Allopurinol and Amoxicillin Interaction

Drug interaction information between Allopurinol and Amoxicillin.

Allopurinol and Amoxicillin have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Allopurinol and Amoxicillin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Allopurinol

Xanthine Oxidase Inhibitor

Drug B

Amoxicillin

Penicillin Antibiotic

How They Interact

Taking these two medicines at the same time increases the chance that you will develop a skin rash. It is not fully known if the drugs themselves or the high uric acid levels in the body cause this reaction.

FDA Label Information

( 7.1 ) Concomitant use of Amoxicillin and Clavulanate Potassium and oral anticoagulants may increase the prolongation of prothrombin time.( 7.2 ) Co-administration with allopurinol increases the risk of rash. 7.3 Allopurinol The concurrent administration of allopurinol and amoxicillin increases the incidence of rashes in patients receiving both drugs as compared to patients receiving amoxicillin alone. It is not known whether this potentiation of amoxicillin rashes is due to allopurinol or the hyperuricemia present in these patients.

Frequently Asked Questions

What SPL severity band is on file for Allopurinol + Amoxicillin?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Amoxicillin has 12 labeled pairs on file vs Allopurinol's 10. In the moderate band specifically: Allopurinol has 3 (also Cyclosporine, Amoxicillin/Clavulanate); Amoxicillin has 2 (also Probenecid).

What mechanism field is on file for Allopurinol and Amoxicillin?

Taking these two medicines at the same time increases the chance that you will develop a skin rash. It is not fully known if the drugs themselves or the high uric acid levels in the body cause this reaction.

Amoxicillin carries more major-labeled pairs than Allopurinol

SPL source-record counts only. This page's band is moderate · classes on file: Allopurinol (Xanthine Oxidase Inhibitor); Amoxicillin (Penicillin Antibiotic).

Amoxicillin has 3 major-labeled pairs vs Allopurinol's 1. This page itself is in the moderate band, not the major band.

Allopurinol

1 major · 3 moderate · 6 minor · 10 total

Amoxicillin

3 major · 2 moderate · 7 minor · 12 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.