Learn about drug side effects and interactions for the drug Otezla (Apremilast Tablets). The recommended maintenance dosage is 30 mg twice daily taken orally starting on Day 6, after 5 days of an initial schedule of titration dosing. The proportion of subjects with psoriasis who discontinued treatment due to any adverse reaction was 6. Most cases are not severe enough to affect general health and are treated in the outpatie. Based upon data from open-label or retrospective studies and case reports, a panel of experts suggested that patients with severe, unstable disease should be treated with cyclosporine or infliximab due to the rapid onset and high efficacy of these agents 12. Side effects of laser therapy included erythema and blistering; these were generally well tolerated, and no patient discontinued therapy because of adverse effects.
According to NICE guidelines, etanercept treatment should be discontinued in patients whose psoriasis has not responded adequately at 12 weeks. See section 4.8 for how to report adverse reactions. It is indicated for the treatment of adult patients (18 years or older) with moderate to severe psoriasis that are candidates for phototherapy or systemic therapy. The cytokines interleukin (IL)-12 and IL-23 result in skin disease such as psoriasis due to dysregulation of the immune system. In psoriasis subjects, the median time to reach the maximum serum concentration (Tmax) was 13. If an anaphylactic or other serious allergic reaction occurs, ustekinumab should be discontinued and appropriate anti-allergy therapy given.
Coprimary efficacy endpoints were proportions of patients achieving sPGA score 0 or 1 and 75 or greater improvement in PASI at week 12.