Allopurinol and Amoxicillin and clavulanate interaction

Allopurinol and Amoxicillin and clavulanate: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Allopurinol label · effective 2026-05-21

Moderate

Concomitant use of the following drugs may also increase the risk of skin rash, which may be severe: bendamustine, ampicillin and amoxicillin [ see Drug Interactions (7.1) ].

Warnings and precautionsnames Amoxicillin and clavulanateView label on DailyMed
Moderate

The following drugs may increase the risk of serious skin reactions: bendamustine, thiazide diuretics, ampicillin and amoxicillin.

Drug interactionsnames Amoxicillin and clavulanateView label on DailyMed
Moderate

Drugs Known to Affect the Occurrence of Skin Rash and Hypersensitivity Concomitant use of the following drugs may increase the risk of skin rash, which may be severe: bendamustine, thiazide diuretics, ampicillin and amoxicillin.

Drug interactionsnames Amoxicillin and clavulanateView label on DailyMed

From the Amoxicillin and clavulanate (Amoxicillin and Clavulanate Potassium) label · effective 2026-07-07

Moderate

Co-administration with allopurinol increases the risk of rash.

Drug interactionsnames AllopurinolView label on DailyMed
Moderate

Allopurinol The concurrent administration of allopurinol and amoxicillin substantially increases the incidence of rashes in patients receiving both drugs as compared to patients receiving amoxicillin alone.

Drug interactionsnames AllopurinolView label on DailyMed
Moderate

However, this sample size is too small to allow for any conclusions to be drawn regarding the risk of rashes with concomitant Amoxicillin and Clavulanate Potassium Extended Release Tablets and allopurinol use.

Drug interactionsnames AllopurinolView label on DailyMed
Minor

It is not known whether this potentiation of amoxicillin rashes is due to allopurinol or the hyperuricemia present in these patients.

Drug interactionsnames AllopurinolView label on DailyMed
Minor

In controlled clinical trials of Amoxicillin and Clavulanate Potassium Extended Release Tablets, 25 patients received concomitant allopurinol and Amoxicillin and Clavulanate Potassium Extended Release Tablets.

Drug interactionsnames AllopurinolView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.