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

Methotrexat Accord

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexat Accord (Methotrexate)

Methotrexate, the active ingredient in Methotrexat Accord, is an antimetabolite presented as a sterile injectable for intraarterial, intramuscular, and intrathecal use. It is employed in the management of rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia and osteosarcoma in adult and pediatric patients.

GNH India supplies Methotrexat Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

Methotrexat Accord is an antimetabolite used across several disease families, primarily inflammatory and malignant conditions.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: limits skin cell proliferation, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell DNA synthesis, aiding remission.
  • Osteosarcoma: contributes to tumor growth inhibition as part of combination chemotherapy.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade disrupts folate‑dependent synthesis of purines and thymidylate, leading to impaired DNA, RNA and protein production in rapidly dividing cells, which underlies its anti‑inflammatory and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset common during therapy.
  • Fatigue: persistent tiredness reported by many patients.
  • Mucositis: inflammation of the mouth lining.
  • Elevated liver enzymes: mild hepatic enzyme rise.

Serious or Rare Side Effects

  • Bone marrow suppression: leading to anemia, leukopenia or thrombocytopenia.
  • Severe liver toxicity: potential for hepatitis or fibrosis.
  • Pulmonary fibrosis: interstitial lung disease with dyspnea.
  • Renal failure: impaired kidney function requiring monitoring.
  • Anaphylactic reaction: rare hypersensitivity requiring immediate care.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline health status and monitor for toxicity.

  • Blood count monitoring: perform regular CBC to detect marrow suppression.
  • Liver function assessment: check transaminases before and during treatment.
  • Renal function evaluation: adjust dosing if creatinine clearance is reduced.
  • Pregnancy avoidance: contraindicated in pregnancy; ensure effective contraception.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity and gastrointestinal ulceration.
  • Trimethoprim‑sulfamethoxazole: potentiates bone marrow suppression.
  • Pemetrexed: additive antifolate toxicity.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may reduce renal clearance of methotrexate.
  • Live vaccines: risk of severe infection due to immunosuppression.

Frequently Asked Questions

Methotrexat Accord contains methotrexate and is indicated for rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia and osteosarcoma. In each condition the drug works to reduce inflammation, control abnormal cell growth, or both, depending on the disease mechanism.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate into its active form. This interruption hampers the synthesis of nucleotides required for DNA and RNA production, thereby limiting the proliferation of rapidly dividing cells such as immune cells and cancer cells.

The specific dose of Methotrexat Accord is determined by the prescribing clinician based on the patient’s condition, age, weight, renal and hepatic function, and treatment goals. Dosage regimens vary widely across the different approved indications.

Methotrexat Accord is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. It is also not recommended while breastfeeding because it can be excreted in milk and 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 if needed) and necessary import documentation.

Methotrexat Accord shares the antifolate mechanism with drugs such as pemetrexed and leflunomide, but methotrexate has a broader range of approved indications, including both inflammatory diseases and several cancers. Its safety profile and dosing flexibility differ, making it a preferred choice in many rheumatologic and oncologic protocols.

Methotrexat Accord should be stored at room temperature, below 25 °C, in its original container. The packaging protects the product from moisture and light, helping maintain stability until the point of use.

The product is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular or intrathecal routes, depending on the therapeutic indication and clinical protocol. Administration is performed by qualified healthcare professionals under aseptic conditions.

Serious risks include bone marrow suppression leading to severe cytopenias, hepatotoxicity that can progress to fibrosis or cirrhosis, pulmonary fibrosis, renal failure, and rare anaphylactic reactions. Patients should be monitored regularly for these complications throughout treatment.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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