Lymphopenia after Amoxicillin + Clavulanate (Clavamox) in dogs

The FDA has received 95 reports of lymphopenia in dogs after Amoxicillin + Clavulanate. That is 1.8% of all reports for this medicine, compared with 0.3% across reports for all dog medicines, so it is reported unusually often with this medicine.

95Reports
66%Marked serious
7.4%Recovered
29%Died or euthanised
9 daysTypical onset
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How soon it started

Same day
9 13%
1–2 days
15 21%
3–7 days
8 11%
1–4 weeks
15 21%
Over a month
23 33%

How the animals did

Recovered
7 7.4%
Still unwell when reported
38 40%
Died
9 9.5%
Euthanised
19 20%
Not known
22 23%

Problems reported at the same time

Age of the animals

Under 1 year
6
1–3 years
10
4–7 years
38
8–11 years
28
12+ years
13

About this medicine

Amoxicillin treats bacterial infections.

Products with this combination include Clavamox. The FDA hides brand names in its public data, so these reports cover every product with the same active ingredients.

Questions owners ask

Can Amoxicillin + Clavulanate cause lymphopenia in dogs?
95 reports link the two, but a report alone does not prove the medicine was the cause: other illnesses, other medicines or coincidence can be involved. Your vet can judge it for your animal.
How soon after a dose was it reported?
In half of the reports with dates, it started within 9 days of the first dose.
What should I do?
Don't give another dose until you've spoken to your vet, and keep the packaging so you can tell them the product and dose. Your vet can also report it to the FDA (or you can, through the manufacturer or FDA form 1932a).

Lymphopenia with similar medicines

All reported side effects of Amoxicillin + Clavulanate in dogs · Medicines most reported with lymphopenia