Amoxicillin-clavulanic acid + Cholera vaccine

MediHelp rates the interaction as moderate. Amoxicillin-clavulanic acid and Cholera vaccine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. The oral live attenuated cholera vaccine relies on the vaccine strain colonizing the gut. Systemic antibiotics with activity against it may kill the strain and impair the immune response. Amoxicillin-clavulanate has activity against many Vibrio strains, so vaccine effectiveness could be reduced.

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not give the vaccine to patients who have taken systemic antibiotics in the preceding 14 days, per labeling. Avoid starting antibiotics for about 10 days after vaccination where possible, or revaccinate after the antibiotic course.

MediHelp also lists interactions of Amoxicillin-clavulanic acid with, for example, Methotrexate, Pexidartinib, Pretomanid. The full list is on the Amoxicillin-clavulanic acid page.