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 injectable solution for subcutaneous administration. It is employed in the management of rheumatoid arthritis, severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and medically indicated ectopic pregnancy, providing disease‑modifying and cytotoxic effects in these conditions.

GNH India supplies Methofill as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to stringent quality standards and offering reliable global distribution.

Manufacturer / TM Owner

Accord Healthcare Limited

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Indications & Clinical Uses

Methofill (methotrexate) is used in several disease‑modifying and oncologic indications.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: improves skin lesions and reduces plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Non‑Hodgkin lymphoma: contributes to tumor regression as part of chemotherapy regimens.
  • Ectopic pregnancy: terminates trophoblastic tissue when medical management is chosen.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate, a cofactor essential for purine and pyrimidine synthesis. This disruption reduces DNA, RNA and protein synthesis in rapidly dividing cells, producing immunosuppressive, anti‑inflammatory, and cytotoxic effects that underlie its therapeutic activity.

Side Effects

Methofill may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Fatigue: general tiredness.
  • Mouth sores: oral mucositis.
  • Elevated liver enzymes: transient hepatic enzyme rise.

Serious or Rare Side Effects

  • Severe liver toxicity: hepatitis or fibrosis.
  • Pulmonary fibrosis: interstitial lung disease.
  • Bone marrow suppression: severe pancytopenia.
  • Severe infection: opportunistic infections due to immunosuppression.

Precautions & Warnings

When using Methofill, several safety considerations are essential.

  • Pregnancy: contraindicated (Category X) due to teratogenic risk.
  • Renal function: assess before use and monitor because the drug is renally excreted.
  • Liver function: monitor hepatic enzymes regularly.
  • Hematologic status: obtain baseline CBC; watch for cytopenias.
  • Concomitant NSAIDs: avoid or use with caution due to increased toxicity.
  • 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)

  • Live vaccines: risk of severe infection.
  • NSAIDs: increased methotrexate toxicity.
  • Proton pump inhibitors: may raise methotrexate levels.
  • Trimethoprim‑sulfamethoxazole: enhanced myelosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppression.
  • Penicillins: possible increased toxicity.
  • Oral contraceptives: reduced efficacy.

Frequently Asked Questions

Methofill, containing methotrexate, is indicated for rheumatoid arthritis, severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and medically managed ectopic pregnancy. In each case the drug provides disease‑modifying or cytotoxic effects appropriate to the condition.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for purine and pyrimidine synthesis. This limits DNA, RNA and protein production in rapidly dividing cells, resulting in immunosuppression, anti‑inflammatory activity, and cytotoxicity against malignant cells.

The dose of Methofill is individualized and set by the prescribing clinician based on the specific indication, patient characteristics, and response to therapy. No standard dosing regimen is provided here; the prescriber determines the appropriate amount and schedule.

Methofill is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because of proven teratogenic risk. It is also not recommended while breastfeeding, as methotrexate can be excreted in breast milk and may 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 where required) and necessary import documentation.

Methofill (methotrexate) is a conventional synthetic DMARD with a well‑established efficacy profile, often used as first‑line therapy for rheumatoid arthritis and psoriasis. Compared with biologic agents, it is less expensive and administered subcutaneously, but may require more laboratory monitoring and carries a distinct safety profile, especially regarding hepatic and hematologic effects.

Methofill should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and ensure proper handling.

Methofill is given as a subcutaneous injection. The prescriber or trained healthcare professional selects the injection site (typically the abdomen or thigh), cleans the area with an antiseptic, and administers the dose using a sterile needle and syringe according to standard aseptic technique.

Serious risks include severe liver toxicity (hepatitis or fibrosis), pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, and life‑threatening infections due to immunosuppression. Patients should be monitored regularly for signs of these complications.

Methofill is contraindicated in pregnant women, individuals with severe renal or hepatic impairment, patients with known hypersensitivity to methotrexate or any excipients, and those receiving live vaccines. Caution is also advised for patients with existing blood disorders or uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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