Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Modern Dermatology
Otezla
Apremilast
Prescription only
Otezla prescribed online(Apremilast)
Otezla is a tablet for moderate to severe plaque psoriasis. A Canadian-licensed medical professional reviews your history and, when appropriate, sends a prescription to your pharmacy.
Start my assessmentAt a glance
- Oral tablet (apremilast)
- For moderate to severe plaque psoriasis
- No routine immune suppression
Why Modern Dermatology
- Canadian-licensed medical professionals, 100% online
- Prescriptions sent to your pharmacy or delivered
- Follow-up and refills through your Care Team
Used forPsoriasis
Otezla can cause low mood and weight loss in some people. Tell your clinician right away about depression, thoughts of self-harm or ongoing diarrhea. Do not stop or change the plan on your own.
Choosing the right dose for you
Most people start low and build up over the first days to limit stomach upset. Your clinician sets the plan and adjusts it for your kidney function. Follow the label from your pharmacy.
Considerations include
- Severity and extent of psoriasis
- Past treatments and how they worked
- Mood and mental health history
- Kidney function
- Other medicines you take
How Otezla works
Otezla lowers inflammation inside the cell
Psoriasis is driven by an overactive immune system. An enzyme called PDE4 helps keep inflammation running inside immune cells. Apremilast blocks PDE4.
Blocking it shifts the balance toward less inflammation. Plaques can thin and itch can ease over weeks. Otezla does not weaken the immune system as broadly as some other psoriasis medicines.
Modern Dermatology
Otezla
Apremilast
Prescription only
Recommended for
- Moderate to severe plaque psoriasis
- Psoriasis not controlled by creams alone
- Psoriasis with joint symptoms
- Adults who prefer a tablet
- People who want to avoid injections
Your clinician reviews your skin and history, and confirms that this treatment is right for you before prescribing.
Blocks PDE4
Lowers inflammatory signals
Thins plaques
Raised areas flatten over time
Eases itch
Less scratching, better comfort
Calms joint symptoms
May ease joint pain
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentOtezla contains apremilast, which blocks an enzyme called PDE4. This lowers inflammatory signals inside immune cells. The skin calms as a result.
Many people see some change within weeks, and improvement often continues for months. Your clinician reviews your response at follow-up and decides whether to continue.
Many people have thinner, less itchy plaques, but results vary. Otezla controls psoriasis. It does not cure it, and plaques can return if you stop.
Yes, when it is appropriate for you. A Canadian-licensed medical professional reviews your online intake. Your clinician decides if Otezla is right for you.
Diarrhea, nausea, headache and cold-like symptoms are the most common. They often ease after the first weeks. Report low mood, weight loss or ongoing diarrhea to your Care Team.
Do not take it if you are allergic to apremilast. Extra care applies with depression, kidney disease and low body weight. Tell your clinician about all medicines, including seizure and tuberculosis medicines.
Options include topical care such as amcinonide, betamethasone dipropionate, betamethasone valerate, calcipotriol and clobetasol, plus acitretin and biologics such as adalimumab, bimekizumab or certolizumab. Your clinician explains which fit.
Often yes. Many people keep a moisturizer or a topical treatment in their plan. Tell your clinician about every medicine you take. Do not add or stop medicines without advice.
Tell your clinician if you are pregnant, plan a pregnancy or breastfeed. Your clinician weighs the benefits and risks and decides.
Yes. Otezla is the brand, and generic apremilast products include Apo-Apremilast, Auro-Apremilast, Jamp Apremilast, Pms-Apremilast and Sandoz Apremilast. They have the same active ingredient. Your pharmacist can tell you what your plan covers.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.
Your clinician sets how long a prescription lasts and when to check in. Your Care Team arranges follow-up and renewals when appropriate. Do not stop or change Otezla on your own.
Follow-up that keeps you safe
Mood check-ins
You report mood changes, low mood or sleep problems at follow-up.
Weight checks
You track your weight, as your clinician advises.
Stomach symptoms
You report ongoing diarrhea or nausea early, so your clinician can adjust.
Response review
Follow-up shows if Otezla works for your skin and if it should continue.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Start my assessment
Related treatments
Your clinician can suggest another option when this one is not the right fit.