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 a subcutaneous injection for systemic use. It is employed to manage autoimmune disorders such as rheumatoid arthritis and psoriasis, as well as certain malignancies, by suppressing abnormal cell proliferation. It is approved for use in the European Union.

GNH India supplies Injexate as a licensed, GDP‑compliant international pharmaceutical supplier, delivering the product to hospitals, oncology centres, pharmacies, and clinics worldwide while ensuring quality, regulatory compliance, and reliable cold‑chain logistics for injectable medicines.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Methotrexate is used to treat autoimmune and oncologic conditions by interfering with folate‑dependent cellular processes.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: inhibits rapid proliferation of malignant lymphoblasts.
  • Osteosarcoma: impedes tumor growth by blocking DNA synthesis in bone cancer cells.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, a key enzyme in the folate pathway, leading to reduced tetrahydrofolate availability. This blockade impairs synthesis of purine nucleotides and thymidylate, thereby preventing DNA replication and cell division in rapidly proliferating immune cells and cancer cells.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or general weakness.
  • Oral mucosal ulceration (mouth sores).
  • Elevated liver enzymes.
  • Transient low blood cell counts.
  • Mild hair thinning.

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening bone marrow suppression.
  • Acute kidney injury.
  • Severe skin reactions such as Stevens‑Johnson syndrome.
  • Opportunistic infections due to immunosuppression.

Precautions & Warnings

When using Injexate, several safety measures should be observed.

  • Pregnancy: avoid use unless clearly indicated; discuss risks with a specialist.
  • Liver function: monitor hepatic enzymes regularly.
  • Renal function: assess kidney status before initiation and during therapy.
  • Hematology: perform routine complete blood counts to detect cytopenias.
  • Drug interactions: review concomitant medications for potential additive toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several medicines that may increase toxicity or reduce efficacy.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs).
  • Trimethoprim‑sulfamethoxazole.
  • Live vaccines (e.g., measles, varicella).

Moderate Interactions (Monitor Closely)

  • Azathioprine.
  • Proton pump inhibitors.
  • Phenytoin.

Frequently Asked Questions

Injexate, which contains methotrexate, is prescribed for autoimmune diseases such as rheumatoid arthritis and psoriasis, as well as for certain cancers including acute lymphoblastic leukemia and osteosarcoma. It works by suppressing abnormal cell growth and immune activity.

Methotrexate blocks the enzyme dihydrofolate reductase, disrupting folate metabolism. This inhibition reduces the production of nucleotides needed for DNA synthesis, thereby limiting the proliferation of rapidly dividing cells in the immune system and in malignant tumors.

The dosage of Injexate is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. Only a qualified healthcare professional should determine the appropriate dose.

Methotrexate is generally contraindicated in pregnancy because it can cause fetal harm. Women of child‑bearing potential should use effective contraception. Limited data exist for breastfeeding, and the drug may be excreted in milk, so consultation with a specialist is essential.

To request Injexate, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and import documentation.

Compared with biologic agents, methotrexate is a small‑molecule antimetabolite that is less expensive and can be administered subcutaneously. It has a well‑established efficacy profile for rheumatoid arthritis and psoriasis, but may require more laboratory monitoring for hepatic and hematologic toxicity.

Injexate should be stored refrigerated between 2 °C and 8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. If refrigeration is unavailable for a short period, follow the manufacturer’s guidance on temperature excursions.

Injexate is given by subcutaneous injection, typically into the abdomen or thigh. The injection site should be rotated to reduce local irritation. Administration is performed by a healthcare professional or a trained patient following aseptic technique and proper disposal of sharps.

The most serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to infections or bleeding, and rare but life‑threatening skin reactions. Regular monitoring of liver enzymes, lung function, and blood counts helps detect these complications early.

Patients with known hypersensitivity to methotrexate, severe renal or hepatic impairment, active infections, or those who are pregnant should not use Injexate. Additionally, individuals receiving live vaccines or certain interacting medications should avoid or use the drug only under strict medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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