returns

Shipping Policy: Orders ship from our U.S. warehouse within 1 business day via USPS or UPS, with same-day dispatch on orders placed before 1:30 p.m. CT (Monday through Friday). For full shipping details, please see our shipping policy.

Refund Policy: If there is an issue with your order, you may be able to return or exchange items within 30 days according to our store guidelines. Before sending anything back, please review our refund policy carefully.


Frequently Asked Questions

What is Fix Flex (Fish Flex) used for in fish and birds?

Fix Flex (cephalexin 250/500 mg) is an antibacterial treatment used by hobbyists to help manage bacterial problems such as fin and tail rot, skin ulcers, infected wounds, red patches and pop-eye in ornamental aquarium fish, and to support veterinarian-directed treatment of conditions like bumblefoot, skin infections or joint infections in pet birds.

What is the difference between Fish Flex and Fix Flex?

Fish Flex was the brand name used by Thomas Labs for their cephalexin capsules. After Thomas Labs discontinued the product, Aqua Soma Labs introduced Fix Flex as a direct replacement. It contains the same cephalexin, uses the same capsule format, and is intended for the same aquarium fish and pet bird applications.

Is Fix Flex a replacement for Fish Flex Forte?

Yes. If you previously used Fish Flex Forte 500 mg, the replacement from Aqua Soma Labs offers the same active ingredient (cephalexin) and is available in both 250 mg and 500 mg capsule strengths in 30-count and 100-count bottles.

Is Fix Flex the same as Aqua Ceph or Aqua Flex?

Aqua Ceph and Aqua Flex were other names used for cephalexin fish treatment products. The replacement from Aqua Soma Labs contains the same cephalexin and serves as a modern alternative to older Aqua Ceph and Aqua Flex products that are no longer manufactured.

Is Fish Flex the same as fish cephalexin 500mg?

Yes. Fish Flex was the older brand name, and its active ingredient is cephalexin, so fish cephalexin 500mg describes the same product. Fix Flex from Aqua Soma Labs supplies it in 250 mg and 500 mg capsules for ornamental fish and pet birds.

Where can I buy cephalexin for fish online?

You can buy fish cephalexin (250/500 mg) directly from Fine Pet Health. Orders ship from our U.S. warehouse with same-day dispatch on orders placed before 1:30 p.m. CT, Monday through Friday, via USPS or UPS.

Browse Fish & Bird Treatments →
How do I know if my fish might need a cephalexin treatment?

Watch for signs such as frayed or rotting fins, red or white ulcers, open sores, localized swelling, pop-eye or listless behavior that does not improve with good water quality and husbandry. A fish veterinarian or experienced aquarist can help confirm whether a bacterial infection is likely and whether treatment is appropriate.

How do I choose between the 250 mg and 500 mg capsules?

These capsules are available in 250 mg and 500 mg strengths to suit different aquarium volumes and treatment plans. Use the 250 mg capsule for smaller hospital tanks or lightly stocked systems, and the 500 mg capsule for larger volumes. Always follow the product label or your aquatic or avian professional's advice for the correct number of capsules and how often to use it.

Can I use Fix Flex in my main community or reef tank?

It is best to treat sick fish in a separate hospital tank instead of the main aquarium. This treatment and similar products are not recommended for reef tanks or setups with shrimp, snails, corals or other invertebrates, because strong treatments may harm them or disrupt beneficial filter bacteria.

Does Fix Flex work in saltwater aquariums?

Yes. It can be used in both freshwater and saltwater hospital tanks. Dissolve the capsule contents following the label directions and maintain stable salinity, temperature and water quality parameters throughout the treatment.

How long should I treat with Fix Flex?

Follow the amount and duration on the product label or as advised by an aquatic veterinarian. Birds should only receive this treatment for the amount and duration recommended by an avian vet. Always complete the full recommended number of days even if fish or birds appear better; stopping early can allow symptoms to return.

Can Fix Flex be used for pet birds?

This treatment can be used in pigeons and other pet birds only under the direction of an avian veterinarian, who will work out the correct amount for the bird's weight and decide whether to treat a single bird or an entire flock. Capsule contents may be mixed into soft food or drinking water exactly as instructed. Never guess bird amounts without professional guidance.

Can I use Fix Flex for my dog or cat?

No. Fix Flex is for aquarium fish and non-food pet birds only. It must not be used for dogs, cats or other mammals. If you suspect an infection in another animal, contact a veterinary professional instead of using fish treatments.

Will Fix Flex harm beneficial aquarium bacteria?

Any fish treatment of this kind, including cephalexin for fish, can affect beneficial bacteria if used in the main tank. Using a hospital tank, monitoring ammonia and nitrite, and performing partial water changes helps protect the biofilter while treatment is underway.

Can I combine Fix Flex with other fish treatments?

Combining treatments or mixing this product with antifungal or antiparasitic treatments is generally not recommended unless specifically advised by an aquatic veterinarian. Using multiple treatments at once can stress fish, cause unpredictable interactions and make it harder to identify which treatment is working.

How quickly should I see improvement?

Many aquarists notice clearer skin, improved fin condition and more normal swimming or appetite within a few days once water quality is stable and the full treatment is followed. If fish or birds fail to improve or seem worse after several days, stop treatment and seek aquatic or avian veterinary advice.

Can Fix Flex treat fungal, viral or parasitic infections?

No. This product is a cephalexin-based treatment that targets certain bacterial infections only. It is not effective against fungi, viruses or parasites such as ich, flukes or worms. For fungal, parasitic or viral problems, work with an aquatic or avian veterinarian to choose an appropriate treatment instead of this product.

How should I store and dispose of Fix Flex capsules?

Store capsules in their original container in a cool, dry place away from heat, moisture, children and pets. For disposal, follow your local guidance for safe household disposal.

What is fish cephalexin?

Fish cephalexin is a common name for cephalexin sold as an aquarium treatment. Fix Flex (sometimes typed fixflex) is the current version: fish cephalexin 500mg and 250mg capsules for ornamental fish and non-food pet birds. It treats bacterial problems like fin and tail rot, skin ulcers, red patches and dropsy, not fungi, viruses or parasites.

How much Fix Flex should I use per gallon?

The product label directs one dissolved 250 mg dose per 10 gallons (38 L) of water. Open the capsule, mix the powder into a cup of tank water, and spread it around the treatment tank. Repeat every 24 hours with a partial water change between treatments for 5 to 10 days, and discontinue use if there is no improvement after 5 days.


More Fish & Bird Treatments

Fix Mox (Amoxicillin) 250/500mg A treatment for fin rot, dropsy, ulcers and other bacterial infections in ornamental fish. Available in 30-count and 100-count capsules. Shop Fix Mox

Fix Zole (Metronidazole) 250/500mg Targets anaerobic bacteria and protozoa including Hexamita and hole-in-the-head disease in ornamental fish. Available in 60-count bottles. Shop Fix Zole

Fix Doxy (Doxycycline) 100mg A treatment for columnaris, respiratory infections and Mycoplasma in fish and birds. Available in 30-count and 60-count tablets. Shop Fix Doxy

Fix Zithro (Azithromycin) 250mg A treatment for fin rot, columnaris, gill disease and avian respiratory concerns. Available in 12-count and 30-count tablets. Shop Fix Zithro

Fix Cin (Clindamycin) 150mg A treatment commonly used for gram-positive bacterial infections including skin and soft tissue concerns in ornamental fish. Shop Fix Cin

Fix Sulfa (SMZ/TMP) 960mg A treatment offering coverage against a range of bacterial infections in ornamental fish. Shop Fix Sulfa

Fix Pen (Penicillin) 500mg A treatment for gram-positive bacterial infections in ornamental fish and non-food pet birds. Shop Fix Pen

Fix Flox (Ciprofloxacin) 500mg A treatment for gram-negative bacterial infections including fin rot, ulcers, columnaris and septicemia in ornamental fish. Shop Fix Flox

Browse all treatments Explore our complete Fish & Bird Treatments Collection for more Fix line products and related treatments.

Guides and care tips Visit the Fish & Bird Care Blog for practical usage guides, water-care advice and treatment tips.


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