Product image of Methotrexat (Methotrexate Disodium) supplied by GNH India

Methotrexat

Active Ingredient:
Methotrexate Disodium
Origin:
EU

Methotrexat (Methotrexate Disodium)

Methotrexate, the active ingredient in Methotrexat, is an antimetabolite (folate antagonist) presented as a sterile injectable solution for intramuscular, intrathecal, and intravenous use. It is employed to treat autoimmune disorders and certain malignancies in adult and pediatric patients.
GNH India supplies Methotrexat as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Methotrexat is an antimetabolite that interferes with rapidly dividing cells and modulates immune activity, making it useful across several disease families.

  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: decreases skin plaque formation and severity.
  • Acute lymphoblastic leukemia: induces remission by halting leukemic cell proliferation.
  • Non‑Hodgkin lymphoma: contributes to tumor control as part of combination chemotherapy.
  • Osteosarcoma: used in high‑dose regimens to target bone tumor cells.
  • Gestational trophoblastic disease: promotes resolution of abnormal trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This reduction limits the synthesis of purine nucleotides and thymidylate, impairing DNA, RNA, and protein production in rapidly dividing cells and leading to immunosuppression and antineoplastic effects.

Side Effects

Methotrexat may cause a range of adverse reactions, from mild to life‑threatening.

Common Side Effects

  • Nausea or vomiting
  • Fatigue or malaise
  • Oral mucosal ulceration
  • Transient elevation of liver enzymes

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Bone marrow failure with pancytopenia
  • Acute renal insufficiency or failure

Precautions & Warnings

Methotrexat requires careful monitoring and specific safety measures before and during therapy.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant or planning patients.
  • Renal function: assess baseline creatinine and adjust dose if impaired.
  • Hepatic function: monitor liver enzymes regularly; avoid in severe liver disease.
  • Hematologic status: perform complete blood counts before each dose to detect myelosuppression.
  • Drug interactions: avoid concurrent high‑dose NSAIDs and live vaccines.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Methotrexat can interact with several medicines, altering its safety profile or efficacy.

Major Interactions (Avoid)

  • Live vaccines: increased risk of severe infection.
  • High‑dose NSAIDs: heightened methotrexate toxicity.
  • Penicillamine: synergistic myelosuppression.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: additive bone‑marrow suppression.
  • Proton‑pump inhibitors: may affect renal clearance.
  • Azathioprine or other immunosuppressants: enhanced immunosuppression.

Frequently Asked Questions

Methotrexat is prescribed for several autoimmune and oncologic conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, osteosarcoma, and gestational trophoblastic disease. It works by suppressing abnormal immune activity or inhibiting rapid tumor cell growth.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate. This limits the synthesis of nucleotides needed for DNA, RNA, and protein formation, thereby reducing the proliferation of immune cells and cancer cells.

The specific dose of Methotrexat is determined by the prescribing clinician based on the patient’s condition, weight, renal and hepatic function, and treatment protocol. Dosage regimens vary widely between autoimmune indications and oncologic protocols.

Methotrexat 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 it can be excreted in milk and harm the infant.

To order Methotrexat, 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 import documentation.

Compared with biologic agents for rheumatoid arthritis or psoriasis, methotrexate is a small‑molecule drug that is generally less expensive but may require more laboratory monitoring. In oncology, it is often used in combination chemotherapy regimens, offering a different mechanism of action than taxanes or anthracyclines.

Methotrexat should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. The product should be kept in its original packaging until use to maintain stability and sterility.

Methotrexat is supplied as a sterile injectable solution and can be given by intramuscular, intravenous, or intrathecal injection, depending on the indication and prescribing protocol. Administration is performed by qualified healthcare professionals in a clinical setting.

Serious risks include severe liver toxicity, pulmonary fibrosis, bone‑marrow failure leading to pancytopenia, and acute renal failure. Patients should be monitored regularly for signs of organ dysfunction, and any severe adverse events require immediate medical attention.

Methotrexat is contraindicated in pregnant women, patients with severe hepatic or renal impairment, those with existing bone‑marrow suppression, and individuals receiving live vaccines. It should also be avoided in patients with known hypersensitivity to methotrexate or any component of the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.