Browse Medications by Drug Class: Phosphodiesterase 4 Inhibitors

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Published Jan 15, 2025

What are Phosphodiesterase 4 Inhibitors?
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List of drugs in Phosphodiesterase 4 Inhibitors
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Brief history about Phosphodiesterase 4 Inhibitors?
How do Phosphodiesterase 4 Inhibitors work?
What are Phosphodiesterase 4 Inhibitors used to treat?
Chronic Obstructive Pulmonary Disease (COPD)
PDE4 inhibitors, such as roflumilast, are used to manage COPD, particularly in patients with chronic bronchitis and a history of exacerbations. By reducing inflammation in the airways, these medications decrease the frequency and severity of COPD flare-ups, improving lung function and quality of life. They are often prescribed as an adjunct to bronchodilators and corticosteroids for optimal disease management.
Psoriasis
Apremilast, a PDE4 inhibitor, is effective in managing moderate to severe plaque psoriasis. By reducing inflammation and the production of skin-damaging cytokines, it improves skin clearance and reduces symptoms like itching, scaling, and redness. PDE4 inhibitors are particularly beneficial for patients who cannot tolerate or prefer to avoid systemic immunosuppressants.
Psoriatic Arthritis
In psoriatic arthritis, PDE4 inhibitors reduce joint pain, swelling, and stiffness by modulating inflammatory pathways. These medications offer a non-biologic option for patients with mild to moderate disease who require systemic treatment but wish to avoid injectable therapies.
Who should consider Phosphodiesterase 4 Inhibitors medications?
Adults
Adults with chronic inflammatory conditions like COPD, psoriasis, or psoriatic arthritis benefit significantly from PDE4 inhibitors. These medications provide targeted relief by addressing inflammation at the cellular level, making them a valuable option for patients who have not responded adequately to traditional therapies. PDE4 inhibitors are particularly suitable for adults seeking oral treatment options with fewer systemic side effects compared to biologics.
Children
PDE4 inhibitors are not commonly used in pediatric populations but may be considered in experimental or off-label cases, such as severe atopic dermatitis or other inflammatory conditions. Pediatric dosing and safety profiles are still under investigation, and treatment should be closely monitored by a specialist.
Seniors
Seniors with chronic inflammatory diseases, such as COPD or psoriatic arthritis, benefit from the anti-inflammatory effects of PDE4 inhibitors. These medications are often prescribed alongside other therapies to improve disease control. Healthcare providers tailor treatment plans to minimize side effects and consider age-related factors, such as reduced kidney or liver function, to ensure safety and efficacy.
Are Phosphodiesterase 4 Inhibitors safe?
Can I take Phosphodiesterase 4 Inhibitors during pregnancy?
Are Phosphodiesterase 4 Inhibitors safe to take while lactating?
Are Phosphodiesterase 4 Inhibitors controlled substances?
Side effects of Phosphodiesterase 4 Inhibitors?
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