Product image of Methotrexaat Basic Pharma (Methotrexate) supplied by GNH India

Methotrexaat Basic Pharma

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexaat Basic Pharma (Methotrexate)

Methotrexate, the active ingredient in Methotrexaat Basic Pharma, is a antimetabolite presented as a subcutaneous preparation for subcutaneous use. It treats rheumatoid arthritis, psoriasis, certain leukemias and bone cancers in adult and pediatric patients.

GNH India supplies Methotrexaat Basic Pharma as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Basic Pharma Manufacturing Bv

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Indications & Clinical Uses

Methotrexate is a disease-modifying antirheumatic drug (DMARD) that interferes with abnormal cell proliferation in autoimmune and malignant conditions.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell turnover, improving plaque severity.
  • Acute lymphoblastic leukemia: inhibits malignant lymphoblast proliferation, supporting remission.
  • Osteosarcoma: impedes tumor growth by disrupting DNA synthesis in bone cancer cells.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting dihydrofolate reductase, an enzyme essential for tetrahydrofolate regeneration. This inhibition reduces the synthesis of purine nucleotides and thymidylate, leading to impaired DNA, RNA and protein synthesis. The resulting antiproliferative effect is most pronounced in rapidly dividing cells, such as activated immune cells and malignant tumor cells, thereby modulating immune responses and tumor growth.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate upset stomach.
  • Fatigue: generalized tiredness.
  • Mouth sores: oral ulcerations.
  • Elevated liver enzymes: transient increase in hepatic labs.

Serious or Rare Side Effects

  • Bone marrow suppression: risk of anemia, leukopenia, thrombocytopenia.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Severe hepatic injury: potential for fibrosis or cirrhosis with long‑term use.

Precautions & Warnings

When prescribing methotrexate, several precautions should be observed to minimize risks.

  • Renal function: assess creatinine clearance before initiation and periodically.
  • Hepatic monitoring: perform baseline and regular liver function tests.
  • Pregnancy avoidance: contraindicated in pregnancy; ensure effective contraception.
  • Concomitant NSAIDs: avoid or use cautiously as they may increase toxicity.
  • Immunizations: defer live vaccines during treatment.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • Trimethoprim‑sulfamethoxazole: can increase hematologic toxicity.
  • Non‑steroidal anti‑inflammatory drugs (high dose): may raise methotrexate serum levels.
  • Proton pump inhibitors: may reduce renal clearance, enhancing toxicity.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppression, monitor blood counts.
  • Live vaccines: risk of infection, avoid during therapy.
  • Penicillins (high dose): may decrease methotrexate clearance.

Frequently Asked Questions

Methotrexaat Basic Pharma contains methotrexate, which is employed to manage rheumatoid arthritis and psoriasis, and to treat certain cancers such as acute lymphoblastic leukemia and osteosarcoma. It works by slowing abnormal cell growth and modulating immune activity, helping to control inflammation and tumor progression.

Methotrexate functions as a folate antagonist. It blocks the enzyme dihydrofolate reductase, preventing the regeneration of tetrahydrofolate needed for DNA, RNA and protein synthesis. This inhibition curtails the proliferation of rapidly dividing cells, including immune cells that drive inflammation and cancer cells that drive tumor growth.

The dosage of methotrexate is individualized. A qualified prescriber determines the appropriate amount, frequency and duration based on the specific indication, patient weight, renal and hepatic function, and response to therapy. Patients should follow the prescribing clinician’s instructions and not adjust the dose on their own.

Methotrexate is classified as pregnancy category X, meaning it is contraindicated during pregnancy because of a high risk of fetal malformations and miscarriage. It is also not recommended while breastfeeding, as it can be excreted in milk and may harm the infant. Effective contraception is required for women of child‑bearing potential.

To place an order, visit the product page on gnhindia.com, enter the required quantity and submit the enquiry form. 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.

Methotrexate is often considered the first‑line disease‑modifying antirheumatic drug because of its proven efficacy, oral or injectable formulations, and relatively well‑characterized safety profile. Compared with biologic DMARDs, it is less costly but may require more laboratory monitoring. Its immunosuppressive potency is similar to other conventional DMARDs such as leflunomide, yet each agent has a distinct side‑effect spectrum.

The product should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken vigorously. Keep the vial in its original packaging until use, and discard any solution that appears discolored or contains particles. Follow local pharmacy storage regulations and handle with aseptic technique during preparation.

Methotrexaat Basic Pharma is supplied for subcutaneous injection. A healthcare professional prepares the dose using a sterile syringe and injects it into the subcutaneous tissue, typically in the abdomen or thigh. The injection site should be rotated to reduce local irritation, and patients should be observed for any immediate adverse reactions.

Key serious risks include bone‑marrow suppression leading to anemia, leukopenia or thrombocytopenia; severe hepatic toxicity that can progress to fibrosis or cirrhosis; and pulmonary toxicity such as interstitial pneumonitis. Early detection through regular blood counts, liver function tests and monitoring for respiratory symptoms is essential to mitigate these hazards.

Methotrexate is contraindicated in patients who are pregnant, planning pregnancy, or are breastfeeding. It should also be avoided in individuals with severe renal impairment, active liver disease, uncontrolled infections, or known hypersensitivity to methotrexate or its excipients. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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