All medications

Targeted oral therapies

Apremilast

Brand names: Otezla

An oral anti-inflammatory that gently dials down immune cell activity, with no routine blood monitoring.

Video lesson

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Apremilast
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Animated explainer

PDE4NucleuscAMP (brake)Inflammation turned down
Step 1 of 4
How it works · PDE4 inhibitor
Inflammation inside immune cells

Immune cells receive signals that push them to make inflammatory messengers.

What it’s used for

Psoriatic arthritis, psoriasis and mouth ulcers in Behçet’s disease.

How it works

It blocks PDE4, an enzyme inside immune cells, which lowers production of inflammatory messengers.

How it’s taken

A tablet twice a day, started with a 5-day titration pack.

Side effects

Diarrhea, nausea and headache in the first weeks, usually easing. Some people lose weight. Rarely, low mood.

Monitoring

No routine lab tests are needed. Watch weight and mood.

Good to know

A good option when infection risk or lab visits are a concern.

At a glance

Class

Targeted oral therapies

Brand names

Otezla

Reviewed by Farhan Tahir, MD, FACR

Questions about your own care?

Book an in-person or telehealth consultation with Dr. Tahir.

For education only. Don’t start, stop or change a medicine without talking to your care team.