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Taltz vs. Otezla

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Taltz (ixekizumab) and Otezla (apremilast) are both medications used to treat psoriasis and psoriatic arthritis. However, they belong to different medication classes and have some important differences. Taltz (ixekizumab) is an interleukin antagonist given as a subcutaneous injection, while Otezla (apremilast) is a phosphodiesterase-4 (PDE-4) inhibitor taken orally. Taltz is also approved for ankylosing spondylitis and non-radiographic axial spondyloarthritis, whereas Otezla is used for mouth sores from Behçet’s disease. Taltz is administered every 4 weeks after initial doses, while Otezla is taken by mouth twice daily after initial doses. Taltz does not have a generic version available, whereas generic versions of Otezla have been FDA-approved but are not yet on the market. Common side effects of Taltz include upper respiratory infections and injection-site reactions, while Otezla may cause diarrhea, nausea, and headaches. Some medications can keep Otezla from working as well. Be sure your prescriber and pharmacist have a complete list of your medications.

Taltz

(ixekizumab)

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Otezla

(apremilast)

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Summary for Taltz

Prescription only

Taltz (ixekizumab) is an injection that's given under the skin. It helps treat inflammatory conditions, including plaque psoriasis, psoriatic arthritis, and some types of arthritis in the spine. This medication works as an interleukin antagonist to lessen inflammation in the body. You inject Taltz (ixekizumab) once a month using the prefilled syringe or autoinjector. The dose depends on the health problem you're treating. Side effects include upper respiratory infections. You also might feel pain or have redness around the injection area. Taltz (ixekizumab) is a brand-name medication.

Indications for Taltz

Pros and Cons for Taltz

Pros

  • Generally given once a month (might need some starter doses)
  • Available as a prefilled syringe or autoinjector for easier use
  • Can inject at home after a healthcare professional trains you (for most people)

Cons

Common Side Effects for Taltz

Warnings for Taltz

  • Risk of infection
  • Caution when getting vaccines
  • Eczema-like skin reaction
  • Allergic reaction
  • Inflammatory bowel disease

Summary for Otezla

Prescription only

Otezla (apremilast) is a tablet that's taken by mouth. It treats plaque psoriasis and psoriatic arthritis in people 6 years and older. The medication can also treat mouth sores from Behçet’s disease in adults. It works as a phosphodiesterase-4 (PDE4) inhibitor to reduce inflammation. Immediate-release tablets called Otezla are taken twice daily. You start at a low dose, then it gets raised over a few days to a maintenance dose. Some people can switch to once-daily, extended-release tablets called Otezla XR. Side effects include nausea and diarrhea.

Indications for Otezla

Pros and Cons for Otezla

Pros

  • Taken by mouth
  • Can take with or without food
  • Option to switch to once-daily extended-release tablets for some people

Cons

  • Dosing schedule can be confusing in the beginning
  • Common to have nausea or diarrhea when starting
  • Might not be a good option for people who've had depression or suicidal behavior

Common Side Effects for Otezla

Warnings for Otezla

  • Allergic reaction
  • Diarrhea, nausea, and vomiting
  • Depression
  • Possible weight loss
  • Drug interactions

Prices with our coupons for Taltz vs. Otezla

Price Card Drug Icon
Taltz1 carton / 1 autoinjector of 80mg/ml
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Otezla60 tablets / 30mg
$3,353.53$7,098.42
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