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 Maitake and Turkey tail together?
There are no known harmful interactions between maitake and turkey tail mushrooms. Both are medicinal fungi that are often taken together to support the immune system. However, because both can stimulate the immune system, there is a theoretical possibility of an additive effect.

Drug interactions checker
Can I take Doxadura and Ginseng together?
Taking ginseng with doxazosin (Doxadura) may cause your blood pressure to drop lower than intended. This can lead to symptoms like dizziness, lightheadedness, or feeling faint, especially when standing up quickly.
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 Adcal-D3 and Carbocisteine together?
- Can I take Alogliptin and Bisoprolol together?
- Can I take Amitriptyline and Ropinirole together?
- Can I take antihistamines while pregnant?
- Can I take Apixaban and Sertraline together?
- Can I take Aspirin and Atorvastatin together?
- Can I take Atorvastatin and Cod liver oil together?
- Can I take Atorvastatin and Ezetimibe together?
- Can I take Clopidogrel and Paracetamol together?
- Can I take Co-codamol and Omeprazole together?
- Can I take Co-codamol and Stexerol D3 together?
- Can I take Codeine and Paracetamol together?
- Can I take Glucosamine and Vitamin B12 together?
- Can I take Lion's mane and Turkey tail together?
- Can I take Nustendi and Ramipril together?
- Can I take Paracetamol and Simvastatin together?
- Can I take Pregabalin and Wellbutrin together?
- Can I take Tetracycline and Calcium together?
- Can I take Venlafaxine and Vitamin D together?
- Can I take Vitamin B12 and Vitamin B2 together?