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 interferes with DNA synthesis and is employed in the treatment of autoimmune disorders and selected malignancies in adults and children.

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 and provides regulatory documentation to support import and clinical use. Our distribution network ensures timely delivery across multiple continents.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate acts as a folate antagonist and is used across several autoimmune and oncologic disease pathways.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and improves lesion clearance.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant lymphoblast proliferation.
  • Non‑Hodgkin lymphoma: contributes to tumor control through cytotoxic activity.
  • Osteosarcoma: enhances chemotherapy effectiveness by disrupting tumor cell DNA synthesis.

How It Works

  • Methotrexate competitively inhibits dihydrofolate reductase, preventing the reduction of dihydrofolic acid to tetrahydrofolate. This blockade reduces the availability of reduced folate cofactors required for thymidylate and purine synthesis, thereby impairing DNA, RNA and protein production in rapidly dividing cells. The resulting antiproliferative effect underlies its therapeutic activity in both inflammatory and neoplastic conditions.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue
  • Mucositis (mouth sores)
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Bone marrow suppression with risk of infection
  • Pulmonary toxicity (pneumonitis)
  • Severe hepatotoxicity or renal failure

Precautions & Warnings

When using Methotrexat Accord, several safety measures should be observed to minimize risk.

  • Pregnancy contraindication: avoid use in pregnancy due to teratogenic risk (Category X).
  • Renal function monitoring: assess creatinine clearance before and during therapy.
  • Hepatic function monitoring: perform baseline and periodic liver enzyme tests.
  • Hematologic monitoring: conduct regular complete blood counts to detect marrow suppression.
  • Concomitant drug review: avoid concurrent folate antagonists and adjust NSAID use.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate has notable interactions that may require avoidance or close monitoring.

Major Interactions (Avoid)

  • Other folate antagonists (e.g., trimethoprim‑sulfamethoxazole): increase toxicity.
  • High‑dose NSAIDs: may reduce renal clearance and raise serum levels.
  • Live vaccines: risk of severe infection due to immunosuppression.
  • Proton pump inhibitors (e.g., omeprazole): can elevate methotrexate concentrations.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other myelosuppressive agents: additive bone‑marrow suppression.
  • Oral contraceptives: may decrease methotrexate efficacy.
  • Penicillins (e.g., ampicillin): may reduce renal elimination of methotrexate.

Frequently Asked Questions

Methotrexat Accord contains methotrexate, which is indicated for rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and osteosarcoma. In each case the drug works by suppressing abnormal cell proliferation or immune activity that drives disease.

Methotrexate blocks the enzyme dihydrofolate reductase, stopping the conversion of folic acid to its active form. This limits the synthesis of thymidine and purines, essential building blocks for DNA and RNA, thereby reducing the growth of rapidly dividing cells and modulating immune responses.

The dose of Methotrexat Accord is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment goals. No fixed dosing information is provided here; the prescriber sets the appropriate regimen.

Methotrexat Accord is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because of a high risk of fetal malformations and loss. It is also not recommended while breastfeeding, as methotrexate can be excreted in milk and affect the infant.

To request Methotrexat Accord, submit an enquiry on the product page at gnhindia.com with 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 and any necessary import documentation.

Methotrexat Accord is a folate antagonist, similar in class to drugs like pemetrexed and leflunomide. Compared with newer agents, methotrexate has a long‑established efficacy profile, a broad range of indications, and a well‑characterized safety record, though monitoring requirements may be more intensive.

Methotrexat Accord should be stored at room temperature, preferably below 25 °C, in its original packaging. The container should be kept closed, protected from moisture and direct light, and stored away from sources of heat to maintain product stability.

Methotrexat Accord is supplied as a sterile injectable solution and is administered by a qualified healthcare professional via intra‑arterial, intramuscular or intrathecal injection, depending on the therapeutic indication and clinical protocol.

The most serious adverse risks include bone‑marrow suppression leading to severe anemia or infection, hepatotoxicity that can progress to fibrosis or cirrhosis, pulmonary toxicity such as pneumonitis, and renal failure. Patients should be monitored regularly for blood counts, liver and kidney function.

Methotrexat Accord should be avoided in pregnant or breastfeeding women, patients with severe renal or hepatic impairment, those with known hypersensitivity to methotrexate, and individuals receiving live vaccines. Clinicians must also assess for contraindications related to concurrent medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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