Otezla (apremilast) (Apremilast)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
apremilast
Drug Class
selective immunosuppressant
Used For
treating plaque psoriasis, psoriatic arthritis, and mouth ulcers associated with Behçet's disease
How Taken
oral tablet, typically twice daily

What Is Otezla (apremilast) Used For?

Otezla is a medication that helps reduce inflammation in the body. It is prescribed for adults to manage specific inflammatory conditions.

Primary Uses

Otezla is used to treat plaque psoriasis, psoriatic arthritis, and mouth ulcers related to Behçet's disease.

How It Works

Otezla works by inhibiting the activity of phosphodiesterase 4, which helps regulate the immune response associated with these conditions.

Good to know: Otezla is not considered addictive.

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How to Take Otezla (apremilast)

Otezla is taken as a tablet, which can be swallowed whole with water, either with or without food.

Dosage Instructions

The initial treatment starts with a titration phase, where the dose gradually increases over the first 6 days. The recommended dose after this phase is 30 mg taken twice daily.

What If You Miss a Dose?

If you miss a dose, take it as soon as you remember. If it's close to your next dose, skip the missed dose and continue with your schedule. Do not double up.

Important: Never take a double dose to make up for a missed one.

Available Tablet Strengths

10mg
10mg Tablet Pink, Diamond • APR 10
20mg
20mg Tablet Brown, Diamond • APR 20
30mg
30mg Tablet Beige, Diamond • APR 30

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • diarrhoea
  • nausea
  • vomiting
  • stomach pain
  • indigestion
  • decreased appetite
  • cough
  • cold
  • runny nose
  • fatigue
  • difficulty sleeping
  • headaches
  • back pain

Seek immediate medical attention if you experience:

  • shortness of breath
  • wheezing
  • swelling of the face, lips, or tongue

Important Warnings

There are specific warnings to consider before taking Otezla.

Who Should Not Take Otezla (apremilast)

Do not take Otezla if you are allergic to apremilast or any of its ingredients, or if you are pregnant or breastfeeding.

Medical Conditions to Discuss

Discuss with your doctor if you have kidney problems, a history of depression, or if you are taking other medications.

Pregnancy and Breastfeeding

Otezla should not be taken during pregnancy or while breastfeeding.

Drug Interactions

Certain medications may interact with Otezla and affect its effectiveness.

  • rifampicin
  • carbamazepine
  • phenytoin
  • phenobarbitone
  • St. John's Wort

Alcohol & Driving

Be cautious when driving or operating machinery until you know how Otezla affects you.

Alcohol

Consult your doctor before consuming alcohol while on Otezla.

Driving and Operating Machinery

Use caution when driving or using tools until you are aware of how Otezla affects your abilities.

Storage

Store Otezla below 30°C in a cool, dry place away from children.

Overdose Information

If you suspect an overdose, seek immediate medical attention. Contact the Poisons Information Centre at 13 11 26 or go to the nearest hospital.

Frequently Asked Questions

The time it takes for Otezla to show effects can vary, but many patients notice improvements within a few weeks.

Yes, Otezla can be taken with or without food.

No, Otezla is not considered addictive.

Do not stop taking Otezla without consulting your doctor, as it may affect your condition.

Consult your doctor before consuming alcohol while on Otezla.

Weight changes can occur, but it varies by individual. Discuss any concerns with your doctor.

Elderly patients should consult their doctor to ensure Otezla is appropriate for them.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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