Amoxicillin-Clavulanate and Probiotics, a synergy.
Amoxicillin-clavulanate has notably higher rates of antibiotic-associated diarrhea than plain amoxicillin, largely due to the clavulanate component. Probiotic supplementation reduces this AAD risk and is particularly recommended during amoxicillin-clavulanate courses.
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At a glance
- Substances
- Amoxicillin-Clavulanate and Probiotics
- Pair type
- Synergy
- Evidence (highest tier)
- Strong
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Strong evidence
Synergy
What is happening. Amoxicillin-clavulanate has notably higher rates of antibiotic-associated diarrhea than plain amoxicillin, largely due to the clavulanate component. Probiotic supplementation reduces this AAD risk and is particularly recommended during amoxicillin-clavulanate courses.
Mechanism. Probiotics restore colonization resistance disrupted by the broad-spectrum activity of amoxicillin-clavulanate. Clavulanate independently increases gut motility, and probiotics help offset this dysmotility.
Recommendation. Take probiotics throughout your amoxicillin-clavulanate course, separated by at least 2 hours from each antibiotic dose. Continue for at least 1 week after the antibiotic ends.
Minimum separation. 120
Sources (2)
- Doar NW, Samuthiram SD. Qualitative Analysis of the Efficacy of Probiotic Strains in the Prevention of Antibiotic-Associated Diarrhea. Cureus. 2023;15(6):e40261. PMID 37440799
- McFarland LV. Probiotics for the Primary and Secondary Prevention of C. difficile Infections: A Meta-analysis and Systematic Review. Antibiotics (Basel). 2015;4(2):160-78. PMID 27025619
Stack Score
How this pair moves the number.
Effect on the composite score
If both Amoxicillin-Clavulanate and Probiotics are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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