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 a subcutaneous formulation for injection use. It treats autoimmune conditions such as rheumatoid arthritis and psoriasis, and is also employed in oncology for certain leukemias and solid tumours.

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

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

Methofill, a folate antagonist, is indicated for several autoimmune and oncologic disease groups.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases scaling.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant cell proliferation.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.
  • Osteosarcoma: used as part of chemotherapy regimens to limit tumor growth.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate and thereby disrupting folate‑dependent synthesis of purines and pyrimidines. This impairs DNA, RNA and protein synthesis in rapidly dividing cells, providing both cytotoxic antineoplastic activity and anti‑inflammatory effects through modulation of immune cell function.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or malaise
  • Oral mucosal ulceration (mouth sores)
  • Transient elevation of liver enzymes
  • Mild rash or pruritus
  • Low white blood cell count (leukopenia)

Serious or Rare Side Effects

  • Severe hepatic toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening infections due to bone‑marrow suppression
  • Acute renal failure
  • Secondary malignancies
  • Severe bone‑marrow failure (aplastic anemia)

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and counsel patients on safety measures.

  • Monitor blood counts: perform regular complete blood count tests.
  • Monitor liver function: check hepatic enzymes periodically.
  • Avoid use in pregnancy: methotrexate is contraindicated and requires effective contraception.
  • Assess renal function: adjust dosing in patients with impaired clearance.
  • Use caution in patients with pre‑existing lung disease.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methofill can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of toxicity.
  • Live vaccines: may cause uncontrolled infection.
  • Other folate antagonists (e.g., pemetrexed): additive bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: enhanced immunosuppression.
  • Penicillins: may affect renal clearance of methotrexate.

Frequently Asked Questions

Methofill contains methotrexate and is prescribed for several conditions, including rheumatoid arthritis and psoriasis as an immunosuppressant, as well as for certain cancers such as acute lymphoblastic leukemia, gestational trophoblastic disease, and osteosarcoma where it forms part of chemotherapy protocols.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA, RNA and protein synthesis. This halts the growth of rapidly dividing cells and also reduces inflammatory activity by affecting immune cell function.

The dose of Methofill is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. Only a qualified health professional should determine the appropriate regimen.

Methofill is classified as pregnancy category X, meaning it is contraindicated during pregnancy because it can cause fetal harm. Women of child‑bearing potential must use effective contraception, and breastfeeding is not recommended while receiving treatment.

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 required import documentation.

Compared with biologic DMARDs such as adalimumab, methotrexate (Methofill) is an oral/injectable small‑molecule agent that is less expensive and has a well‑established safety profile, but it may be less rapid in controlling severe disease. In oncology, it offers a different mechanism than agents like cyclophosphamide, providing a folate‑antagonist approach.

Methofill should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. If temporary temperature excursions occur, follow the manufacturer’s guidance before use.

Methofill is supplied for subcutaneous injection. The healthcare professional prepares the dose using aseptic technique, selects an appropriate injection site (typically the abdomen or thigh), and administers the medication at a 45‑degree angle after cleaning the skin with an alcohol swab.

Serious adverse events include severe liver toxicity, pulmonary fibrosis, life‑threatening infections due to bone‑marrow suppression, acute renal failure, and rare secondary malignancies. Patients should be monitored regularly for signs of hepatic dysfunction, respiratory symptoms, and abnormal blood counts.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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