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 presented as an injection for intravenous and subcutaneous use. By inhibiting dihydrofolate reductase, it reduces DNA synthesis and cell proliferation, making it effective for treating certain cancers, autoimmune disorders such as rheumatoid arthritis and psoriasis, and ectopic pregnancy in adult patients. It is approved for use in the European Union and is available only by prescription.

GNH India supplies Methofill as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide, ensuring quality and regulatory compliance.

Manufacturer / TM Owner

Accord Healthcare Limited

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Indications & Clinical Uses

Methotrexate is used in several disease categories where rapid cell turnover or immune activation is a key factor.

  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: slows skin cell proliferation and improves lesions.
  • Acute lymphoblastic leukemia: induces remission by targeting rapidly dividing lymphoblasts.
  • Non-Hodgkin lymphoma: suppresses malignant B‑cell growth.
  • Osteosarcoma: interferes with tumor cell DNA synthesis.
  • Ectopic pregnancy: terminates trophoblastic tissue to avoid surgical intervention.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting the enzyme dihydrofolate reductase. This blockade prevents the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for synthesis of purine nucleotides and thymidylate. Consequently, DNA, RNA and protein synthesis are impaired, leading to reduced proliferation of rapidly dividing cells such as malignant lymphocytes, osteosarcoma cells, and activated immune cells, and also modulates cytokine release.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Mouth sores (mucositis).
  • Fatigue or weakness.
  • Elevated liver enzymes.

Serious or Rare Side Effects

  • Bone marrow suppression leading to anemia, leukopenia, or thrombocytopenia.
  • Pulmonary toxicity presenting as cough or shortness of breath.
  • Severe hepatic injury or renal failure.

Precautions & Warnings

When using Methofill, several precautions should be observed to minimize risk.

  • Pregnancy: contraindicated – avoid use in pregnant women.
  • Renal function: assess before initiating – dose may need adjustment in impaired kidneys.
  • Hepatic function: monitor liver enzymes – avoid in severe liver disease.
  • Hematologic monitoring: regular blood counts – risk of bone marrow suppression.
  • Drug interactions: avoid concurrent NSAIDs and live vaccines – may increase toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methofill can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Nonsteroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity, especially renal.
  • Penicillins (e.g., ampicillin): reduce methotrexate efficacy by competing for renal tubular secretion.
  • Live vaccines: risk of severe infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect methotrexate absorption and increase serum levels.
  • Allopurinol: can raise methotrexate concentrations, requiring close monitoring.

Frequently Asked Questions

Methofill contains methotrexate and is indicated for several serious conditions, including rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, osteosarcoma, and medical management of ectopic pregnancy. It works by targeting rapidly dividing cells or overactive immune pathways, providing disease control in these approved therapeutic areas.

Methotrexate is a folate antagonist that competitively inhibits dihydrofolate reductase, an enzyme essential for converting folic acid to its active form. This inhibition blocks the synthesis of purine nucleotides and thymidylate, which are required for DNA, RNA, and protein production, thereby reducing the proliferation of malignant cells and dampening immune activation.

The dose of Methofill is individualized by the prescribing clinician based on the specific indication, patient weight or body surface area, renal and hepatic function, and treatment response. Because dosing varies widely across oncology and rheumatology protocols, only a qualified healthcare professional should determine the appropriate regimen.

Methofill is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm, including teratogenic effects. It is also not recommended during breastfeeding because methotrexate can be excreted in breast milk and may cause adverse effects in the infant.

To request 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 logistics if needed), and any required import documentation.

Methofill (methotrexate) belongs to the antimetabolite class, whereas alternatives such as biologic disease‑modifying antirheumatic drugs (e.g., adalimumab) target specific cytokines. Methotrexate is generally less expensive and administered by injection, but it may have broader systemic toxicity. Choice of therapy depends on disease severity, patient comorbidities, and response to prior treatments.

Methofill should be stored in a refrigerated environment between 2 °C and 8 °C. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the product. If a temporary temperature excursion occurs, consult the product’s stability data before use.

Methofill is supplied as a sterile solution for injection and may be given intravenously or subcutaneously by a qualified healthcare professional. The route, infusion rate, and frequency are determined by the treating physician according to the specific indication and patient tolerance.

The most critical adverse events include bone marrow suppression (which can lead to severe anemia, neutropenia, or thrombocytopenia), hepatotoxicity (potentially progressing to liver failure), and pulmonary toxicity (manifesting as cough, dyspnea, or interstitial pneumonitis). Prompt monitoring of blood counts, liver function, and respiratory status is essential.

Methofill is contraindicated in pregnant or breastfeeding women, patients with severe hepatic impairment, significant renal dysfunction, known hypersensitivity to methotrexate or its excipients, and individuals receiving live vaccines. Clinicians should also exercise caution in patients with pre‑existing bone marrow disorders or uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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