Can I take Antibiotics and Paracetamol together?
Drug interaction guide
Originally published 25 Jan 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
- Add to preferred sources on Google
For the vast majority of antibiotics, there is no interaction with paracetamol. However, a specific interaction exists with the antibiotic flucloxacillin, which can lead to a rare but serious blood chemistry imbalance called high anion gap metabolic acidosis (HAGMA). This is more likely in patients with risk factors such as kidney problems, sepsis, or malnutrition.
Why this happens
Flucloxacillin can interfere with how the body processes a substance called glutathione. When paracetamol is also taken, it can lead to a buildup of an acid called 5-oxoproline in the blood.
What you should do
It is generally safe to take paracetamol with most antibiotics. However, if you are prescribed flucloxacillin, inform your doctor if you have kidney issues or are feeling generally very unwell. If you develop deep, rapid breathing, confusion, or extreme tiredness while taking both, seek medical advice immediately.
Important precautions
Liver disease
You must not exceed the maximum dose, as paracetamol is highly toxic to the liver in overdose. If you have existing liver problems or drink alcohol heavily, you are at much higher risk of fatal liver damage.
Severe Allergy
If you have ever had a severe allergic reaction (such as hives, swelling, or breathing difficulties) to any antibiotic, you must inform your healthcare provider, as cross-reactivity between different types is common and can be life-threatening.
Alcohol consumption
You must strictly avoid all alcohol while taking these antibiotics and for 48-72 hours after finishing the course. Combining them causes a severe 'disulfiram-like' reaction, resulting in intense vomiting, racing heart, and chest pain.
Food and drink warnings
Alcohol
You must not drink alcohol while taking these antibiotics and for at least 48 to 72 hours after finishing the course. Doing so can cause a severe reaction including nausea, vomiting, flushing, and a racing heartbeat.
Using other medicines
Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
Patient picks for Drug interactions

Drug interactions checker
Can I take Magnesium and Wegovy flextouch together?
There is no known direct interaction between magnesium supplements and Wegovy (semaglutide). However, both can affect your digestive system. Wegovy slows down how quickly your stomach empties, which could theoretically change how quickly your body absorbs magnesium, though this is rarely a clinical concern. Additionally, both can cause side effects like nausea or changes in bowel habits (magnesium often softens stools, while Wegovy can cause constipation or diarrhoea).

Drug interactions checker
Can I take Mounjaro and Paracetamol together?
Mounjaro may slow down how quickly your body absorbs paracetamol. This means it might take longer for the paracetamol to start working to relieve pain or reduce a fever. However, the total amount of medicine that gets into your system should remain the same.
Article history
The information on this page is written and peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
25 Jan 2026 | Originally published
Join the conversation
Share your thoughts or experiences with others in our patient communities.

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.
More in drug interactions checker
- Can I take Amitriptyline and Aspirin together?
- Can I take Bactrim and Venlafaxine together?
- Can I take Cannabis and Clarithromycin together?
- Can I take Certican (Everolimus) and Matcha together?
- Can I take Citalopram and Simvastatin together?
- Can I take Ezetimibe and Magnesium together?
- Can I take Fibre supplements and Losartan together?
- Can I take Flecainide and Mirabegron together?
- Can I take Fluanxol and Wellbutrin together?
- Can I take Furosemide and Strivit D3 together?
- Can I take Iron and Levothyroxine together?
- Can I take Magnesium and Ramipril together?
- Can I take Nustendi and Ramipril together?
- Can I take Pancreatin and Lixiana together?
- Can I take Pregabalin and Sertraline together?
- Can I take Pregabalin and Wellbutrin together?
- Can I take Rivaroxaban and Aspirin together?
- Can I take St John's wort and Vitamin B2 together?
- Can I take Vitamin B complex and Vitamin D together?