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 an antimetabolite presented as various strengths injectable formulation for subcutaneous use. It treats autoimmune disorders such as rheumatoid arthritis and psoriasis, and is also employed in certain cancers and gestational trophoblastic disease.
GNH India supplies Methotrexaat Basic Pharma as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Basic Pharma Manufacturing Bv

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Indications & Clinical Uses

Methotrexaat Basic Pharma (methotrexate) is employed across several disease families where it modulates immune activity and cell proliferation.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Gestational trophoblastic disease: targets proliferating trophoblastic tissue to induce remission.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, leading to reduced tetrahydrofolate pools and impaired synthesis of purine and pyrimidine nucleotides. This blockade hampers DNA, RNA, and protein synthesis, preferentially affecting rapidly dividing cells such as activated lymphocytes and malignant clones, thereby exerting immunosuppressive and antineoplastic effects.

Side Effects

Methotrexaat Basic Pharma may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea and vomiting
  • Fatigue or malaise
  • Oral mucosal ulceration
  • Transient elevation of liver enzymes
  • Mild cytopenias (e.g., reduced white blood cells)
  • Alopecia (hair thinning)

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening infections due to bone‑marrow suppression
  • Acute renal failure
  • Severe cutaneous reactions (e.g., Stevens‑Johnson syndrome)
  • Myelosuppression leading to pancytopenia

Precautions & Warnings

Prior to initiating therapy, clinicians should evaluate patient‑specific risk factors and monitor relevant parameters.

  • Pregnancy: contraindicated (Category X); ensure effective contraception.
  • Renal function: assess creatinine clearance; dose adjust or avoid if impaired.
  • Hepatic function: monitor liver enzymes regularly; avoid in severe hepatic disease.
  • Infection risk: defer treatment in active infections and monitor for opportunistic pathogens.
  • Concomitant immunosuppressants: use with caution and increase monitoring frequency.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexaat Basic Pharma interacts with several drug classes that can modify its safety profile.

Major Interactions (Avoid)

  • Non‑selective NSAIDs: increase methotrexate toxicity.
  • High‑dose penicillins: may raise plasma methotrexate levels.
  • Proton‑pump inhibitors: can reduce renal clearance of methotrexate.
  • Live vaccines: contraindicated due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Sulfonamide antibiotics: potential additive bone‑marrow suppression.
  • Azathioprine or other immunosuppressants: heightened risk of cytopenias.
  • Folic acid supplements: may diminish efficacy if not timed appropriately.

Frequently Asked Questions

Methotrexaat Basic Pharma contains methotrexate and is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, and gestational trophoblastic disease. In each case, the drug works to suppress abnormal immune activity or uncontrolled cell growth, helping to control symptoms and disease progression.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a co‑factor needed for DNA, RNA, and protein synthesis. By limiting nucleotide formation, the drug reduces proliferation of rapidly dividing cells such as activated immune cells and malignant lymphoblasts, providing immunosuppressive and antineoplastic effects.

The specific dose of Methotrexaat Basic Pharma is determined by the prescribing clinician based on the patient’s condition, weight, renal function, and treatment goals. Dosing regimens can vary widely between indications, and the prescriber will tailor the schedule to achieve optimal therapeutic benefit while minimizing risk.

Methotrexaat Basic Pharma is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and miscarriage. It is also not recommended while breastfeeding because methotrexate can be excreted in breast milk and may harm the infant. Effective contraception is required for women of child‑bearing potential.

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, and will request trade or institutional credentials. After verification, the sales team provides pricing, availability, shipping details (including cold‑chain if needed), and assists with import documentation.

Methotrexaat Basic Pharma (methotrexate) is a first‑line conventional disease‑modifying antirheumatic drug (DMARD) and is often preferred for its long‑track record, oral or injectable options, and cost‑effectiveness. Biologic agents such as TNF‑α inhibitors may be used when methotrexate alone is insufficient, but they are typically more expensive and require additional monitoring for infections.

Methotrexaat Basic Pharma 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 to maintain stability, and allow it to reach room temperature briefly before subcutaneous administration if required by the clinical protocol.

The product is supplied for subcutaneous injection. Healthcare professionals administer the dose using a sterile syringe, typically into the abdomen or thigh, following aseptic technique. The injection site may be rotated to reduce local irritation, and the exact administration schedule is set by the prescribing clinician.

Serious risks include severe liver toxicity, pulmonary fibrosis, life‑threatening infections due to bone‑marrow suppression, acute renal failure, and rare but severe skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for hepatic, renal, and hematologic parameters, and any signs of infection or respiratory distress require immediate medical attention.

Methotrexaat Basic Pharma is contraindicated in pregnant or breastfeeding women, patients with severe hepatic or renal impairment, those with active infections, and individuals with known hypersensitivity to methotrexate or any of its excipients. Caution is also advised for patients with pre‑existing lung disease or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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