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compositionComposition:APREMILAST-20MG
prescriptionPrescription Medicine
Apxenta 20mg Tablet 10's

Apxenta 20mg Tablet is used to treat Plaque psoriasis (scaly, itchy, and red patches on the skin), psoriasis arthritis (inflammation in the joints in people with psoriasis), and oral ulcers. It contains Apremilast, which blocks the action of some chemical messengers that are responsible for inflammation related to psoriatic arthritis and psoriasis and thus, lowers the signs and symptoms of these conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

APREMILAST-20MG

Manufacturer/Marketer :

Ajanta Pharma Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Apxenta 20mg Tablet

Apxenta 20mg Tablet is used to treat plaque psoriasis (scaly, itchy, and red patches on the skin), psoriasis arthritis (inflammation in the joints in people with psoriasis), and oral ulcers. Psoriasis is a chronic, painful, nontransmissible, deactivating and damaging disease.

Apxenta 20mg Tablet contains Apremilast, which works by blocking the action of some chemical messengers that are responsible for inflammation related to psoriatic arthritis and psoriasis.

You may experience certain common side effects like diarrhoea, vomiting, nausea, weight loss, and back pain. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Before starting Apxenta 20mg Tablet , please inform your doctor if you have any allergy to Apxenta 20mg Tablet and its parts. Apxenta 20mg Tablet not recommended for use in children and adolescents aged below 17 years. If you are pregnant or breastfeeding, ask your doctor for advice before taking this Apxenta 20mg Tablet .

Uses of Apxenta 20mg Tablet

Apxenta 20mg Tablet is used in the treatment of Plaque psoriasis, psoriasis arthritis, and oral ulcers caused by Behcet's disease.. The detailed uses of Apxenta 20mg Tablet are as follows:

  • Relief from Psoriasis Symptoms: Apxenta 20mg Tablet relieves psoriasis symptoms by alleviating scaling and dryness and promoting healthier skin.
  • Oral Thrush Treatment: Apxenta 20mg Tablet can be effective in treating oral thrush, a fungal infection that affects the mucous membranes of the mouth.

Key Benefits

  • Apxenta 20mg Tablet is used in treating psoriatic arthritis; it decreases pain and swelling and may help improve flexibility in the affected joints.
  • It is also used to treat moderate to severe plaque psoriasis (skin disease causes red, scaly patches to form on some areas of the body) in people who may benefit from medications). 
  • It is used to treat ulcers in the mouth in persons with Behcet's syndrome (a disease that results from blood vessel swelling in the body). 
  • Apxenta 20mg Tablet works by blocking the action of some chemical messengers responsible for inflammation related to psoriatic arthritis and psoriasis, thus lowering the signs and symptoms of these conditions.
Side effects of Apxenta 20mg Tablet
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
  • You can take your medicine with meals to lower the chances of getting stomach pain.
  • Avoid foods that are acidic, spicy, sugary, or greasy.
  • Eat foods that are easily digestible such as rice, toast, and bananas.
  • Eat your meals in smaller amounts throughout the day to prevent strain on your stomach and digestion.
  • Drink water or fluids to stay hydrated and prevent stomach upset.
  • Use a heating pad or massage your stomach area.
  • Engage in mild physical activities such as yoga and walking.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

Directions for Use

  • Take Apxenta 20mg Tablet with or without food as advised by your doctor.
  • Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.
  • Swallow Apxenta 20mg Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Apxenta 20mg Tablet Works

Apxenta 20mg Tablet contains Apremilast, a phosphodiesterase 4 (PDE4) inhibitor. Apxenta 20mg Tablet works by blocking the action of some chemical messengers that are responsible for inflammation related to psoriatic arthritis (inflammation in the joints in people with psoriasis) and psoriasis (scaly, itchy, and red patches on the skin) and, thus, lower the signs and symptoms of these conditions.
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Alcohol

Unsafe

Limit intake of alcohol, as this may increase the risk of serious side effects.

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Pregnancy

Caution

If you are pregnant, inform your doctor before taking Apxenta 20mg Tablet . Consult your doctor if you become pregnant while taking Apxenta 20mg Tablet .

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Breast Feeding

Caution

It is not known whether Apxenta 20mg Tablet may pass into breast milk or not. If you are breastfeeding, inform your doctor before taking Apxenta 20mg Tablet .

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Driving

Safe if prescribed

Apxenta 20mg Tablet has no or negligible influence on the ability to drive and use machines.

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Liver

Caution

Apxenta 20mg Tablet to be taken with caution, especially if you have a history of liver problems. Your doctor may adjust the dose of this medicine based on your condition.

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Kidney

Caution

Apxenta 20mg Tablet to be taken with caution, especially if you have a history of kidney diseases. Your doctor may adjust the dose of this medicine based on your condition.

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Children

Unsafe

Apxenta 20mg Tablet is not recommended for use in children and adolescents below 17 years.

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Heart

Consult your doctor

Apxenta 20mg Tablet can be used in heart patients if prescribed by the physician. Please consult your physician if you have any concerns.

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Geriatrics

Safe if prescribed

Apxenta 20mg Tablet is safe for use in elderly patients if prescribed by the physician.

What if I have taken an overdose of Apxenta 20mg Tablet

Do not take more than the prescribed dose of Apxenta 20mg Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Physical activity helps strengthen muscles and relieves joint stiffness. Gentle activities like 20-30minutes of walking or swimming would be helpful.
  • Performing yoga may also help in improving joint flexibility and pain management.
  • Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
  • Get adequate sleep, as resting the muscles can help in reducing inflammation and swelling.
  • Follow heat or cold therapy, and apply a cold or hot compress on the joints for 15-20minutes regularly.
  • De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
  • Acupuncture, massage and physical therapy may also be helpful.
  • Eat food rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
  • Foods containing flavonoids help in reducing inflammation. These include soy, berries, broccoli, grapes and green tea.
  • Avoid smoking and alcohol consumption.

Have a query?

How Soon It Starts Working

  • The time required for Apxenta 20mg Tablet to start to work: The time required for Apxenta 20mg Tablet to show its action is unknown. 
  • The time for which the effects of Apxenta 20mg Tablet last: The duration of action for Apxenta 20mg Tablet is unknown.

What if you forget to take Apxenta 20mg Tablet

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not double the dose.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Inform your doctor before using Apxenta 20mg Tablet , if you have previously had an allergic reaction (hypersensitivity).
  • Before starting Apxenta 20mg Tablet , please inform your doctor if you have depression and suicidal thoughts.
  • Inform your doctor before taking Apxenta 20mg Tablet if you have severe kidney problems.
  • Inform your doctor while taking Apxenta 20mg Tablet if you lose weight without meaning to. Apxenta 20mg Tablet should not be taken in conditions like severe diarrhoea, nausea, and vomiting.
  • Apxenta 20mg Tablet not recommended for use in children and adolescents aged below 17 years.
  • If you are pregnant or breastfeeding, ask your doctor for advice before taking this Apxenta 20mg Tablet . 
  • Patients with rare hereditary galactose intolerance problems, total lactase deficiency or glucose-galactose malabsorption should not take Apxenta 20mg Tablet .

Drug-Drug Interactions

verifiedApollotooltip

Drug-Drug Interactions: Apxenta 20mg Tablet may interact with medicines used for tuberculosis- TB (rifampicin), and medicines used in fit/epilepsy (phenytoin, phenobarbital, carbamazepine).

Drug-Food Interactions: No food interactions were found.

Drug-Disease Interactions: Apxenta 20mg Tablet should not be given to patients with depression, kidney disease, and weight loss.

ApremilastPrimidone
Severe
ApremilastFosphenytoin
Severe

Drug-Drug Interactions

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ApremilastPrimidone
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of Apxenta 20mg Tablet with primidone may decrease the blood levels of Apxenta 20mg Tablet, which may make Apxenta 20mg Tablet less effective in treating.

How to manage the interaction:
Although there is an interaction between Primidone and Apxenta 20mg Tablet, it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
ApremilastFosphenytoin
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of Fosphenytoin with Apxenta 20mg Tablet may reduce the effectiveness of treatment.

How to manage the interaction:
Although taking Fosphenytoin and Apxenta 20mg Tablet together can cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without talking to a doctor.
ApremilastPhenobarbital
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of phenobarbital with Apxenta 20mg Tablet can drastically lower Apxenta 20mg Tablet levels in the blood, making the medicine less effective in treating.

How to manage the interaction:
Although taking phenobarbital with Apxenta 20mg Tablet can lead to interaction, they can be taken if recommended by a doctor. Do not stop using any medications without talking to a doctor.
ApremilastMitotane
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of Mitotane with Apxenta 20mg Tablet may reduce the effectiveness of treatment.

How to manage the interaction:
Although taking Apxenta 20mg Tablet and Mitotane together can cause an interaction, it can be taken if a doctor has suggested it. Do not discontinue any medications without consulting a doctor.
ApremilastCarbamazepine
Severe
How does the drug interact with Apxenta 20mg Tablet:
Taking Apxenta 20mg Tablet with carbamazepine can significantly reduce the blood levels of Apxenta 20mg Tablet, which may make the medication less effective.

How to manage the interaction:
Taking Apxenta 20mg Tablet with Carbamazepine together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
ApremilastPhenytoin
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of Phenytoin with Apxenta 20mg Tablet may reduce the blood levels of Apxenta 20mg Tablet, which may reduce effectiveness in treatment.

How to manage the interaction:
Although taking Phenytoin and Apxenta 20mg Tablet together can result in an interaction, it can be taken if a doctor has prescribed it. Without consulting a doctor, never stop taking any drugs.
ApremilastRifampicin
Severe
How does the drug interact with Apxenta 20mg Tablet:
Taking Apxenta 20mg Tablet with rifampicin can decrease the blood levels of Apxenta 20mg Tablet, which may make the medication less effective.

How to manage the interaction:
Although there is an interaction between Apxenta 20mg Tablet and rifampicin, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
ApremilastRifapentine
Severe
How does the drug interact with Apxenta 20mg Tablet:
Rifapentine may decrease the blood levels of Apxenta 20mg Tablet, which may make Apxenta 20mg Tablet less effective in treating the condition.

How to manage the interaction:
Although taking Apxenta 20mg Tablet and Rifapentine together can cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without a doctor's advice.
ApremilastNevirapine
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of Nevirapine with Apxenta 20mg Tablet may decrease the blood levels of Apxenta 20mg Tablet, which may make the medication less effective.

How to manage the interaction:
Although there is a possible interaction between Apxenta 20mg Tablet and Nevirapine, you can take these medicines together if prescribed by a doctor. Do not stop using any medications without talking to a doctor.
ApremilastEnzalutamide
Severe
How does the drug interact with Apxenta 20mg Tablet:
Coadministration of Enzalutamide with Apxenta 20mg Tablet may reduce the efficacy of treatment.

How to manage the interaction:
Although taking Apxenta 20mg Tablet and Enzalutamide together can cause an interaction, it can be taken if a doctor has suggested it. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTIPSORIATICS]

FAQs

Apxenta 20mg Tablet is used to treat plaque psoriasis (scaly, itchy, and red patches on the skin), psoriatic arthritis (inflammation in the joints in people with psoriasis), and oral ulcers caused by Behcet's disease.

Apxenta 20mg Tablet works by blocking the action of some chemical messengers that are responsible for inflammation.

Yes, Apxenta 20mg Tablet may cause depression as a side effect. The patient may also have suicidal thoughts. Apxenta 20mg Tablet should be avoided in people with a history of depression. In case you develop any of these symptoms, Inform your doctor immediately.

Apxenta 20mg Tablet is used to treat plaque psoriasis (red, scaly, thick, itchy, painful patches on the skin) and psoriatic arthritis (a condition that causes joint pain and swelling). It is a long-period treatment and may take about 16 weeks to show an improvement.

Yes, Apxenta 20mg Tablet may cause a reduction in appetite, which may further lead to weight loss. You should monitor your weight frequently while on treatment with Apxenta 20mg Tablet . In case of big weight loss, inform your doctor. Your doctor may consider stopping Apxenta 20mg Tablet .

Rifampicin is an antibiotic. You should not take rifampicin if you are taking Apxenta 20mg Tablet . Rifampicin interferes with the working of Apxenta 20mg Tablet by reducing its levels, making it less effective. As a result, you may not see any recovery after taking Apxenta 20mg Tablet .

As soon as you recall, take the missed dose. If the next dose is approaching, skip the missing dose and resume your regular dosing regimen. Do not duplicate the dose to make up for a missing one.

No, Apxenta 20mg Tablet is not an immunosuppressant. It belongs to a class of drugs called phosphodiesterase 4 (PDE4) inhibitors which work by blocking the action of PDE4 that is found in inflammatory cells.

Take Apxenta 20mg Tablet as advised by the doctor. Swallow it as whole with a glass of water. Do not break, crush or chew it.

If you get pregnant during treatment with Apxenta 20mg Tablet , inform your doctor immediately. You are recommended to avoid pregnancy during treatment with Apxenta 20mg Tablet as it may harm unborn baby.

Apxenta 20mg Tablet may cause side effects such as nausea, vomiting, diarrhoea, back pain or weight loss. If these side effects persist or worsen, please consult your doctor.

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Author Details

Veda MaddalaDoctor badge

Written By

  • Veda Maddala

    M Pharmacy

Bayyarapu Mahesh KumarDoctor badge

Reviewed By

  • Bayyarapu Mahesh Kumar

    M Pharmacy

Last Updated

Doctor imageWe provide you with authentic, trustworthy and relevant information

Country of origin

India

Manufacturer/Marketer address

Ajanta House, Charkop, Kandivli West, Mumbai 400 067, India
Other Info - APX0006
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