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 to treat rheumatoid arthritis, psoriasis, certain cancers and ectopic pregnancy in adult patients.
GNH India supplies Methofill as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Methotrexate is a disease‑modifying antirheumatic drug (DMARD) that acts on rapidly dividing cells and immune pathways.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin lesions and plaque formation.
  • Certain cancers (e.g., leukemia, lymphoma): interferes with cancer cell proliferation.
  • Ectopic pregnancy: terminates abnormal trophoblastic tissue.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This impairs synthesis of purine nucleotides and thymidylate, leading to reduced DNA replication and cell division. The resulting immunosuppression and antiproliferative effects underlie its therapeutic activity in autoimmune diseases and malignancies.

Side Effects

Methotrexate may cause a range of adverse reactions.

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Mouth sores (stomatitis).
  • Decreased blood cell counts.
  • Elevated liver enzymes.
  • Hair thinning or loss.

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening infection due to bone‑marrow suppression.
  • Renal failure or impaired kidney function.
  • Anaphylactic or severe allergic reactions.
  • Birth defects when exposure occurs in pregnancy.

Precautions & Warnings

  • Before initiating therapy, several safety considerations are required.
  • Monitor liver function: perform baseline and periodic liver enzyme tests.
  • Monitor blood counts: conduct regular complete blood count assessments.
  • Avoid use in pregnancy: contraindicated due to teratogenic risk (Category X).
  • Avoid live vaccines: immunosuppression may increase infection risk.
  • Adjust dose in renal impairment: reduce dosage or increase monitoring.
  • Store at room temperature: keep in original packaging, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several medicines that can alter its safety or efficacy.

Major Interactions (Avoid)

  • NSAIDs: increase methotrexate toxicity.
  • Trimethoprim: enhance myelosuppression.
  • Proton pump inhibitors: raise methotrexate plasma levels.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppression.
  • Sulfasalazine: may increase hepatic effects.
  • Alcohol: potentiates liver injury.

Frequently Asked Questions

Methofill contains methotrexate, which is prescribed for rheumatoid arthritis, moderate to severe plaque psoriasis, certain hematologic cancers such as leukemia and lymphoma, and for medical management of ectopic pregnancy. The drug works by suppressing abnormal immune activity and inhibiting rapid cell growth.

Methotrexate blocks dihydrofolate reductase, an enzyme needed to produce tetrahydrofolate, a cofactor for DNA synthesis. By limiting nucleotide formation, it reduces proliferation of immune cells and rapidly dividing tissues, providing anti‑inflammatory and anti‑cancer effects.

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

Methofill is classified as Pregnancy Category X because it can cause severe fetal malformations and miscarriage. It is contraindicated in pregnancy and should not be used by nursing mothers, as it may be excreted in breast milk and harm the infant.

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 import documentation.

Methofill (methotrexate) is often considered a first‑line DMARD due to its proven efficacy, oral or injectable formulations, and cost‑effectiveness. Compared with biologic agents, it has a broader safety profile but may require more laboratory monitoring. Choice of therapy depends on disease severity, patient comorbidities and treatment goals.

Methofill should be stored at room temperature, below 25 °C, in its original container to protect it from moisture and light. Do not freeze the product. Keep it out of reach of children and handle with clean, dry hands to maintain sterility.

Methofill is supplied for subcutaneous injection. The healthcare provider prepares the dose using a sterile syringe and injects it into the subcutaneous tissue, typically in the abdomen or thigh, following aseptic technique and the prescribed dosing schedule.

Serious risks include severe liver toxicity, pulmonary fibrosis, bone‑marrow suppression leading to life‑threatening infections, renal failure, and rare anaphylactic reactions. Patients should be monitored regularly for liver enzymes, lung function, blood counts and kidney parameters to detect these complications early.

Methofill is contraindicated in pregnant women, nursing mothers, patients with severe liver or kidney disease, uncontrolled infections, and individuals with known hypersensitivity to methotrexate or any component of the formulation. A thorough medical assessment is required before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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