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 solution for intraarterial, intramuscular, and intrathecal use. It is indicated for adult patients with rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, osteosarcoma, and other malignancies.

GNH India supplies Methotrexat Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company adheres to stringent quality standards, offers comprehensive regulatory support, and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Methotrexate is used in several disease categories where it modulates cell proliferation and immune activity.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Acute lymphoblastic leukemia: contributes to remission by inhibiting malignant lymphoblast proliferation.
  • Osteosarcoma: used as part of combination chemotherapy to limit tumor growth.
  • Other malignancies: employed in various solid tumor regimens to enhance cytotoxic efficacy.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting the enzyme dihydrofolate reductase. This blockade prevents the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for synthesis of purine nucleotides and thymidylate. Consequently, DNA, RNA and protein synthesis are reduced, leading to decreased proliferation of rapidly dividing cells such as malignant lymphoblasts and activated immune cells.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Fatigue or weakness
  • Mouth sores (stomatitis)
  • Elevated liver enzymes
  • Low blood cell counts (e.g., neutropenia, anemia)

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening infections due to immunosuppression

Precautions & Warnings

When prescribing methotrexate, clinicians should observe several precautionary measures to minimize risk.

  • Renal function: assess baseline creatinine and monitor regularly.
  • Hepatic health: perform liver function tests before initiation and periodically.
  • Hematologic status: obtain complete blood count prior to therapy and during treatment.
  • Concomitant drugs: avoid use with other hepatotoxic or myelosuppressive agents when possible.
  • Pregnancy and lactation: contraindicated in pregnancy; advise effective contraception and discuss risks if breastfeeding.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate has notable drug interactions that may require dose adjustment or avoidance.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity by reducing renal clearance.
  • Proton pump inhibitors (e.g., omeprazole): may elevate methotrexate plasma levels.
  • Trimethoprim‑sulfamethoxazole: synergistic myelosuppression risk.

Moderate Interactions (Monitor Closely)

  • Penicillins (high‑dose): can reduce methotrexate elimination.
  • Azathioprine or mycophenolate: additive immunosuppression.
  • Live vaccines: increased infection risk; avoid during therapy.

Frequently Asked Questions

Methotrexat Accord contains methotrexate, which is prescribed for several conditions including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, osteosarcoma and other selected malignancies. It works by interfering with cell growth and immune activity, helping to control disease activity and tumor progression in adult patients.

Methotrexate is a folate antagonist that competitively inhibits dihydrofolate reductase, an enzyme essential for converting folic acid to its active form. This inhibition reduces the synthesis of nucleotides needed for DNA, RNA and protein production, thereby limiting the proliferation of rapidly dividing cells such as cancer cells and activated immune cells.

The dose of Methotrexat Accord is individualized by the prescribing healthcare professional based on the specific indication, disease severity, patient weight, renal and hepatic function, and other clinical factors. No fixed dosing regimen is provided here; the prescriber will set the appropriate dose and schedule.

Methotrexate is classified as contraindicated in pregnancy because it can cause fetal malformations and embryotoxicity. Women of child‑bearing potential must use effective contraception. Breastfeeding is not recommended while on methotrexate, as the drug can be excreted in milk and may affect the infant.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Methotrexat Accord. 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.

Methotrexate is a small‑molecule antimetabolite that directly inhibits folate metabolism, whereas many biologic agents target specific cytokines or cell surface receptors. Compared with newer biologics, methotrexate is generally less expensive and has a well‑established safety profile, but it may be less selective and can require monitoring for organ toxicity.

Methotrexat Accord should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

Methotrexat Accord is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular or intrathecal routes, depending on the clinical indication and prescribing information. Administration is performed by qualified healthcare professionals in a controlled setting, following aseptic technique and appropriate dosing guidelines.

Serious adverse events include severe liver toxicity or fibrosis, pulmonary fibrosis or interstitial pneumonitis, and life‑threatening infections due to bone‑marrow suppression. Patients should be monitored regularly for liver enzymes, respiratory symptoms and blood counts, and any signs of severe toxicity should prompt immediate medical evaluation.

Methotrexate is contraindicated in patients with known hypersensitivity to the drug, severe renal or hepatic impairment, active infections, and in women who are pregnant or planning to become pregnant. Caution is also advised for individuals with pre‑existing blood dyscrasias or those receiving other myelosuppressive therapies.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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