Like most drugs, Otezla may cause mild or serious side effects. The lists below describe some of the more common side effects that Otezla may cause. These lists dont include all possible side effects.
Your doctor or pharmacist can tell you more about the potential side effects of Otezla. They can also suggest ways to help reduce side effects.
Heres a short list of some of the mild side effects that Otezla can cause. To learn about other mild side effects, talk with your doctor or pharmacist, or read Otezlas prescribing information.
Mild side effects of Otezla can include:
Mild side effects of many drugs may go away within a few days or a couple of weeks. If they become bothersome, talk with your doctor or pharmacist.
Serious side effects from Otezla can occur, but they arent common. If you have serious side effects from Otezla, call your doctor right away. If you think youre having a medical emergency, you should call 911 or your local emergency number.
Serious side effects can include:
* For more information about this side effect, see the Side effect focus section below.
You can read below to learn more about some of the side effects Otezla may cause.
You may lose your appetite while youre taking Otezla. You may also lose some weight.
Be sure to tell your doctor if you lose three pounds (1.4 kilograms) or more in 7 days or less. Changes that may occur with weight loss include having:
What might help
While youre taking this drug, your doctor may monitor your weight. They might ask you to check your weight at home.
If you notice that youre losing weight without trying, talk with your doctor. Tell your doctor if your weight loss is happening because of severe nausea, vomiting, or diarrhea.
In some cases, your doctor may have you stop taking Otezla. Dont stop taking Otezla without first talking with your doctor.
To help manage weight loss, your doctor may recommend that you eat plenty of nutritious calories every day. To regain weight that youve lost, try to avoid eating unhealthy empty calories. Instead, choose foods that are high in calories and nutrients. If you have trouble choosing nutritious foods to eat, talk with your doctor.
Some people may have changes in mood or depression while taking Otezla. This may be more common in people whove had depression in the past.
If you have depression or youve had it in the past, let your doctor know before you start taking Otezla.
Be sure to monitor your moods while youre taking Otezla. Talk with your doctor right away if you have any changes in mood, feelings of depression, or suicidal thoughts.
What might help
If youve had depression in the past, your doctor will consider the risks and benefits of prescribing Otezla for you. If the benefits of using Otezla outweigh the risks, your doctor will likely prescribe the drug. Theyll monitor your moods regularly.
Its important to identify depression early. Doing so can help reduce the harmful effects of depression.
If you have depression thats related to using Otezla, your doctor may prescribe counseling or medications to treat the depression. If needed, your doctor may have you stop taking Otezla. Dont stop taking Otezla without first talking with your doctor.
If you think someone is at immediate risk of self-harm or hurting another person:
If you or someone you know is considering suicide, get help from a crisis or suicide prevention hotline. Try the National Suicide Prevention Lifeline at 800-273-8255.
You may have diarrhea while youre taking Otezla. In fact, the most common side effect of Otezla is diarrhea. With diarrhea, you may have more frequent, loose, or watery stools.
Some people may have severe diarrhea while taking Otezla. With severe diarrhea, you can have:
Tell your doctor if you have diarrhea, or any of these other symptoms, during treatment.
You may have a higher risk of complications because of severe diarrhea if you:
What might help
If you have diarrhea while youre taking Otezla, youll need to replace fluid and electrolytes that your body is losing. When you lose fluid and electrolytes through diarrhea, you can get dehydrated. (With dehydration, you have a low fluid level in your body.)
For diarrhea thats not severe, you can rehydrate by drinking diluted fruit juice or electrolyte drinks. Eating foods that are low in fiber may help. Some foods that may help improve diarrhea include:
Certain over-the-counter medications may also help treat diarrhea. Be sure to talk with your doctor before taking any medications with Otezla.
If you have severe diarrhea with Otezla, call your doctor. They may lower your dosage of the drug. If needed, your doctor may even have you stop taking Otezla. Dont stop taking the medication without first talking with your doctor.
Sometimes, for severe diarrhea, you may need intravenous (IV) fluids and electrolytes. (Youll get IV fluids as an injection into your vein thats given over a period of time.)
Some people may be allergic to apremilast or any of the other ingredients in Otezla.
Symptoms of a mild allergic reaction can include:
A more severe allergic reaction is rare but possible. Symptoms of a severe allergic reaction can include swelling under your skin, typically in your eyelids, lips, hands, or feet. They can also include swelling of your tongue, mouth, or throat, which can cause trouble breathing.
Call your doctor right away if you have an allergic reaction to Otezla. If you think youre having a medical emergency, call 911 or your local emergency number.
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Otezla: Side Effects, Cost, Uses, What to Consider, and More - Healthline
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