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 a Antimetabolite (Folate antagonist) presented as a sterile injectable solution for intra‑arterial, intramuscular, and intravenous use. It is employed in the treatment of certain cancers and autoimmune disorders such as leukemia and rheumatoid arthritis.

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

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is used in several oncologic and autoimmune disease pathways.

  • Acute lymphoblastic leukemia: reduces malignant lymphoblast proliferation and improves remission rates.
  • Osteosarcoma: inhibits tumor growth and enhances surgical outcomes.
  • Rheumatoid arthritis: decreases inflammatory activity and joint damage.
  • Psoriasis: slows skin cell turnover and reduces plaque formation.
  • Crohn's disease (off‑label): moderates intestinal inflammation and symptom severity.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This interruption reduces the availability of folate cofactors required for the synthesis of purine nucleotides and thymidylate, thereby impairing DNA, RNA, and protein synthesis in rapidly dividing cells and immune cells.

Side Effects

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

Common Side Effects

  • Nausea and vomiting: gastrointestinal discomfort often occurring after administration.
  • Fatigue: persistent tiredness not relieved by rest.
  • Alopecia: temporary hair thinning or loss.
  • Elevated liver enzymes: mild hepatic irritation detected in blood tests.
  • Oral mucositis: soreness or ulceration of the mouth lining.

Serious or Rare Side Effects

  • Myelosuppression: significant reduction in blood cell counts, increasing infection risk.
  • Pulmonary toxicity: interstitial pneumonitis presenting with cough and shortness of breath.
  • Severe hepatotoxicity: marked liver injury potentially leading to fibrosis.
  • Nephrotoxicity: impaired kidney function, especially with high-dose regimens.
  • Severe cutaneous reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Renal function: assess creatinine clearance before and during therapy.
  • Hepatic health: perform baseline and periodic liver function tests.
  • Hematologic monitoring: conduct regular complete blood counts to detect myelosuppression.
  • Contraindications: avoid use in patients with severe immunodeficiency or uncontrolled infection.
  • Pregnancy and lactation: discontinue in women planning conception and advise against breastfeeding.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Methotrexate can interact with several drug classes, altering efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Penicillins and sulfonamides: may enhance myelosuppression.
  • Live vaccines: heightened risk of infection due to immunosuppression.
  • Other folate antagonists: additive toxic effects on bone marrow and liver.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect renal clearance of methotrexate.
  • Diuretics: can increase serum concentrations, requiring dose adjustment.
  • Oral contraceptives: reduced efficacy, advise alternative contraception.
  • Anticonvulsants (e.g., phenytoin): may lower methotrexate levels, affecting therapeutic response.

Frequently Asked Questions

Methotrexat Accord contains methotrexate, which is employed in the management of certain cancers such as acute lymphoblastic leukemia and osteosarcoma, as well as autoimmune disorders including rheumatoid arthritis and severe psoriasis. It may also be used off‑label for inflammatory bowel diseases under specialist supervision.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate, a key cofactor for synthesising purine nucleotides and thymidylate. This inhibition disrupts DNA, RNA, and protein production, limiting the proliferation of rapidly dividing cancer cells and dampening the activity of immune cells involved in inflammation.

The specific dose of Methotrexat Accord is determined by the prescribing physician based on the patient’s diagnosis, disease severity, renal and hepatic function, and treatment protocol. Dosage regimens can vary widely, and the prescriber will tailor the amount and frequency to achieve optimal therapeutic effect while minimizing toxicity.

Methotrexate is classified as contraindicated in pregnancy because it can cause fetal malformations and miscarriage. Women of child‑bearing potential should use effective contraception before, during, and after treatment. Breastfeeding is also discouraged, as methotrexate can be excreted in milk and may harm the infant.

To place an order, visit the product page on gnhindia.com, submit an enquiry with the required quantity, and provide your institutional or trade credentials. GNH India works with hospitals, pharmacies, and procurement teams worldwide, responding with pricing, availability, shipping details—including cold‑chain handling if needed—and any necessary import documentation.

Methotrexat Accord, as a folate antagonist, differs from agents such as anthracyclines or taxanes that target microtubules or DNA intercalation. Its mechanism focuses on inhibiting nucleotide synthesis, offering a distinct toxicity profile and allowing combination with other chemotherapy classes. Choice of therapy depends on cancer type, stage, and patient tolerance.

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. Maintaining the cold chain preserves drug stability and potency until administration.

Methotrexat Accord is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular, or intravenous routes, depending on the clinical indication and treatment protocol. Administration is performed by qualified healthcare professionals in a controlled setting, often with pre‑ and post‑hydration measures to reduce toxicity.

The most serious risks include myelosuppression leading to severe infections, hepatic toxicity that can progress to fibrosis or cirrhosis, pulmonary toxicity such as interstitial pneumonitis, and renal impairment that may exacerbate drug accumulation. Prompt monitoring of blood counts, liver and kidney function is essential to detect these complications early.

Methotrexat Accord is contraindicated in patients with severe renal or hepatic impairment, uncontrolled infections, known hypersensitivity to methotrexate or its excipients, and in pregnant or breastfeeding women. Caution is also advised for individuals with compromised immune systems or those receiving live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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