Product image of Methofill (Methotrexate) supplied by GNH India

Methofill

Active Ingredient:
Methotrexate
Origin:
EU

Methofill (Methotrexate)

Methotrexate, the active ingredient in Methofill, is an antimetabolite (folate antagonist) presented as an injectable solution for intravenous use. It is employed to manage autoimmune disorders and certain cancers in adult and pediatric patients. The drug interferes with DNA synthesis, reducing the proliferation of rapidly dividing cells, which underlies its efficacy in both inflammatory and malignant conditions.

GNH India supplies Methofill as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. Through a robust quality‑assured manufacturing process, the product meets European Union pharmacopoeial standards and is distributed to a global network of healthcare providers.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is used across several disease families, primarily autoimmune disorders and hematologic malignancies.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: induces remission by inhibiting leukemic cell proliferation.
  • Non‑Hodgkin lymphoma: contributes to tumor control through cytotoxic activity.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting dihydrofolate reductase, preventing conversion of dihydrofolate to tetrahydrofolate. This blocks the synthesis of purine nucleotides and thymidylate, impairing DNA, RNA and protein production, which reduces proliferation of rapidly dividing immune and malignant cells.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or weakness.
  • Mouth sores (stomatitis).
  • Mild elevation of liver enzymes.
  • Low white‑blood‑cell count (leukopenia).

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Significant bone‑marrow suppression causing anemia.
  • Renal impairment.
  • Life‑threatening infections.

Precautions & Warnings

Before initiating methotrexate therapy, several safety considerations should be observed.

  • Baseline testing: obtain liver function, renal function and complete blood count before treatment.
  • Pregnancy contraindication: avoid use in pregnancy due to teratogenic risk; ensure effective contraception.
  • Monitoring: perform regular laboratory assessments to detect hepatotoxicity or marrow suppression.
  • Drug interactions: review concomitant medications, especially NSAIDs and other folate antagonists.
  • Patient education: advise on signs of infection, liver problems and pulmonary symptoms.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several agents that can alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Live vaccines: risk of severe infection due to immunosuppression.
  • High‑dose penicillins: reduce renal clearance of methotrexate.

Moderate Interactions (Monitor Closely)

  • Sulfonamide antibiotics: may potentiate hematologic toxicity.
  • Proton pump inhibitors: can affect renal elimination.
  • Trimethoprim‑sulfamethoxazole: increase risk of bone‑marrow suppression.
  • Alcohol: exacerbates liver toxicity.

Frequently Asked Questions

Methofill, containing methotrexate, is indicated for several serious conditions including rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. In each case the drug helps to suppress abnormal immune activity or malignant cell growth.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate into its active form. This inhibition stops the synthesis of nucleotides needed for DNA replication, thereby reducing the proliferation of rapidly dividing cells such as immune cells in autoimmune disease and cancer cells in malignancies.

The dose of Methofill is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. No standard dosing regimen is provided here; the prescriber will calculate the appropriate amount for each patient.

Methofill is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause severe fetal malformations or death. It is also not recommended while breastfeeding, as it may be excreted in milk and harm the infant.

To order Methofill, 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 any required import documentation.

Methofill (methotrexate) shares the folate‑antagonist mechanism with other antimetabolites such as pemetrexed, but methotrexate is distinguished by its long‑standing use in both autoimmune diseases and a broad range of cancers. Its dosing flexibility and extensive clinical experience make it a cornerstone therapy, whereas newer agents may target more specific pathways.

Methofill should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken. Keeping the product in its original packaging helps maintain stability and ensures potency until administration.

Methofill is supplied as an injectable solution for intravenous infusion. Administration is performed by a qualified healthcare professional, typically over a short infusion period, with dosing intervals determined by the treating physician based on the underlying condition.

The most serious adverse risks include severe liver toxicity or fibrosis, profound bone‑marrow suppression leading to anemia or infection, and pulmonary complications such as interstitial pneumonitis. Patients should be monitored regularly for signs of these conditions, and therapy should be stopped if they occur.

Methofill is contraindicated in pregnant or breastfeeding individuals, patients with severe hepatic impairment, uncontrolled renal dysfunction, or known hypersensitivity to methotrexate. Caution is also advised for patients with pre‑existing lung disease or active infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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