5 Common and Serious Side Effects of Clavulanate

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on December 3rd, 2025.

Key Takeaways

  • Clavulanate combined with amoxicillin (amoxicillin-clavulanate) causes gastrointestinal side effects in 10-20% of patients, with diarrhea being the most common complaint within 24-48 hours of starting treatment.

  • Drug-induced liver injury occurs in approximately 1 in 2,300 patients taking amoxicillin-clavulanate, typically developing after 2-6 weeks of therapy and presenting with jaundice, dark urine, and elevated liver enzymes.

  • Taking the antibiotic with food reduces nausea and stomach upset by up to 50%, while maintaining the same effectiveness against bacterial infections.

  • Clostridioides difficile-associated diarrhea (CDAD) can develop during or up to 2 months after completing the antibiotic course, especially in patients over 65 or those with recent hospital stays.

  • Allergic reactions range from mild skin rashes in 1-3% of patients to severe anaphylaxis in less than 0.1%, with penicillin-allergic individuals having a 5-10% cross-reactivity risk.

Understanding Clavulanate Side Effects

Clavulanate, commonly paired with antibiotics like amoxicillin, helps overcome bacteria that resist treatment. While it works well, it can cause side effects that range from minor annoyances to more serious problems. Understanding these effects can make your treatment smoother and safer.

1. Gastrointestinal Upset

One of the most common side effects of Clavulanate is stomach discomfort. This includes nausea, vomiting, diarrhea, and abdominal pain. These symptoms happen because Clavulanate can irritate the lining of your stomach and intestines.

About 10 to 20 percent of people taking Clavulanate experience some form of digestive upset. Usually, these symptoms are mild and go away on their own after a few days. Drinking plenty of water and eating light meals can help ease discomfort.

In addition to the discomfort, some individuals may also experience changes in their appetite or taste perception. This can lead to a reluctance to eat, which may exacerbate feelings of weakness or fatigue. It's important to monitor these symptoms closely, as maintaining proper nutrition is vital for recovery, especially if Clavulanate is being used to treat an infection. Incorporating bland foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet) can provide a gentle way to keep the digestive system calm while still getting essential nutrients.

Furthermore, while gastrointestinal upset is often transient, it can occasionally lead to more serious conditions such as antibiotic-associated colitis, which is an inflammation of the colon. This condition is typically caused by an imbalance in gut flora due to antibiotic use. If symptoms such as severe diarrhea, abdominal cramping, or blood in the stool occur, it is crucial to seek medical attention promptly. Healthcare providers may recommend probiotics or other interventions to help restore gut health and mitigate these adverse effects.

2. Diarrhea and Antibiotic-Associated Colitis

Diarrhea is more than just a mild side effect when it comes to Clavulanate. Sometimes, it can be a sign of a more serious condition called antibiotic-associated colitis. This happens when the normal bacteria in your gut get disturbed, allowing harmful bacteria to grow.

If diarrhea is severe, watery, or contains blood, it’s important to contact your doctor right away. This condition can cause dehydration and may require specific treatment.

3. Skin Reactions

Some people develop skin reactions after taking Clavulanate. These can range from mild rashes and itching to more serious conditions like Stevens-Johnson syndrome, though that is very rare.

Skin reactions usually show up within the first week of treatment. If you notice redness, swelling, or blistering, stop the medication and seek medical attention immediately.

4. Liver Problems

Clavulanate can sometimes affect your liver, causing symptoms like yellowing of the skin or eyes (jaundice), dark urine, or severe fatigue. This side effect is uncommon but can be serious.

Liver problems usually develop a few weeks after starting the medication. If you experience these signs, contact your healthcare provider promptly to prevent complications.

5. Headache and Dizziness

Headaches and dizziness are less common but still possible side effects of Clavulanate. They may occur as your body adjusts to the medication.

These symptoms are usually mild and temporary. Resting and staying hydrated can help.
If dizziness is severe or causes falls, it’s important to get medical advice.

Close-up of a person holding small white pills in their handHow to Manage and Reduce Side Effects of Clavulanate

Take Medication with Food

Taking Clavulanate with meals can reduce stomach upset and nausea. Food helps protect your stomach lining from irritation.

Stay Hydrated

Drinking plenty of fluids helps prevent dehydration, especially if you experience diarrhea or vomiting. Water, clear broths, and oral rehydration solutions are good choices.

Report Severe Symptoms Early

Contact your healthcare provider if you notice worsening diarrhea, skin rash, jaundice, or severe headaches. Early intervention can prevent complications.

Clavulanate Allergic Reactions and Warnings

Allergic reactions to Clavulanate can range from mild to life-threatening. Symptoms include hives, swelling of the face or throat, difficulty breathing, and severe rash.

If you experience any of these signs, seek emergency medical care immediately. Allergic reactions require prompt treatment to prevent serious outcomes.

People with a history of penicillin allergy should inform their healthcare provider before taking Clavulanate, as cross-reactivity can occur.

When to Contact Your Doctor About Clavulanate Side Effects

It’s important to reach out to a healthcare professional if you experience:

  • Severe diarrhea, blood in your bowel movement or diarrhea lasting more than two days

  • Signs of liver problems, like jaundice or dark urine

  • Serious skin reactions such as blistering or widespread rash

  • Difficulty breathing or swelling of the face, lips, or throat

  • Persistent or severe headaches and dizziness

For quick, expert advice, consider a telehealth visit with doctors available 24/7 at Doctronic.ai. They can guide you on managing side effects and when to seek in-person care.

Learn More About Clavulanate Side Effects With Doctronic

Every patient is unique, and side effects can vary. Doctronic’s AI-powered doctor offers personalized information tailored to your health history and current medications. You can get answers about Clavulanate side effects, treatment options, and how to stay safe-all from your home.

Visit Doctronic.ai for free AI doctor visits or affordable telehealth consultations with licensed doctors anytime, anywhere in the U.S.

The Bottom Line About Clavulanate Side Effects

Clavulanate is a powerful tool in fighting infections, but like all medications, it comes with potential side effects. Most people tolerate it well, but knowing what to watch for can make a big difference. If you have questions or concerns, the team at Doctronic.ai is ready to help with personalized advice and telehealth visits. Getting the right care quickly keeps you on the path to feeling better.

Frequently Asked Questions

Yes, Clavulanate can cause allergic reactions ranging from mild rashes to severe anaphylaxis. If you experience swelling, difficulty breathing, or hives, seek emergency care immediately.

Mild diarrhea is a common side effect. If diarrhea is severe, persistent, or contains blood, contact your healthcare provider, as it may indicate a serious condition.

Taking Clavulanate with food and drinking plenty of fluids can help reduce stomach upset and nausea.

Do not stop your medication without consulting your doctor, unless you have a severe allergic reaction or serious side effects. Always seek medical advice before stopping treatment.

References

The Bottom Line

While most side effects are mild gastrointestinal symptoms that improve with food, serious liver problems and severe diarrhea require immediate medical attention. Watch for warning signs like yellowing skin, bloody stools, or difficulty breathing, and never ignore persistent symptoms. If you're experiencing concerning side effects from clavulanate-containing antibiotics, Doctronic can help you determine whether you need urgent care.

Related Articles