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 sterile solution for injection for subcutaneous use. It is employed in the management of autoimmune disorders and certain cancers, specifically rheumatoid arthritis, psoriasis, psoriatic arthritis, acute lymphoblastic leukemia, and gestational trophoblastic disease, providing disease‑modifying benefits.

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

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is indicated for several autoimmune and oncologic conditions where it modulates cell proliferation and inflammation.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases scaling.
  • Psoriatic arthritis: alleviates joint pain while treating skin symptoms.
  • Acute lymphoblastic leukemia: induces remission by inhibiting rapidly dividing leukemic cells.
  • Gestational trophoblastic disease: promotes resolution of abnormal trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for purine and pyrimidine synthesis. This interruption curtails DNA, RNA, and protein production in rapidly dividing cells, leading to cytotoxic effects. Additionally, the drug enhances extracellular adenosine release and suppresses pro‑inflammatory cytokines, contributing to its immunosuppressive and anti‑inflammatory actions in autoimmune diseases.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Oral mucosal ulceration.
  • Fatigue or mild weakness.
  • Transient elevation of liver enzymes.

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia.
  • Severe hepatotoxicity or fibrosis.
  • Pulmonary toxicity, including interstitial pneumonitis.
  • Life‑threatening infections due to immunosuppression.

Precautions & Warnings

Use of Methofill requires careful monitoring and specific safety measures.

  • Liver monitoring: obtain baseline liver function tests and repeat periodically.
  • Hematologic monitoring: perform regular complete blood counts to detect marrow suppression.
  • Renal function: assess creatinine clearance before initiation and during therapy.
  • Pregnancy contraindication: avoid use in pregnant or planning‑to‑be‑pregnant patients (Category X).
  • Infection risk: counsel patients to report signs of infection promptly.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methofill can interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of nephrotoxicity and gastrointestinal toxicity.
  • Other folate antagonists (e.g., trimethoprim): potentiate hematologic toxicity.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may alter methotrexate clearance.
  • Azathioprine or other immunosuppressants: increase risk of bone marrow suppression.
  • Warfarin: may enhance anticoagulant effect, requiring INR monitoring.

Frequently Asked Questions

Methofill contains methotrexate and is prescribed for several autoimmune and oncologic conditions. It is used to manage rheumatoid arthritis, psoriasis, psoriatic arthritis, acute lymphoblastic leukemia, and gestational trophoblastic disease, providing disease‑modifying benefits in each indication.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for purine and pyrimidine synthesis. This halts DNA, RNA, and protein production in rapidly dividing cells and also increases adenosine release, which reduces inflammation and suppresses immune activity.

The dose of Methofill is individualized. A qualified prescriber determines the appropriate amount, frequency, and duration based on the specific indication, patient characteristics, and clinical response. No standard dosing regimen is provided here.

Methofill is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. It is also not recommended for breastfeeding mothers, as methotrexate can be excreted in breast milk and affect 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 logistics if needed), and necessary import documentation.

Methofill (methotrexate) is a conventional synthetic DMARD that is less expensive and orally or subcutaneously administered, unlike many biologics that require intravenous infusion. While biologics target specific cytokines, methotrexate has a broader anti‑inflammatory effect and is often used as first‑line therapy before escalating to biologic agents.

Methofill should be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. If temperature excursions occur, discard the product according to local regulations.

Methofill is supplied as a sterile solution for subcutaneous injection. The injection is typically given into the abdomen or thigh using a suitable needle, following aseptic technique. Patients or healthcare professionals should rotate injection sites to reduce local irritation.

The most serious risks include bone marrow suppression leading to pancytopenia, severe hepatotoxicity or liver fibrosis, and pulmonary toxicity such as interstitial pneumonitis. These adverse events require regular laboratory monitoring and immediate medical attention if symptoms arise.

Methofill should not be used by pregnant or breastfeeding women, patients with severe renal impairment, those with pre‑existing liver disease, or individuals with known hypersensitivity to methotrexate or any component of the formulation. Caution is also advised for patients with active infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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