Product image of Metex (Methotrexate) supplied by GNH India

Metex

Active Ingredient:
Methotrexate
Origin:
EU

Metex (Methotrexate)

Methotrexate, the active ingredient in Metex, is an antimetabolite presented as an injection for subcutaneous use. It treats autoimmune diseases such as rheumatoid arthritis and psoriasis, and is also employed in oncology for certain leukemias and solid tumours.

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 used in the management of autoimmune and malignant conditions that involve rapid cell proliferation.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and reduces scaling.
  • Acute lymphoblastic leukemia: interferes with leukemic cell replication to achieve remission.
  • Other cancers (e.g., breast, lung): used as part of combination chemotherapy to enhance tumor control.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This impairs synthesis of purine nucleotides and thymidylate, leading to reduced DNA synthesis and cell replication, particularly affecting rapidly dividing immune 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 malaise
  • Mouth sores (stomatitis)
  • Mild elevation of liver enzymes
  • Low blood cell counts (mild cytopenia)
  • Hair thinning or loss

Serious or Rare Side Effects

  • Severe liver toxicity (hepatitis, fibrosis)
  • Pulmonary fibrosis or interstitial pneumonitis
  • Profound bone marrow suppression (pancytopenia)
  • Acute kidney injury or failure
  • Life‑threatening infections due to immunosuppression
  • Anaphylactic or severe hypersensitivity reactions

Precautions & Warnings

  • Before initiating therapy, clinicians should assess baseline organ function and counsel patients on potential risks.
  • Monitor liver function: perform regular liver enzyme tests.
  • Assess renal function: obtain baseline creatinine and periodic monitoring.
  • Screen for infections: test for tuberculosis, hepatitis B/C before treatment.
  • Avoid in pregnancy: drug is teratogenic and contraindicated (Category X).
  • 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 safety or efficacy.

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity and myelosuppression.
  • Penicillins (e.g., ampicillin): potentiate bone marrow suppression.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamide antibiotics: may increase hematologic toxicity.
  • Warfarin: may enhance anticoagulant effect, requiring INR monitoring.

Frequently Asked Questions

Metex contains methotrexate, which is prescribed for autoimmune disorders such as rheumatoid arthritis and psoriasis, as well as for certain cancers including acute lymphoblastic leukemia and other solid tumours when used as part of a chemotherapy regimen.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA synthesis. This limits the proliferation of rapidly dividing cells, including immune cells that drive inflammation and cancer cells that drive tumour growth.

The exact dose of Metex is determined by the prescribing clinician based on the specific indication, patient weight, renal function and treatment protocol. Dosage regimens are individualized and should follow the prescriber’s instructions.

Methotrexate is classified as Pregnancy Category X because it can cause severe fetal malformations and miscarriage. It is contraindicated in pregnancy and should be stopped well before conception. Breastfeeding is also not recommended while using methotrexate.

To place an order, submit an enquiry on the Metex 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 such as TNF‑alpha inhibitors, methotrexate is a small‑molecule antimetabolite that is less expensive and can be combined with other drugs. However, it may have a broader side‑effect profile, especially concerning liver and bone‑marrow toxicity, requiring regular monitoring.

Metex should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability.

Metex is supplied as a sterile injection for subcutaneous administration. It is typically injected into the fatty tissue of the abdomen or thigh using a pre‑filled syringe or vial, following aseptic technique and the prescriber’s dosing schedule.

The most serious risks include severe liver injury, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, acute kidney failure, and life‑threatening infections. 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 or renal impairment, and those with active infections such as untreated tuberculosis. 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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