Product image of Injexate (Methotrexate) supplied by GNH India

Injexate

Active Ingredient:
Methotrexate
Origin:
EU

Injexate (Methotrexate)

Methotrexate, the active ingredient in Injexate, is an antimetabolite (folate antagonist) presented as an injectable for intravenous or subcutaneous use. It is employed as an immunosuppressant and antineoplastic agent to manage autoimmune disorders and certain cancers in adult and pediatric patients. The drug works by interfering with DNA synthesis, which reduces abnormal cell proliferation.

GNH India supplies Injexate as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. Our distribution network ensures consistent quality and regulatory compliance across all regions.

Manufacturer / TM Owner

Accord Healthcare Limited

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Indications & Clinical Uses

Methotrexate is used to treat autoimmune and malignant conditions by targeting rapidly dividing cells and modulating immune response.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin lesion severity and plaque formation.
  • Acute lymphoblastic leukemia: induces remission by inhibiting leukemic cell proliferation.
  • Non‑Hodgkin lymphoma: achieves tumor reduction through cytotoxic activity.
  • Osteosarcoma: limits tumor growth and metastasis in bone cancer.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing conversion of dihydrofolate to tetrahydrofolate, a cofactor required for synthesis of purines and thymidylate. This blockade disrupts folate metabolism, leading to impaired DNA, RNA and protein synthesis, particularly in rapidly dividing cells. The drug also promotes accumulation of adenosine, contributing to its anti‑inflammatory effects. Additionally, inhibition of thymidylate synthase further hampers DNA replication, enhancing cytotoxic activity against malignant cells.

Side Effects

Methotrexate may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Fatigue: general feeling of tiredness.
  • Mouth sores: ulceration of oral mucosa.
  • Elevated liver enzymes: transient increase in hepatic transaminases.

Serious or Rare Side Effects

  • Bone marrow suppression: risk of anemia, leukopenia, thrombocytopenia.
  • Severe liver toxicity: potential for hepatitis or fibrosis.
  • Pulmonary fibrosis: interstitial lung disease presenting with dyspnea.
  • Renal impairment: reduced clearance leading to toxicity.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated (Category X) due to high teratogenic risk.
  • Renal function: assess before initiation and monitor regularly because the drug is renally excreted.
  • Liver function: monitor transaminases; avoid use in severe hepatic impairment.
  • Hematologic: perform baseline complete blood count and monitor for cytopenias during therapy.
  • Infection risk: screen for latent infections and avoid use in active infections.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several medicines that can alter its safety or effectiveness.

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity and gastrointestinal ulceration.
  • Live vaccines: may cause severe infection due to immunosuppression.
  • Trimethoprim‑sulfamethoxazole: potentiates myelosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive bone marrow suppression.
  • Phenytoin: may reduce methotrexate plasma levels.
  • Alcohol: can exacerbate hepatotoxicity.

Frequently Asked Questions

Injexate contains methotrexate and is indicated for several autoimmune and oncologic conditions. It is commonly prescribed for rheumatoid arthritis and severe psoriasis, as well as for certain cancers such as acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and osteosarcoma. The drug helps control disease activity by suppressing abnormal immune responses and inhibiting malignant cell growth.

Methotrexate works by blocking the enzyme dihydrofolate reductase, which is essential for converting folate into its active form. This interruption hampers the synthesis of nucleotides needed for DNA, RNA, and protein production, especially in rapidly dividing cells. The resulting effect reduces inflammation in autoimmune disorders and limits the proliferation of cancer cells.

The dose of Injexate is individualized and determined by the prescribing clinician based on the specific indication, patient weight, renal function, and treatment response. Healthcare providers calculate the appropriate amount and frequency, and patients should follow the exact regimen prescribed without deviation.

Injexate (methotrexate) is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause severe birth defects and fetal loss. It is also not recommended while breastfeeding, as it may be excreted in breast milk and harm the infant. Women of child‑bearing potential should use effective contraception during treatment and for a defined period after discontinuation.

To order Injexate, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain logistics if needed), and any required import documentation.

The primary alternatives to methotrexate are biologic disease‑modifying antirheumatic drugs (DMARDs) such as TNF‑α inhibitors. While biologics target specific cytokines and often have rapid symptom relief, methotrexate offers a broad immunosuppressive effect at a lower cost and with extensive long‑term safety data. Choice of therapy depends on disease severity, patient comorbidities, and response to prior treatments.

Injexate must be stored refrigerated at 2‑8 °C. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If a temporary temperature excursion occurs, discard the product according to local regulations. Always handle the medication using aseptic technique to maintain sterility.

Injexate is supplied for parenteral use and can be given either intravenously or subcutaneously by a qualified healthcare professional. The injection is typically performed in a clinical setting using sterile technique. The exact administration route, volume, and infusion rate are determined by the prescriber based on the therapeutic indication and patient factors.

The most serious adverse events associated with Injexate include bone marrow suppression leading to anemia, leukopenia, or thrombocytopenia; severe liver toxicity such as hepatitis or fibrosis; pulmonary complications like interstitial pneumonitis or fibrosis; and renal impairment that can increase drug accumulation. Patients should be monitored regularly with blood tests and clinical assessments to detect these risks early.

Injexate is contraindicated in pregnant or breastfeeding individuals, patients with known hypersensitivity to methotrexate, and those with severe hepatic or renal impairment. It should also be avoided in patients with active, uncontrolled infections or significant bone marrow disease. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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