Product image of Metex (Methotrexate) supplied by GNH India

Metex

Active Ingredient:
Methotrexate
Origin:
EU

Metex (Methotrexate)

Methotrexate, the active ingredient in Metex, is a Antimetabolite presented as a Injection for Subcutaneous use. It is employed to treat rheumatoid arthritis, psoriasis, and several malignancies including acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease.
GNH India supplies Metex as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is an antimetabolite used across autoimmune and oncologic disease families.

  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: slows skin cell proliferation and improves plaque lesions.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Non‑Hodgkin lymphoma: inhibits tumor growth and supports chemotherapy regimens.
  • Gestational trophoblastic disease: induces trophoblastic cell death to resolve disease.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This limits the synthesis of purine nucleotides and thymidylate, essential for DNA replication and repair. The resulting disruption of cellular proliferation affects rapidly dividing immune cells and malignant cells, providing immunosuppressive and antineoplastic effects.

Side Effects

Methotrexate may cause a range of adverse reactions.

Common Side Effects

  • Nausea or vomiting
  • Fatigue or weakness
  • Oral mucosal ulceration
  • Mild liver enzyme elevation
  • Transient alopecia
  • Skin rash or photosensitivity

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia
  • Severe hepatotoxicity or fibrosis
  • Pulmonary toxicity with interstitial pneumonitis
  • Life‑threatening infections due to immunosuppression
  • Renal impairment from crystal nephropathy
  • Anaphylactoid reactions at injection site

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Liver monitoring: perform baseline and periodic liver function tests.
  • Hematologic monitoring: check complete blood counts regularly.
  • Renal function: assess creatinine clearance before initiation and during therapy.
  • Pregnancy avoidance: contraindicated in pregnancy (Category X) and requires effective contraception.
  • Vaccination caution: avoid live vaccines while receiving therapy.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes that may alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Penicillins and sulfonamides: potentiate bone marrow suppression.
  • Live vaccines: risk of severe infection.
  • High‑dose folic acid supplementation: may reduce therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may increase serum methotrexate levels.
  • Diuretics (especially thiazides): affect renal clearance.
  • Oral contraceptives: may reduce methotrexate efficacy in some indications.

Frequently Asked Questions

Metex contains methotrexate and is indicated for rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. In each case the drug works to suppress abnormal immune activity or to inhibit the growth of malignant cells.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA synthesis. This halts the replication of rapidly dividing cells, including immune cells that drive inflammation and cancer cells that proliferate uncontrollably.

The specific dose of Metex is determined by the prescribing clinician based on the patient’s condition, weight, renal function, and treatment goals. Dosage regimens vary widely between autoimmune and oncologic indications and should follow the prescriber’s instructions.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and loss. It is also excreted in breast milk, so breastfeeding is not recommended while receiving the drug.

To request Metex, submit an enquiry on the product page at gnhindia.com with 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 where needed) and necessary import documentation.

Methotrexate is one of the most widely used antimetabolites, offering oral, intramuscular and subcutaneous formulations. Compared with newer agents such as leflunomide for arthritis or newer chemotherapy agents, methotrexate has a well‑characterized efficacy and safety profile, but may require more intensive monitoring for hepatic and hematologic toxicity.

Metex 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 until use to maintain stability and potency.

Metex is supplied as a sterile injection for subcutaneous administration. The injection is typically given by a healthcare professional or trained patient using a pre‑filled syringe or vial, following aseptic technique and the dosing schedule prescribed by the clinician.

Serious risks include bone marrow suppression leading to pancytopenia, severe liver injury or fibrosis, pulmonary toxicity such as interstitial pneumonitis, and life‑threatening infections due to immunosuppression. Patients should be monitored closely for signs of these complications.

Metex is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe liver disease, uncontrolled infections, and those with significant renal impairment that cannot be corrected. It should also be avoided in patients receiving live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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