Amoxicillin and Rabeprazole interaction

Amoxicillin and Rabeprazole: the Rabeprazole prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Rabeprazole (Aciphex) label · effective 2026-01-27

Major

For information about contraindications of antibacterial agents (clarithromycin and amoxicillin) indicated in combination with ACIPHEX delayed-release tablets, refer to the Contraindications section of their package inserts.

Contraindicationsnames AmoxicillinView label on DailyMed
Major

Refer to the Contraindications section of the prescribing information for clarithromycin and amoxicillin, when administered in combination with ACIPHEX ( 4 ).

Contraindicationsnames AmoxicillinView label on DailyMed
Major

Combination Therapy with Clarithromycin and Amoxicillin Clinical Impact: Concomitant administration of clarithromycin with other drugs can lead to serious adverse reactions, including potentially fatal arrhythmias, and are contraindicated.

Drug interactionsnames AmoxicillinView label on DailyMed
Moderate

For more information specific to antibacterial agents (clarithromycin and amoxicillin) indicated for use in combination with ACIPHEX, refer to Warnings and Precautions sections of the corresponding prescribing information.

Warnings and precautionsnames AmoxicillinView label on DailyMed
Minor

Amoxicillin also has drug interactions.

Drug interactionsnames AmoxicillinView 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.