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)
Transient ischaemic attack24.04.06.005; 17.08.04.001--
Tremor17.01.06.002--
Trichorrhexis23.02.06.0070.002049%Not Available
Umbilical hernia07.16.03.001--Not Available
Upper respiratory tract infection22.07.03.011; 11.01.13.009--
Uterine disorder21.07.01.0060.000964%Not Available
Vaginal haemorrhage24.07.03.005; 21.08.01.001--
Vascular pain24.03.02.0260.000530%Not Available
Vasodilatation24.03.02.003; 23.06.05.0060.002049%Not Available
Vitiligo23.05.02.004; 10.04.02.0040.002170%Not Available
Vomiting07.01.07.0030.693223%
Vomiting projectile07.01.07.0120.003689%Not Available
Weight decreased13.15.01.005--
Mobility decreased17.02.05.018; 15.03.05.023; 08.01.03.030--Not Available
Fibromyalgia15.05.02.0020.010103%Not Available
Musculoskeletal disorder15.03.05.0250.004436%Not Available
Hypoacusis04.02.01.006--
Onychoclasis23.02.05.0050.009428%Not Available
Seasonal allergy22.04.04.008; 10.01.04.001; 06.04.01.0130.018976%Not Available
Rectal discharge07.03.03.0050.000820%Not Available
Allergic sinusitis22.04.06.003; 10.01.03.0210.001350%Not Available
Onychomadesis23.02.05.0060.008849%
Precancerous skin lesion23.01.06.0040.000651%Not Available
General physical health deterioration08.01.03.018--Not Available
Anal haemorrhage24.07.02.029; 07.12.03.0040.001061%
Muscle fatigue15.05.03.0060.002459%Not Available
Impatience19.05.01.0140.001760%Not Available
Morbid thoughts19.10.03.0040.000530%Not Available
Hyposmia22.04.03.008; 17.04.04.0030.001760%Not Available
Musculoskeletal chest pain22.09.01.001; 15.03.04.012--
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