Drug & supplement interaction

Manchurian Thorn + Avapritinib

Avapritinib brand name: Ayvakit.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Manchurian Thorn and Avapritinib in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Avapritinib states a food rule worth keeping to.

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Interaction report

Manchurian Thorn and Avapritinib

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Avapritinib and Manchurian Thorn in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Manchurian Thorn safety at a glance

Manchurian Thorn overall Use caution Human safety data are limited, so use cautiously and under professional guidance.
Pregnancy Avoid Not enough safety information exists, so it is best avoided during pregnancy.
Breastfeeding Avoid No reliable safety data exist, so avoid use while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Avapritinib and Manchurian Thorn? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Avapritinib

Interactions in our licensed database are recorded against drug classes, not just single drug names. Avapritinib is filed under 2 classifications — cytochrome p450 3a4 (cyp3a4) substrates, oral drugs. Manchurian Thorn has documented interactions with 2 drug classes — the most serious being antidiabetes drugs (moderate) and hepatotoxic drugs (moderate) — and none of Avapritinib’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Manchurian Thorn Does Interact With Other Medications

Manchurian Thorn has 442 moderate known drug interactions in our database — Avapritinib isn’t one of them. If you take anything else, check it against the full list below.

Moderate 442 No known interaction 2,388 (incl. Avapritinib)
Taking anything else?

Check Another of Your Medications Against Manchurian Thorn

Covers the 2,830 medications we’ve checked against Manchurian Thorn. Pick one to open its full report.

What to actually watch for

What Avapritinib’s Own FDA Label Lists

This is not an interaction — none of it involves Manchurian Thorn. These are the most notable effects listed in the ADVERSE REACTIONS section of Avapritinib’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 8 of them are worth acting on rather than waiting out — marked below.

  • Thoughts of self-harm Worth acting on
  • A stroke or mini-stroke Worth acting on
  • Memory problems Worth acting on
  • Confusion Worth acting on
  • Low mood Worth acting on
  • Anemia Worth acting on
  • Shortness of breath Worth acting on
  • Bleeding or bruising Worth acting on
  • Trouble concentrating
  • A change in taste

Showing the 10 most notable of 31 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Avapritinib. Read the label on DailyMed › Where a percentage is shown, it is the share of 12,039 voluntary FDA FAERS reports for Avapritinib that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Manchurian Thorn’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Manchurian Thorn side to compare — that is a limit of the record, not a statement that Manchurian Thorn has no side effects.

How to take them

Some Avapritinib Products Have a Food Rule — Manchurian Thorn Should Not Break It

At least one FDA label for a product containing Avapritinib says to take it on an empty stomach. Most supplements — Manchurian Thorn included — are taken with a meal, so the easy mistake is swallowing both together at breakfast. Where that rule applies, keep Avapritinib on its own and move Manchurian Thorn to a meal later in the day.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Avapritinib products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

( 2.7 ) 2.1 Recommended Administration Administer AYVAKIT orally on an empty stomach, at least 1 hour before or 2 hours after a meal [see Clinical Pharmacology (12.3) ] .

From the Dosage and Administration section of the FDA label we read for Avapritinib — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Avapritinib

This page covers Manchurian Thorn only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Avapritinib page lists 138 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate) and Adrafinil (moderate).

By severity: 3 major · 94 moderate · 41 minor.

Open the Avapritinib interaction page

One more smart check

Taking Manchurian Thorn as Part of a Dietary Supplement Product? Check It for Interactions

We hold 5 real supplement products containing Manchurian Thorn, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Manchurian Thorn. Even though Manchurian Thorn itself has no known interaction with Avapritinib, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Manchurian Thorn and Avapritinib Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Manchurian Thorn
Top half

#657 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Avapritinib
Steady interest

#2,486 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Manchurian Thorn reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Manchurian Thorn and Avapritinib records this page draws on were last updated June 22, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Manchurian Thorn

What is Manchurian Thorn?

  • Blood sugar support
  • Joint and arthritis discomfort
  • Fatigue and general weakness
  • Digestive complaints
  • General tonic / adaptogen-like use

Manchurian Thorn (Aralia elata) is a thorny shrub or small tree used in traditional East Asian medicine, mainly for blood sugar, joint pain, and as a general tonic. Human evidence is very limited, so its benefits are not well proven. If you are considering it, talk with your pharmacist or doctor first, and avoid it during pregnancy and breastfeeding.

Aralia elata · Araliaceae · Root bark, stem bark, and sometimes young shoots · Decoctions (teas), tinctures, dried bark, capsules, and traditional food preparations of the young shoots

An interaction check asks whether these two react with each other — it does not ask whether Manchurian Thorn is a good idea for someone in your situation. Here is what our Manchurian Thorn record says about it on its own.

Manchurian Thorn: dosing

There is no well-established or standardized dose for Manchurian Thorn. Traditional preparations and modern supplement strengths vary widely, and reliable dosing studies in people are lacking.If you choose to use a product, follow the directions on the label and do not exceed the recommended amount.

From our Manchurian Thorn monograph — the full record covers uses, side effects and every documented interaction.

Read the full Manchurian Thorn monograph & all interactions
Medication

About Avapritinib

What Is Avapritinib Used For?

Brand name: Ayvakit

Ayvakit (avapritinib) is used to treat adults with unresectable (cannot be surgically removed) or metastatic (spread to other parts of the body) gastrointestinal stromal tumor (GIST) — but only in patients whose tumor has a specific genetic change called a PDGFRA exon 18 mutation, including the D842V mutation. A test is needed to confirm this mutation before starting treatment.

Ayvakit is also used to treat advanced systemic mastocytosis (AdvSM) — a serious condition where too many mast cells build up in the body — including its subtypes: aggressive systemic mastocytosis (ASM), systemic mastocytosis with an associated blood cancer (SM-AHN), and mast cell leukemia (MCL). It is also approved for indolent systemic mastocytosis (ISM), a less aggressive form. Ayvakit is not recommended for patients with AdvSM or ISM who have very low platelet counts (below 50 × 10⁹/L).

Most-Reported Side Effects for Avapritinib

From FAERS, the FDA’s public side-effect reporting system (12,039 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 1,735 reports
Nausea 1,218 reports
Diarrhea 1,007 reports
Headache 568 reports
Dizziness 537 reports
See full Avapritinib drug information
Keep checking

Other Drugs & Manchurian Thorn

Browse every other medication we’ve checked against Manchurian Thorn — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
442Moderate
0Minor
2,387No known interaction
442 Moderate 2,387 No interaction
Moderate

442 interactions

Showing 60 of 442 moderate interactions — see all 442 on the Manchurian Thorn page.

No interaction 2,387 drugs checked — show the list

We also checked Manchurian Thorn against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,387 medications checked with no known interaction — see the full Manchurian Thorn list.

See the full Manchurian Thorn interactions page
See every supplement checked against Avapritinib, ranked by severity
Evidence & sources

Manchurian Thorn References

The 4 references that drive our Manchurian Thorn monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Abidov MT, del Rio MJ, Ramazanov TZ, et al. Effects of Aralia mandshurica and Engelhardtia chrysolepis extracts on some parameters of lipid metabolism in women with nondiabetic obesity. Bull Exp Biol Med 2006;141(3):343-6. PubMed
  2. Burgos R, Hancke J, Caceres DD, et al. Hepatotoxic effect of Aralia mandshurica dried root extract in pigs. Phytotherapy Res 1997;11(1):59-61. DOI
  3. Burgos R, Hancke J, Wikman G, et al. Toxicological assessment of Aralia mandshurica (Araliaceae) root extract after subchronic administration in rats. A biochemical and histological study. Phytotherapy Res 1994;8(1):1-9.
  4. Martinez, B. and Staba, E. J. The physiological effects of Aralia, Panax and Eleutherococcus on exercised rats. Jpn J Pharmacol 1984;35(2):79-85. DOI

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Manchurian Thorn and Avapritinib Together: Common Questions

Is it safe to take Manchurian Thorn with Avapritinib?
We do not list a known interaction between Manchurian Thorn and Avapritinib. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Should I take Manchurian Thorn and Avapritinib at the same time of day?
At least one FDA label for a product containing Avapritinib says to take it on an empty stomach, and supplements are usually taken with a meal — so taking them together at breakfast is the easy mistake. Where that applies, keep Avapritinib on its own and move Manchurian Thorn to a meal later in the day. Food instructions belong to the product rather than the ingredient, so check the directions on your own box. This is about absorption, not an interaction.
How was the Manchurian Thorn and Avapritinib combination checked?
Interactions in our licensed database are recorded against drug classes. Avapritinib is filed under 2 classifications, and Manchurian Thorn has documented interactions with 2 drug classes — none of Avapritinib's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Manchurian Thorn interact with any other medications?
Yes. Manchurian Thorn has 442 documented drug interactions in our database — Avapritinib is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Avapritinib interact with any supplements?
Yes. Avapritinib has documented interactions with 138 supplements in our database — Manchurian Thorn is not one of them. The Avapritinib interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Manchurian Thorn monograph Uses, safety profile, and every drug interaction in one place Avapritinib drug information The full plain-English guide to this medication Avapritinib supplement interactions Every supplement checked against Avapritinib, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 4 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Avapritinib and Manchurian Thorn?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.