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 works by inhibiting cell proliferation and suppressing immune responses, making it useful in the management of rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, and non‑Hodgkin lymphoma.

GNH India supplies Injexate as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, oncology centres, pharmacies, and clinics worldwide through regulated procurement channels, ensuring quality and compliance with global standards and reliable delivery.

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

  • Methotrexate is used across autoimmune and oncologic disease pathways to reduce inflammation or inhibit malignant cell growth.
  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: decreases skin cell proliferation, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with DNA synthesis, leading to remission in many patients.
  • Non‑Hodgkin lymphoma: suppresses tumor cell proliferation, contributing to disease control.

How It Works

  • Methotrexate competitively inhibits dihydrofolate reductase, preventing conversion of dihydrofolate to tetrahydrofolate, a cofactor required for synthesis of purine nucleotides and thymidylate. This blockade reduces DNA, RNA, and protein synthesis, particularly affecting rapidly dividing cells such as activated lymphocytes and malignant clones. The resulting antiproliferative and immunosuppressive effects underlie its therapeutic activity in autoimmune disorders and certain cancers.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or malaise
  • Mucositis or mouth ulcers
  • Elevated liver enzymes
  • Cytopenias (low blood counts)
  • Alopecia (hair loss)

Serious or Rare Side Effects

  • Severe liver fibrosis or cirrhosis
  • Pulmonary toxicity (interstitial pneumonitis)
  • Profound bone marrow suppression
  • Opportunistic infections
  • Renal toxicity
  • Severe cutaneous reactions (e.g., Stevens‑Johnson syndrome)

Precautions & Warnings

  • Methotrexate requires careful monitoring and specific safety measures.
  • Pregnancy: contraindicated (Category X) – avoid use in pregnant women.
  • Renal function: assess before initiating; adjust dose in impairment.
  • Liver function: monitor enzymes regularly; avoid in severe hepatic disease.
  • Hematologic monitoring: perform regular CBC to detect cytopenias.
  • Infection risk: screen for latent infections and avoid 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 may alter its safety or efficacy.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Aminoglycoside antibiotics: potentiate renal toxicity.
  • Live vaccines: risk of severe infection.
  • Proton pump inhibitors: may raise serum methotrexate levels.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Sulfonylureas: may enhance hypoglycemia.
  • Cyclosporine: increased risk of hepatotoxicity.
  • Leucovorin rescue (folinic acid): may reduce methotrexate efficacy if given inadvertently.

Frequently Asked Questions

Injexate contains methotrexate, which is indicated for several autoimmune and oncologic disorders. It is commonly prescribed to manage rheumatoid arthritis and psoriasis by reducing inflammation, and it is also used in the treatment protocols for acute lymphoblastic leukemia and non‑Hodgkin lymphoma to inhibit malignant cell growth.

Methotrexate acts as a folate antagonist by competitively inhibiting the enzyme dihydrofolate reductase. This blocks the conversion of dihydrofolate to tetrahydrofolate, a key cofactor for the synthesis of purine nucleotides and thymidylate, thereby reducing DNA, RNA, and protein production in rapidly dividing cells such as immune cells and cancer cells.

The dosing regimen for Injexate is individualized. A qualified prescriber determines the appropriate dose based on the specific condition, patient weight, renal and hepatic function, and response to therapy. No standard dose is provided here; the prescribing clinician will set the regimen.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. It is also not recommended for use while breastfeeding because it can be excreted in breast milk and may 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 disease‑modifying antirheumatic drug (DMARD) that offers oral or injectable options and is generally less expensive than biologic agents. Compared with newer biologics, methotrexate has a well‑established efficacy profile but may require more laboratory monitoring for liver and bone‑marrow toxicity.

Injexate should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. Follow any additional handling instructions provided by the supplier to maintain product stability.

Injexate is given by subcutaneous injection. Healthcare professionals should use aseptic technique, select an appropriate injection site (such as the abdomen or thigh), rotate sites with each dose, and follow the prescribed volume and frequency as directed by the treating physician.

The most serious adverse effects of Injexate include severe liver toxicity (fibrosis or cirrhosis), profound bone‑marrow suppression leading to pancytopenia, pulmonary toxicity such as interstitial pneumonitis, and increased susceptibility to serious infections. Patients should be monitored regularly for these complications.

Injexate is contraindicated in pregnant women, individuals with severe hepatic disease, those with markedly impaired renal function, patients with active infections, and anyone who has demonstrated hypersensitivity to methotrexate or any component of the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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