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 sterile injectable solution for subcutaneous use. It is employed to treat rheumatoid arthritis, psoriasis, certain cancers and ectopic pregnancy in adult patients.

GNH India supplies Injexate as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Methotrexate acts on inflammatory and proliferative disease pathways, providing disease‑modifying effects in several conditions.
  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia and lymphoma: interferes with malignant cell proliferation.
  • Ectopic pregnancy: terminates trophoblastic tissue growth.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This impairs synthesis of purine and pyrimidine nucleotides, leading to reduced DNA, RNA and protein production. The resulting antiproliferative effect limits rapidly dividing immune and cancer cells, while also modulating inflammatory cytokine release.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or malaise
  • Oral mucosal ulceration (mouth sores)
  • Elevated liver enzymes
  • Mild leukopenia or thrombocytopenia

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Bone marrow failure leading to pancytopenia
  • Life‑threatening infections due to immunosuppression
  • Acute renal failure

Precautions & Warnings

  • Prior to initiating therapy, clinicians should assess baseline organ function and monitor regularly.
  • Baseline laboratory evaluation: obtain liver function tests, renal profile and complete blood count.
  • Pregnancy contraindication: avoid use in women of childbearing potential unless effective contraception is used.
  • Renal impairment: adjust dose or consider alternative therapy in patients with reduced clearance.
  • Concomitant hepatotoxic drugs: avoid or monitor closely when used together.
  • 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 efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs) – increase risk of renal toxicity.
  • Trimethoprim‑sulfamethoxazole – potentiates myelosuppression.
  • Live vaccines – may cause uncontrolled infection.
  • Azathioprine – additive bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Phenytoin, phenobarbital, carbamazepine – may reduce methotrexate levels.
  • Oral contraceptives – may decrease efficacy of hormonal contraception.
  • Folic acid supplements – can lessen toxicity but may reduce therapeutic effect.
  • Proton pump inhibitors – may increase methotrexate exposure.

Frequently Asked Questions

Injexate contains methotrexate, an immunosuppressant and disease‑modifying antirheumatic drug (DMARD). It is prescribed for rheumatoid arthritis, moderate to severe psoriasis, certain hematologic cancers such as acute lymphoblastic leukemia and lymphoma, and for medical management of ectopic pregnancy.

Methotrexate blocks dihydrofolate reductase, an enzyme needed to produce tetrahydrofolate. This halts synthesis of purine and pyrimidine nucleotides, reducing DNA, RNA and protein formation. The resulting antiproliferative effect limits growth of rapidly dividing immune cells and cancer cells, while also dampening inflammatory cytokine production.

The dose of Injexate is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. Dosage regimens can vary widely, and the prescriber determines the appropriate amount and frequency.

Methotrexate is classified as Pregnancy Category X because it is known to cause fetal malformations and embryotoxicity. It is contraindicated during pregnancy and should be stopped well before conception. Use while breastfeeding is also discouraged, as the drug can be excreted in milk and affect the infant.

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 necessary import documentation.

Injexate (methotrexate) is a conventional synthetic DMARD that is generally less expensive than biologic agents such as TNF‑α inhibitors. It can be administered subcutaneously, offering more predictable absorption than oral forms. While biologics target specific cytokines, methotrexate provides broad immunosuppression and is often used as first‑line therapy.

Injexate should be stored at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Do not use the product if it has been exposed to temperatures outside the recommended range.

Injexate is given by subcutaneous injection, typically into the abdomen or thigh. The injection should be performed using aseptic technique with a suitable needle, and the site should be rotated to minimize local irritation. Administration is usually performed by a healthcare professional or a trained patient.

The most critical adverse events include severe liver toxicity, bone‑marrow suppression leading to pancytopenia, and pulmonary fibrosis or interstitial pneumonitis. Patients should be monitored regularly for liver enzymes, blood counts and respiratory symptoms, and the drug should be discontinued if serious toxicity is identified.

Injexate is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe hepatic disease, significant renal impairment, or existing bone‑marrow failure. Caution is also advised for patients with active infections or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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