apremilast Side Effects
Also known as: Otezla
Analysis of 143,174 adverse event reports submitted to the FDA from 2012 to 2025.
Total Reports
143,174
Death-Related
5,453
3.8% of reports
Hospitalizations
10,932
7.6% of reports
Top Indication
Psoriasis
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 5,453 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| SYSTEMIC LUPUS ERYTHEMATOSUS | 1,750 |
| TYPE 2 DIABETES MELLITUS | 1,746 |
| PSORIATIC ARTHROPATHY | 1,731 |
| GLOSSODYNIA | 1,729 |
| GENERAL PHYSICAL HEALTH DETERIORATION | 1,721 |
| RASH | 1,714 |
| SYNOVITIS | 1,712 |
| HYPOAESTHESIA | 1,707 |
| INFUSION RELATED REACTION | 1,704 |
| HYPERTENSION | 1,703 |
| RHEUMATOID ARTHRITIS | 1,695 |
| WOUND | 1,677 |
| HAND DEFORMITY | 1,667 |
| JOINT SWELLING | 1,630 |
| HEPATIC ENZYME INCREASED | 1,621 |
| FIBROMYALGIA | 1,617 |
| SWELLING | 1,607 |
| HELICOBACTER INFECTION | 1,580 |
| DUODENAL ULCER PERFORATION | 1,578 |
| OFF LABEL USE | 1,574 |
Reactions in Hospitalization Reports
Top reactions in 10,932 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| PSORIATIC ARTHROPATHY | 2,086 |
| RASH | 2,053 |
| FATIGUE | 2,009 |
| OFF LABEL USE | 1,980 |
| DIARRHOEA | 1,929 |
| RHEUMATOID ARTHRITIS | 1,924 |
| HEADACHE | 1,920 |
| NAUSEA | 1,917 |
| SYNOVITIS | 1,894 |
| PAIN | 1,893 |
| JOINT SWELLING | 1,834 |
| ARTHRALGIA | 1,822 |
| DRUG INEFFECTIVE | 1,805 |
| GENERAL PHYSICAL HEALTH DETERIORATION | 1,798 |
| VOMITING | 1,795 |
| INFUSION RELATED REACTION | 1,779 |
| HYPERTENSION | 1,774 |
| ARTHROPATHY | 1,769 |
| SYSTEMIC LUPUS ERYTHEMATOSUS | 1,718 |
| MALAISE | 1,716 |
Nearby — Related Medications
What the FAERS Data Reveals About apremilast Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 143,174 voluntary reports linked to apremilast and its brand equivalents (Otezla), spanning 2012 through 2025. Of those, 5,453 (3.8%) listed death as an outcome and 10,932 (7.6%) involved hospitalization. The most common indication reported alongside adverse events was Psoriasis.
Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 66% were female and 34% male; age distribution skews toward 45-64, with 40,417 reports in that bracket. The single most reported reaction is diarrhoea with 24,315 submissions, followed by nausea and psoriasis.
FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.
Read our methodology — how this data is sourced, computed, and verified.