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 injection for systemic use. It is employed to manage autoimmune disorders, certain malignancies, and ectopic pregnancy, acting as an immunosuppressant and cytotoxic agent in adult and pediatric patients as appropriate. The formulation is designed for subcutaneous delivery, allowing steady absorption and convenient administration in clinical settings.

GNH India supplies Methofill as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and research institutions worldwide through its global network.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Methofill (methotrexate) acts on rapidly dividing cells and immune pathways, providing therapeutic benefit in several disease categories.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation and improves plaque lesions.
  • Acute lymphoblastic leukemia: interferes with cancer cell DNA synthesis, contributing to remission.
  • Non‑Hodgkin lymphoma: impedes malignant lymphocyte growth as part of chemotherapy regimens.
  • Ectopic pregnancy: terminates trophoblastic tissue to avoid surgical intervention.

How It Works

  • Methotrexate competitively 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, limiting proliferation of immune cells and rapidly dividing tissues. In addition, methotrexate promotes the release of adenosine, which exerts anti‑inflammatory effects on various immune pathways. The combined antiproliferative and anti‑inflammatory actions underlie its efficacy in autoimmune and oncologic settings.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Fatigue: persistent tiredness affecting daily activities.
  • Mouth sores: ulceration of oral mucosa.
  • Low blood counts: mild leukopenia or anemia.

Serious or Rare Side Effects

  • Severe liver toxicity: marked elevation of transaminases or hepatitis.
  • Pulmonary fibrosis: progressive shortness of breath and interstitial lung disease.
  • Bone marrow failure: pancytopenia requiring medical intervention.

Precautions & Warnings

When using Methofill, several safety measures and monitoring practices should be observed.

  • Monitor blood counts: perform regular CBC tests to detect cytopenias early.
  • Assess liver function: schedule periodic LFTs to identify hepatotoxicity.
  • Evaluate renal function: check serum creatinine and clearance before dosing.
  • Avoid live vaccines: immunosuppression increases infection risk from live attenuated vaccines.
  • Counsel on contraception: pregnancy is contraindicated; effective birth control must be used.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methofill can interact with other medicines, altering its efficacy or toxicity profile.

Major Interactions (Avoid)

  • NSAIDs: may increase risk of renal impairment and reduce methotrexate clearance.
  • Trimethoprim‑sulfamethoxazole: enhances myelosuppression and can cause severe cytopenias.
  • Live vaccines: heightened risk of infection due to combined immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppressive effect may require dose adjustments.
  • Proton pump inhibitors: may affect methotrexate absorption and increase serum levels.

Frequently Asked Questions

Methofill, containing methotrexate, is prescribed for several approved indications including rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and medically managed ectopic pregnancy. In each case the drug works by reducing abnormal cell proliferation or modulating immune activity to improve clinical outcomes.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate into its active form needed for DNA, RNA and protein synthesis. This inhibition limits the growth of rapidly dividing cells such as immune cells and cancer cells, while also increasing extracellular adenosine that dampens inflammatory pathways.

The specific dose of Methofill is individualized by the prescribing clinician based on the patient’s diagnosis, disease severity, body surface area, renal and hepatic function, and response to therapy. Dosage adjustments are made during treatment according to laboratory monitoring and clinical assessment.

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

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 if needed) and any required import documentation.

Compared with biologic agents, methotrexate is a small‑molecule drug that can be administered subcutaneously and is generally less costly. Its dual anti‑inflammatory and antiproliferative actions make it useful in both autoimmune diseases and certain cancers, whereas many biologics target only specific cytokines. However, methotrexate requires regular laboratory monitoring for toxicity.

Methofill should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight and extreme temperature fluctuations. Do not refrigerate or freeze unless the specific packaging instructions indicate otherwise.

Methofill is supplied as a sterile solution for subcutaneous injection. A healthcare professional administers the dose using a suitable needle, typically into the abdomen or thigh, following aseptic technique. The injection site should be rotated to minimize local irritation.

Patients should be alert for signs of severe liver toxicity (jaundice, dark urine), pulmonary complications (persistent cough, shortness of breath), and bone‑marrow suppression (unexplained bruising, infections, fatigue). Any of these symptoms require immediate medical evaluation.

Methofill is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe hepatic impairment, uncontrolled infections, and those receiving live vaccines. Caution is also advised for patients with significant renal dysfunction or pre‑existing bone‑marrow disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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