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 injection for subcutaneous use. It treats rheumatoid arthritis, psoriasis, certain cancers and Crohn's disease in appropriate 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 is employed in autoimmune and oncologic conditions that involve rapid cell proliferation or immune activation.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and reduces severity.
  • Certain cancers (e.g., leukemia, lymphoma): inhibits tumor cell growth.
  • Crohn's disease: induces remission and reduces intestinal inflammation.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This impairs synthesis of purine nucleotides and thymidylate, leading to reduced DNA replication and cell division. The resulting antiproliferative effect targets rapidly dividing immune cells and malignant cells, while also modulating inflammatory pathways through increased adenosine release.

Side Effects

Methotrexate may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or general weakness.
  • Mouth sores (stomatitis).
  • Mild elevation of liver enzymes.

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Bone marrow suppression leading to pancytopenia.

Precautions & Warnings

  • When using Injexate, several safety considerations should be observed.
  • Monitor liver function: perform regular liver enzyme tests.
  • Assess blood counts: watch for cytopenias and anemia.
  • Evaluate renal function: adjust dosing if kidney impairment is present.
  • Avoid use in pregnancy: contraindicated unless benefits outweigh risks.
  • Screen for infections: ensure no active infections before initiation.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several medications that may alter its safety or efficacy.

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity.
  • Live vaccines: heightened risk of infection.
  • Alcohol: exacerbates hepatotoxicity.

Moderate Interactions (Monitor Closely)

  • Azathioprine: may enhance myelosuppression.
  • Warfarin: can alter INR and bleeding risk.
  • Proton pump inhibitors: possible increase in methotrexate plasma levels.

Frequently Asked Questions

Injexate, containing methotrexate, is prescribed for rheumatoid arthritis, psoriasis, certain cancers such as leukemia and lymphoma, and Crohn's disease. It works by suppressing immune activity and inhibiting rapid cell growth, helping to control inflammation and tumor progression.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a cofactor in DNA synthesis. By limiting nucleotide formation, it reduces the proliferation of immune cells and cancer cells, and also increases adenosine levels that help dampen inflammation.

The specific dose of Injexate is determined by the prescribing clinician based on the patient’s condition, weight, renal function, and treatment response. Dosage regimens can vary widely, and the prescriber will tailor the schedule to achieve optimal therapeutic effect while monitoring safety.

Methotrexate is generally contraindicated during 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 breastfeeding is usually discouraged unless the benefits outweigh the risks.

To order 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 drug that is less expensive and can be administered subcutaneously. It has a well‑established efficacy profile for autoimmune diseases but may require more laboratory monitoring for liver and blood‑cell effects. Biologics often have different safety considerations, such as infection risk.

Injexate should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging to maintain stability and ensure proper temperature control during transport and storage.

Injexate is given by subcutaneous injection, typically into the abdomen or thigh. The injection site should be rotated to reduce irritation, and the medication must be prepared according to aseptic technique. Administration is performed by a healthcare professional or trained patient under medical supervision.

The most serious risks include severe liver toxicity, pulmonary fibrosis, and bone‑marrow suppression leading to pancytopenia. Patients should be monitored regularly for liver enzymes, respiratory symptoms, and complete blood counts to detect these complications early.

Injexate should not be used by individuals with known hypersensitivity to methotrexate, severe renal or hepatic impairment, active infections, or those who are pregnant or planning pregnancy without adequate contraception. Caution is also advised for patients with pre‑existing blood‑cell disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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