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 is employed to modify disease activity in autoimmune conditions and to treat certain cancers in adult and pediatric patients.

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

Manufacturer / TM Owner

Accord Healthcare Ireland Limited

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Indications & Clinical Uses

Methofill is a folate‑antagonist used across several disease families, primarily autoimmune and oncologic disorders.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage in adult patients.
  • Psoriasis: improves skin lesions and decreases disease severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation as part of combination chemotherapy.
  • Osteosarcoma: contributes to tumor growth inhibition when used in multimodal regimens.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing regeneration of tetrahydrofolate and thereby limiting purine and pyrimidine synthesis. This blockade reduces DNA, RNA and protein production, leading to decreased proliferation of rapidly dividing cells. In immune-mediated diseases, the drug also promotes extracellular adenosine release, which exerts anti‑inflammatory effects.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or malaise
  • Oral mucositis or ulceration
  • Elevated liver enzymes
  • Alopecia (hair loss)
  • Headache

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia
  • Pulmonary toxicity, including interstitial pneumonitis
  • Severe hepatotoxicity or fibrosis
  • Acute renal failure
  • Life‑threatening infections
  • Anaphylactic or severe hypersensitivity reactions

Precautions & Warnings

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

  • Monitor blood counts: perform complete blood count regularly to detect marrow suppression.
  • Assess liver function: check transaminases and bilirubin before and during therapy.
  • Evaluate renal function: adjust use in patients with impaired clearance.
  • Avoid use in pregnancy: drug is contraindicated and teratogenic.
  • Counsel on contraception: effective methods required for both sexes.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methofill interacts with several medicines that can alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Trimethoprim‑sulfamethoxazole: potentiates myelosuppression.
  • Proton pump inhibitors: may raise methotrexate levels.
  • Live vaccines: risk of severe infection.
  • Alcohol: exacerbates hepatotoxicity.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: additive bone‑marrow effects.
  • Cyclosporine: may increase methotrexate concentrations.
  • Sulfonamide antibiotics: enhance toxicity.
  • Penicillins: possible competitive renal excretion.
  • Warfarin: may augment anticoagulant effect.

Frequently Asked Questions

Methofill contains methotrexate, which is prescribed for several approved indications including rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, and osteosarcoma. In autoimmune diseases it helps control inflammation and joint damage, while in oncology it is part of regimens that target rapidly dividing cancer cells.

Methotrexate blocks the enzyme dihydrofolate reductase, reducing the supply of tetrahydrofolate needed for DNA, RNA and protein synthesis. This limits the proliferation of immune cells and malignant cells. Additionally, it increases extracellular adenosine, which has anti‑inflammatory properties that contribute to its effectiveness in rheumatic disorders.

The specific dose of Methofill is individualized by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Healthcare providers determine the appropriate amount, frequency and duration, and patients should follow the prescriber’s instructions without self‑adjusting the dose.

Methofill is classified as Pregnancy Category X, indicating it is contraindicated in pregnancy because it can cause fetal harm and malformations. It is also not recommended while breastfeeding, as methotrexate can be excreted in milk and may affect the infant. Effective contraception is required for both men and women of reproductive potential.

To request Methofill, visit the product page on gnhindia.com and submit an enquiry with the desired quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifying trade or institutional credentials before providing pricing, availability, shipping details (including cold‑chain logistics if required) and necessary import documentation.

Methofill (methotrexate) is a conventional synthetic DMARD often used before or alongside biologic agents such as TNF‑α inhibitors. Compared with newer biologics, methotrexate is less expensive and administered subcutaneously, but it may require more laboratory monitoring for liver and marrow toxicity. Its efficacy in many patients is comparable, especially when combined with other therapies.

Methofill should be stored in a refrigerator at 2‑8 °C. Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. If temporary temperature excursions occur, consult the supplier before use.

Methofill is supplied for subcutaneous injection. A healthcare professional prepares the dose using a sterile syringe and injects it into the subcutaneous tissue, typically in the abdomen or thigh. Patients should be trained on proper injection technique, site rotation and disposal of sharps according to local regulations.

The most critical adverse events to monitor include bone‑marrow suppression leading to severe cytopenias, hepatotoxicity that can progress to fibrosis or cirrhosis, and pulmonary toxicity such as interstitial pneumonitis. Early detection through regular laboratory testing and prompt reporting of respiratory symptoms are essential to mitigate these risks.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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