Aprila 10 mg (Tablet)

Unit Price: ৳ 25.00 (1 x 14: ৳ 350.00)
Strip Price: ৳ 350.00

Medicine Details

Category Details
Generic Apremilast
Company Drug international ltd
Also available as

Indications

  • Treatment of psoriatic arthritis
  • Treatment of plaque psoriasis
  • For patients candidates for phototherapy or systemic therapy

Pharmacology

  • Inhibitor of type-4 cyclic nucleotide phosphodiesterase
  • Increases intracellular levels of cAMP
  • Inhibits production of proinflammatory mediators
  • Restores homeostatic balance between pro- and anti-inflammatory signaling

Dosage & Administration

  • Initial dosage titration for 5 days
  • Recommended maintenance dosage of 30 mg twice daily
  • Reduction of gastrointestinal symptoms with titration
  • Can be administered without regard to meals

Interaction

  • Strong cytochrome P450 enzyme inducers result in reduction of systemic exposure
  • Avoid co-administration with Rifampin, Phenobarbital, Carbamazepine, Phenytoin

Contraindications

  • Known hypersensitivity to Apremilast or excipients

Side Effects

  • Frequent: nausea, diarrhea, headache
  • Less frequent: upper respiratory tract infection, vomiting, nasopharyngitis, abdominal pain, hypersensitivity, gastroesophageal reflux disease, dyspepsia, fatigue, decreased appetite, cough, rash, insomnia

Pregnancy & Lactation

  • Pregnancy Category C
  • Presence of drug in lactating mouse milk
  • Caution in nursing women

Precautions & Warnings

  • Increased risk of depression
  • Need to monitor for mood changes
  • Weight decrease in psoriatic arthritis patients
  • Evaluation of risks and benefits in case of adverse events

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients

Therapeutic Class

  • Disease-modifying antirheumatic drugs (DMARDs)

Storage Conditions

  • Store in cool & dry place
  • Protected from light & moisture
  • Keep out of reach of children

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