Drug & supplement interaction

Pear + Avatrombopag Maleate

Avatrombopag Maleate brand name: Doptelet.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Pear and Avatrombopag Maleate 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 Avatrombopag Maleate states a food rule worth keeping to.

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Interaction report

Pear and Avatrombopag Maleate

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 Avatrombopag Maleate and Pear 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.

Worth understanding: our licensed dataset holds no drug-interaction record for Pear at all — not against Avatrombopag Maleate, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

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.

Pear safety at a glance

Pear overall Generally safe Pear is widely eaten as a food and is safe for most people in normal dietary amounts.
Pregnancy Likely Safe When consumed in amounts commonly found in foods. Read the full pregnancy detail
Breastfeeding Likely Safe When consumed in amounts commonly found in foods. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Avatrombopag Maleate and Pear? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Avatrombopag Maleate’s Own FDA Label Lists

This is not an interaction — none of it involves Pear. These are the most notable effects listed in the ADVERSE REACTIONS section of Avatrombopag Maleate’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. 5 of them are worth acting on rather than waiting out — marked below.

  • Low sodium Worth acting on
  • A low platelet count Worth acting on
  • Anemia Worth acting on
  • Bleeding or bruising Worth acting on
  • A higher chance of infection Worth acting on
  • Sore throat
  • Cough
  • Joint pain
  • Muscle pain
  • Fever

Showing the 10 most notable of 15 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 Avatrombopag Maleate. Read the label on DailyMed › Pear’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Pear side to compare — that is a limit of the record, not a statement that Pear has no side effects.

Special populations

Pear in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Safe

When consumed in amounts commonly found in foods.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Avatrombopag Maleate Products Have a Food Rule — Pear Should Not Break It

At least one FDA label for a product containing Avatrombopag Maleate says to take it with food. If you take Pear on an empty stomach out of habit, keep them separate — and take Avatrombopag Maleate with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Avatrombopag Maleate 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.

Administer DOPTELET tablets and DOPTELET SPRINKLE with food.

From the Dosage and Administration section of the FDA label we read for Avatrombopag Maleate — 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 Avatrombopag Maleate

This page covers Pear only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Avatrombopag Maleate page lists 54 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), St. John's Wort (major), Bitter Melon (moderate), Black Pepper (moderate) and Bulbine Natalensis (moderate).

By severity: 2 major · 35 moderate · 17 minor.

From our pharmacist’s overview on the Avatrombopag Maleate page

“Avatrombopag maleate (Doptelet) exists to raise a low platelet count, so anything that drags its blood level down invites the bleeding risk it was prescribed to prevent. I would handle this list of 54 supplements with real care, and the two rated major come first.”

Reviewed by 2 · Jul 18, 2026

Open the Avatrombopag Maleate interaction page

One more smart check

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

We hold 793 real supplement products containing Pear, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Pear. Even though Pear itself has no known interaction with Avatrombopag Maleate, 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 Pear and Avatrombopag Maleate 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 Pear
Top half

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

29 days ago today
Medication Avatrombopag Maleate
Top 25%

#559 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 Pear reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Pear and Avatrombopag Maleate 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 Pear

What is Pear?

  • Digestive health and constipation
  • Hydration and general nutrition
  • Cough and sore throat (traditional)
  • Hangover relief (traditional)
  • Antioxidant and heart health support

Pear is a common, nutritious fruit that provides fiber, water, vitamin C, and antioxidants, and it is a healthy part of most diets. Beyond its value as a food, evidence for pears as a medicinal supplement for specific conditions is limited, so enjoy it as part of a balanced diet rather than a treatment. If you have allergies or specific health concerns, check with your pharmacist or doctor.

Pyrus communis · Rosaceae · Fruit (commonly); leaves and fruit peel are sometimes used in traditional preparations · Fresh fruit, juice, dried fruit, fruit extracts, and powders

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

Pear: dosing

There is no established "medicinal dose" for pear, because it is mainly a food. Most people simply eat pears as part of a normal diet, such as one or more pieces of fruit per day.For pear juice, dried pear, or pear supplements and extracts, there is no standardized dose backed by strong evidence. Keep in mind that whole pears also provide fiber that juices and extracts may lack.

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

Read the full Pear monograph & all interactions
Medication

About Avatrombopag

What Is Avatrombopag Used For?

Brand name: Doptelet

Avatrombopag treats thrombocytopenia (a low platelet count that raises bleeding risk) in three groups of patients. Doptelet tablets are used in adults with chronic liver disease who need their platelet count raised before a medical procedure, and in adults with chronic immune thrombocytopenia (ITP) whose platelet count has not responded well enough to earlier treatments. Doptelet tablets are also used in children aged 6 years and older with persistent or chronic ITP who have not responded to prior treatment.

Doptelet Sprinkle (oral granules) is specifically indicated for children aged 1 year to less than 6 years with persistent or chronic ITP who have not responded adequately to a previous treatment.

See full Avatrombopag drug information
Keep checking

Other Drugs & Pear

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Pear References

The 4 references that drive our Pear 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Conceição de Oliveira M, Sichieri R, Sanchez Moura A. Weight loss associated with a daily intake of three apples or three pears among overweight women. Nutrition 2003;19:253-6. PubMed
  3. Nieman DC, Gillitt ND, Sha W, et al. Metabolomics-Based Analysis of Banana and Pear Ingestion on Exercise Performance and Recovery. J Proteome Res 2015;14(12):5367-77. doi: 10.1021/acs.jproteome.5b00909. PubMed
  4. Lee HS, Isse T, Kawamoto T, Baik HW, Park JY, Yang M. Effect of Korean pear (Pyrus pyrifolia cv. Shingo) juice on hangover severity following alcohol consumption. Food Chem Toxicol 2013;58:101-6. doi: 10.1016/j.fct.2013.04.007.

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 Pear and Avatrombopag Maleate Together: Common Questions

Is it safe to take Pear with Avatrombopag Maleate?
We do not list a known interaction between Pear and Avatrombopag Maleate. 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 Pear and Avatrombopag Maleate at the same time of day?
At least one FDA label for a product containing Avatrombopag Maleate says to take it with food. If you take Pear on an empty stomach out of habit, keep them separate and take Avatrombopag Maleate with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Avatrombopag Maleate products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Avatrombopag Maleate interact with any supplements?
Yes. Avatrombopag Maleate has documented interactions with 54 supplements in our database — Pear is not one of them. The Avatrombopag Maleate interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Avatrombopag Maleate and Pear?

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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.