Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Apremilast
Drug ID BADD_D00156
Description Apremilast, also known as Otezla, is a phosphodiesterase 4 (PDE4) inhibitor used to treat various types of symptoms resulting from certain inflammatory autoimmune diseases. It belongs to the same drug class as [Roflumilast] and [Crisaborole].[A181244,L7495] Initially approved in 2014, it is marketed by Celgene.[L7501] In July 2019, apremilast was granted a new FDA approval for the treatment of oral ulcers associated with Behcet's disease, an autoimmune condition that causes recurrent skin, blood vessel, and central nervous system inflammation.[A181216]
Indications and Usage Apremilast is indicated for the treatment of adults with active psoriatic arthritis and adults with oral ulcers associated with Behcet's Disease. In addition, apremilast is indicated for the treatment of plaque psoriasis, of any severity, in adult patients who are candidates for phototherapy or systemic therapy.[L7501]
Marketing Status approved; investigational
ATC Code L04AA32
DrugBank ID DB05676
KEGG ID D08860
MeSH ID C505730
PubChem ID 10151715
TTD Drug ID D07ESC
NDC Product Code 55513-369; 53069-1040; 66406-0242; 82891-014; 55513-137; 59651-150; 65129-1383; 11722-062; 12658-0581; 47621-306; 53069-1050; 66406-0241; 70518-3155; 49187-0757; 55111-993; 58032-2030; 65372-1204; 69766-010; 69766-024; 55513-485; 53747-077; 65977-0119; 66039-934; 73309-043; 66406-0240
UNII UP7QBP99PN
Synonyms apremilast | Otezla | CC 10004 | CC10004 | CC-10004
Chemical Information
Molecular Formula C22H24N2O7S
CAS Registry Number 253168-86-4
SMILES CCOC1=C(C=CC(=C1)C(CS(=O)(=O)C)N2C(=O)C3=C(C2=O)C(=CC=C3)NC(=O)C)OC
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Motion sickness17.02.12.001; 04.04.01.0010.002869%Not Available
Mouth ulceration07.05.06.004--Not Available
Mucous stools07.01.03.0060.002580%Not Available
Multiple allergies10.01.03.0300.017457%Not Available
Muscle spasms15.05.03.0040.195205%
Myelitis transverse17.06.02.002; 10.04.10.0060.000482%Not Available
Myocardial infarction24.04.04.009; 02.02.02.007--
Nail disorder23.02.05.0020.010488%
Nail dystrophy23.02.05.0030.000530%Not Available
Nail pitting23.02.05.0120.002170%Not Available
Nasal congestion22.04.04.0010.060085%
Nasal ulcer22.04.03.0110.000940%Not Available
Nasopharyngitis22.07.03.002; 11.01.13.002--Not Available
Nausea07.01.07.0013.739632%
Neck pain15.03.04.009--
Neoplasm16.16.02.001--Not Available
Neoplasm malignant16.16.01.001--Not Available
Nephrolithiasis20.04.01.0020.031055%
Nerve compression17.09.02.002; 12.01.12.0010.006679%Not Available
Nervous system disorder17.02.10.001--Not Available
Nervousness19.06.02.0030.032647%Not Available
Neurodermatitis23.03.04.0070.000530%Not Available
Nightmare19.02.03.003--Not Available
Nipple pain21.05.05.0090.004509%Not Available
Non-Hodgkin's lymphoma16.35.01.001; 01.17.01.001--Not Available
Oesophageal spasm07.02.04.0040.000651%Not Available
Onycholysis23.02.05.0040.002869%Not Available
Ovarian cancer21.11.01.003; 16.12.04.001--Not Available
Pain08.01.08.004--
Pain of skin23.03.03.003--
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