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Allopurinol and Amoxicillin/Clavulanate Interaction

Drug interaction information between Allopurinol and Amoxicillin/Clavulanate.

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

FDA drug labeling documents a moderate-severity interaction between Allopurinol and Amoxicillin/Clavulanate. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.

Drug A

Allopurinol

Xanthine Oxidase Inhibitor

Drug B

Amoxicillin/Clavulanate

Penicillin / Beta-Lactamase Inhibitor Combination

How They Interact

Taking these two drugs together increases the chance of developing a skin rash. It is not fully known if the rash is caused by the drugs themselves or the medical condition being treated.

What To Do

Watch your skin closely for any new rashes and tell your doctor immediately if one appears. Your doctor may need to monitor your reaction to these medications.

FDA Label Information

( 7.1 ) Concomitant use of AUGMENTIN 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

Can I take Allopurinol and Amoxicillin/Clavulanate together?

This is a moderate interaction. Watch your skin closely for any new rashes and tell your doctor immediately if one appears. Your doctor may need to monitor your reaction to these medications.

How serious is the interaction between Allopurinol and Amoxicillin/Clavulanate?

This interaction is classified as "moderate" severity by the FDA. Moderate interactions may worsen your condition or change how your medications work.

Why do Allopurinol and Amoxicillin/Clavulanate interact?

Taking these two drugs together increases the chance of developing a skin rash. It is not fully known if the rash is caused by the drugs themselves or the medical condition being treated.

Understanding the Allopurinol and Amoxicillin/Clavulanate Interaction

FDA-approved prescribing information for these two drugs flags their combination as a moderate-severity interaction. Allopurinol belongs to the Xanthine Oxidase Inhibitor class and Amoxicillin/Clavulanate belongs to the Penicillin / Beta-Lactamase Inhibitor Combination class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Taking these two drugs together increases the chance of developing a skin rash. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.

Context around a specific patient determines real-world impact. Allopurinol has 10 total documented interactions on file in this dataset, and Amoxicillin/Clavulanate has 5. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Watch your skin closely for any new rashes and tell your doctor immediately if one appears. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.

An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Allopurinol or Amoxicillin/Clavulanate based on a web page, speak with your prescriber or pharmacist before making any change.

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.