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Apremilast

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Molecule Summary

Uses
Psoriatic arthritis, chronic plaque psoriasis
Therapy
Drugs For Psoriasis
Side Effects
Diarrhoea, nausea, cough, vomiting, indigestion, back pain, feeling tired, stomach pain, headache, loss of appetite, difficulty in sleeping
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Molecule Description

Apremilast is used to treat psoriatic arthritis and some moderate to severe skin conditions. This medicine reduces inflammation and redness, thus provides relief from the condition. Take this medicine as advised by your doctor for the prescribed duration. Inform your doctor if you are pregnant or planning pregnancy and if you are on any medications or supplements.

Uses

  • Apremilast is used to treat psoriatic arthritis (It is a type of arthritis that affects some people who have psoriasis, symptoms include red patches and scaly skin).
  • It is also useful in treating moderate to severe skin conditions (chronic plaque psoriasis).

Contraindications

When should one not use Apremilast

  • If you are allergic to apremilast or any other ingredient of Apremilast.
  • If you are pregnant or think you may be pregnant.

Side effects

Common side effects of this drug are:

  • Diarrhoea
  • Nausea
  • Cough
  • Vomiting
  • Indigestion
  • Back pain
  • Feeling tired
  • Stomach pain
  • Headache
  • Loss of appetite
  • Difficulty in sleeping

Precautions and Warnings

Pregnancy

Pregnancy

Pregnant women should not take Apremilast as it is unsafe during pregnancy. If you are a woman of childbearing age, you should discuss with your physician about the importance of birth control methods and potential hazards to the unborn baby. If you think you are pregnant or might become pregnant, discontinue the treatment and seek a safer alternative.

Breast Feeding

Breast Feeding

It is not safe to breastfeed during treatment with Apremilast, as it passes into the breastmilk and may harm the newborn baby.

Driving

Driving

It is not expected that Apremilast will affect your ability to drive, but if you do not feel well or are unable to be alert, you should avoid driving.

Alcohol

Alcohol

There is no known interaction between alcohol and Apremilast. However, it is important to consult your physician if you have a habit of regular drinking.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You are suffering from severe kidney problems. Your doctor may reduce the dose.
  • You are underweight.
  • You have problems with your gut.
  • You experience diarrhoea, nausea, or vomiting. Apremilast should be stopped quickly and you should visit your doctor.
  • You feel any changes in behaviour or mood, sleeplessness, or depressive mood.
  • Apremilast is not recommended for patients below the age of 17 years

Mode of Action

How Does It Work?

Apremilast subdues the activity of an enzyme in the body called 'Phosphodiesterase 4', which is responsible for inflammation or reaction that creates redness, swelling, pain and warmth and irritation. Thus, it helps in reducing the inflammation.

Interactions

Interactions with other medicines

  • Apremilast is not recommended with medicines such as rifampicin to treat tuberculosis, phenytoin, phenobarbital and carbamazepine to treat fits or epilepsy, St John's Wort herbal medicine for psychiatric illness.
  • Some medicines can affect the way Apremilast works or Apremilast itself can reduce the effectiveness of other medicines taken at the same time.
  • Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.

Dosage

Overdose

Symptoms of overdose are usually the same as adverse effects. If you think you have taken excessive dosage of Apremilast and experience any of such signs, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you missed any dose of Apremilast, take it as soon as you remember. If it's time for your next dose then skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate the missed one.

Frequently Asked Questions (FAQs)

No, Apremilast cannot be used for children and adolescents.

Apremilast may cause weight loss. Monitor your weight regularly. If there is a drastic weight loss, talk to your doctor immediately.

Talk to your doctor if you have any sugar intolerance, as Apremilast may contain lactose.

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