Product image of Methofill Pen (Methotrexate) supplied by GNH India

Methofill Pen

Active Ingredient:
Methotrexate
Origin:
EU

Methofill Pen (Methotrexate)

Methotrexate, the active ingredient in Methofill Pen, is a folate antimetabolite presented as a prefilled injection pen for subcutaneous use. It is employed to treat autoimmune disorders, certain malignancies and ectopic pregnancy in adult patients.
GNH India supplies Methofill Pen 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 acts on rapidly dividing cells and modulates immune pathways, making it useful across several disease families.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Certain cancers (e.g., leukemia, lymphoma): interferes with tumor cell proliferation.
  • Ectopic pregnancy: halts trophoblastic growth to allow non‑surgical resolution.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the regeneration of tetrahydrofolate needed for purine and pyrimidine synthesis. This blockade reduces DNA, RNA and protein production, leading to decreased proliferation of immune cells and malignant cells, and thereby exerts immunosuppressive and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Oral mucosal ulceration.
  • Mild elevation of liver enzymes.
  • Transient low blood cell counts.
  • Headache.

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening infection due to bone‑marrow suppression.
  • Acute renal failure.
  • Severe skin reactions such as Stevens‑Johnson syndrome.
  • Significant bone‑marrow aplasia leading to pancytopenia.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Monitor liver function: perform baseline and periodic liver enzyme tests.
  • Assess renal function: adjust dosing or avoid use if renal impairment is present.
  • Check complete blood count: watch for cytopenias and intervene promptly.
  • Avoid use in pregnancy: drug is teratogenic and contraindicated.
  • Ensure effective contraception: both male and female patients should use reliable methods.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Penicillins: may reduce methotrexate efficacy.
  • Live vaccines: heightened risk of infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: can augment myelosuppression.
  • Proton pump inhibitors: may affect methotrexate absorption.
  • Alcohol: can exacerbate hepatic toxicity.

Frequently Asked Questions

Methofill Pen contains methotrexate and is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, certain hematologic malignancies such as leukemia and lymphoma, and for medical management of ectopic pregnancy. It works by suppressing abnormal immune activity and inhibiting rapid cell division.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folic acid into its active form. This inhibition reduces the synthesis of DNA, RNA and proteins, leading to decreased proliferation of immune cells and cancer cells, thereby providing immunosuppressive and antineoplastic effects.

The specific dose of Methofill Pen is determined by the prescribing clinician based on the patient’s condition, disease severity, renal and hepatic function, and other individual factors. Only a qualified health professional should set the dosing regimen.

Methotrexate is classified as teratogenic and is contraindicated in pregnancy. Women of child‑bearing potential should use effective contraception before, during, and after treatment. Limited data exist for breastfeeding, and the drug is generally not recommended while nursing.

To place an order, 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.

Methofill Pen offers a prefilled subcutaneous injection pen, which can improve dosing accuracy and patient convenience compared with traditional vial or oral formulations. The pharmacologic profile of methotrexate remains the same, but the pen may reduce injection‑site discomfort and simplify self‑administration.

Methofill Pen should be stored at 2‑8 °C (refrigerated). Keep the pen in its original packaging, protect it from light, and avoid freezing or shaking the device. Do not use the product if it has been exposed to temperatures outside this range.

Methofill Pen is a prefilled injection pen designed for subcutaneous delivery. The prescriber or trained healthcare professional selects the prescribed dose, cleans the injection site, and depresses the pen to inject the medication into the fatty tissue of the abdomen or thigh.

Serious risks include severe liver toxicity, pulmonary fibrosis, life‑threatening infections due to bone‑marrow suppression, renal failure, and rare but severe skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for signs of these complications.

Methofill Pen should not be used by individuals who are pregnant, have uncontrolled liver disease, severe renal impairment, known hypersensitivity to methotrexate, or who are receiving live vaccines. It is also contraindicated in patients with active infections that could be worsened by immunosuppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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