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

Methofill Sd

Active Ingredient:
Methotrexate
Origin:
EU

Methofill Sd (Methotrexate)

Methotrexate, the active ingredient in Methofill Sd, is an antimetabolite (folate antagonist) presented as a subcutaneous injection for subcutaneous use. It is employed to treat rheumatoid arthritis, psoriasis, psoriatic arthritis, acute lymphoblastic leukemia and gestational trophoblastic disease in appropriate patients.

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

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

Methofill Sd (methotrexate) is used across several disease families, primarily autoimmune and malignant disorders.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: decreases skin plaque formation and severity.
  • Psoriatic arthritis: improves joint symptoms and skin lesions.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Gestational trophoblastic disease: promotes resolution of abnormal trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate and thereby limiting nucleotide synthesis. This reduction in DNA, RNA and protein production hampers rapidly dividing cells, including immune cells and malignant clones, while also exerting anti‑inflammatory effects through adenosine release.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Fatigue or malaise
  • Mouth sores (stomatitis)
  • Mild liver enzyme elevation
  • Low white blood cell count (leukopenia)
  • Skin rash or itching

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Renal impairment or failure
  • Significant bone marrow suppression leading to anemia
  • Life‑threatening infections due to immunosuppression
  • Rare hypersensitivity reactions including anaphylaxis

Precautions & Warnings

Before initiating therapy, clinicians should evaluate baseline organ function and contraindications.

  • Pregnancy: contraindicated; teratogenic risk is high.
  • Breastfeeding: avoid use; drug is excreted in milk.
  • Renal function: adjust dose or avoid if severe impairment.
  • Hepatic function: monitor liver enzymes regularly.
  • Immunosuppression: monitor for signs of infection.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors (e.g., omeprazole): may raise serum levels.
  • Trimethoprim‑sulfamethoxazole: enhances bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or mycophenolate: additive immunosuppression.
  • Live vaccines: risk of infection due to immunosuppression.
  • Phenytoin or carbamazepine: may reduce methotrexate effectiveness.

Frequently Asked Questions

Methofill Sd contains methotrexate, which is indicated for rheumatoid arthritis, psoriasis, psoriatic arthritis, acute lymphoblastic leukemia and gestational trophoblastic disease. In each case the drug works to reduce disease activity, control inflammation or inhibit abnormal cell growth as appropriate for the condition.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA and RNA synthesis. This limits the proliferation of rapidly dividing cells, such as immune cells involved in autoimmunity and cancer cells, while also promoting anti‑inflammatory pathways through increased adenosine release.

The specific dose and dosing schedule of Methofill Sd are determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment response. Healthcare providers set the appropriate regimen and adjust it as needed during therapy.

Methofill Sd is classified as pregnancy category X because it is highly teratogenic and can cause fetal harm. It should not be used by pregnant women. Breastfeeding is also contraindicated, as methotrexate is excreted in breast milk and may affect the infant.

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 where required) and necessary import documentation.

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

Methofill Sd should be stored at 2‑8 °C in a refrigerator. Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. Do not store at room temperature for extended periods, as stability may be compromised.

Methofill Sd is supplied as a sterile solution for subcutaneous injection. The injection is typically given by a healthcare professional or trained patient using a pre‑filled syringe or needle‑free device, following aseptic technique. Injection sites are rotated to minimize local irritation.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to anemia or infection, and rare hypersensitivity reactions such as anaphylaxis. Patients should be monitored regularly for liver enzymes, blood counts and respiratory symptoms, and any alarming signs should prompt immediate medical evaluation.

Methofill Sd is contraindicated in pregnant women, breastfeeding mothers, patients with severe renal or hepatic impairment, and individuals with known hypersensitivity to methotrexate or any component of the formulation. Caution is also advised for patients with active infections or pre‑existing lung disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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