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 a subcutaneous formulation for injection use. It is employed as an immunosuppressant and disease‑modifying antirheumatic drug to treat autoimmune conditions and certain malignancies in adult patients by inhibiting key enzymes in folate metabolism, reducing abnormal cell proliferation and inflammation.

GNH India supplies Methofill as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory documentation for global distribution.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is used across several autoimmune and oncologic disease pathways to modify disease activity.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriatic arthritis: alleviates joint swelling and skin lesions.
  • Severe plaque psoriasis: decreases plaque formation and scaling.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication.
  • Non‑Hodgkin lymphoma: limits tumor growth by disrupting DNA synthesis.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for purine and pyrimidine synthesis. This blockade reduces DNA, RNA, and protein production, leading to decreased proliferation of rapidly dividing cells. In addition, the drug promotes extracellular adenosine release, which contributes to its anti‑inflammatory effects in autoimmune disorders.

Side Effects

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

Common Side Effects

  • Nausea and vomiting: transient gastrointestinal upset.
  • Stomatitis: inflammation or ulceration of the oral mucosa.
  • Fatigue: general tiredness or weakness.
  • Elevated liver enzymes: mild hepatic irritation.
  • Mild bone‑marrow suppression: slight reduction in blood cell counts.

Serious or Rare Side Effects

  • Severe liver toxicity: potential for hepatitis or fibrosis.
  • Pulmonary fibrosis: progressive lung scarring.
  • Pancytopenia: profound suppression of all blood cell lines.
  • Renal toxicity: impaired kidney function.
  • Life‑threatening infection: due to immunosuppression.
  • Cutaneous necrosis: skin ulceration at injection sites.

Precautions & Warnings

Before initiating Methofill, several safety considerations are recommended.

  • Liver monitoring: perform baseline and periodic liver function tests.
  • Hematologic surveillance: check complete blood counts regularly.
  • Renal assessment: evaluate kidney function prior to and during therapy.
  • Infection risk: avoid use in active infections and monitor for signs of infection.
  • Contraception: ensure effective birth control for women of childbearing potential.
  • 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)

  • NSAIDs: increase risk of bone‑marrow suppression and renal toxicity.
  • Trimethoprim/sulfamethoxazole: potentiate myelosuppression.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect methotrexate absorption.
  • Alcohol: can exacerbate hepatic toxicity.

Frequently Asked Questions

Methofill, containing methotrexate, is indicated for rheumatoid arthritis, psoriatic arthritis, severe plaque psoriasis, acute lymphoblastic leukemia, and non‑Hodgkin lymphoma. In autoimmune diseases it acts as a disease‑modifying antirheumatic drug, while in oncology it functions as a chemotherapeutic agent that inhibits cancer cell growth.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a cofactor for DNA and RNA synthesis. This inhibition reduces the proliferation of rapidly dividing cells, such as immune cells and cancer cells. Additionally, methotrexate increases extracellular adenosine, providing anti‑inflammatory effects that help control autoimmune disease activity.

The specific dose of Methofill is determined by the prescribing clinician based on the patient’s condition, weight, renal function, and treatment response. Dosage regimens can vary widely between rheumatologic and oncologic indications, and the prescriber will tailor the schedule to achieve optimal therapeutic benefit while minimizing risk.

Methofill is classified as contraindicated in pregnancy because it can cause fetal malformations and embryotoxicity. Women of childbearing potential should use effective contraception during treatment and for a period after discontinuation. Breastfeeding is not recommended, as methotrexate is excreted in milk and may harm the infant.

To request Methofill, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide and will ask for trade or institutional credentials. The sales team then provides pricing, availability, shipping details—including cold‑chain logistics if needed—and assists with import documentation.

Methofill (methotrexate) is a conventional synthetic DMARD, whereas many newer options are biologic agents such as TNF‑α inhibitors. Methotrexate is generally less expensive and administered via subcutaneous injection, but biologics may offer faster symptom control for some patients. Choice of therapy depends on disease severity, comorbidities, prior treatment response, and cost considerations.

Methofill should be stored at 2‑8 °C in a refrigerator. Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. If temporary storage at room temperature is unavoidable, limit exposure to less than 24 hours and return to refrigeration promptly.

Methofill is given as a subcutaneous injection, typically into the abdomen or thigh. The injection is performed by a healthcare professional or trained patient using a sterile needle and syringe. The injection site should be rotated to reduce local irritation, and proper aseptic technique must be followed to prevent infection.

The most serious risks include severe liver toxicity, pulmonary fibrosis, pancytopenia (dangerously low blood cell counts), renal impairment, and life‑threatening infections. Patients should be monitored regularly with liver function tests, complete blood counts, and renal assessments, and any signs of infection or respiratory symptoms should prompt immediate medical evaluation.

Methofill is contraindicated in patients with known hypersensitivity to methotrexate, severe hepatic disease, significant renal impairment, active infections, or existing bone‑marrow suppression. It should also be avoided in pregnant women and in individuals who cannot adhere to required monitoring protocols. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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