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

Methotrexat Al

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexat Al (Methotrexate)

Methotrexate, the active ingredient in Methotrexat Al, is an antimetabolite (folate antagonist) presented as an injectable formulation for intramuscular and subcutaneous use. It is employed in the management of rheumatoid arthritis, severe psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and osteosarcoma, providing disease‑modifying effects in these conditions.

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

Manufacturer / TM Owner

Aliud Pharma Gmbh

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Indications & Clinical Uses

Methotrexate is used across several autoimmune and oncologic disease pathways, offering disease‑modifying benefits.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: limits skin cell proliferation and improves plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Non‑Hodgkin lymphoma: impedes tumor growth and induces apoptosis.
  • Osteosarcoma: hampers DNA synthesis in bone‑origin cancer cells.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, decreasing tetrahydrofolate production and thereby blocking the synthesis of purine and pyrimidine nucleotides. This interruption of folate‑dependent pathways curtails DNA, RNA and protein synthesis, leading to reduced proliferation of rapidly dividing cells such as immune‑mediated inflammatory cells and malignant tumor cells.

Side Effects

Methotrexate may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Oral mucosal ulceration.
  • Elevated liver enzymes.
  • Transient cytopenias.
  • Alopecia.

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening bone‑marrow suppression.
  • Acute renal failure.
  • Severe cutaneous reactions such as Stevens‑Johnson syndrome.
  • Opportunistic infections due to immunosuppression.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate baseline organ function and counsel patients on risk mitigation.

  • Monitor liver function: perform baseline and periodic LFTs.
  • Assess renal function: adjust dose or avoid if creatinine clearance is reduced.
  • Check blood counts: monitor for neutropenia, anemia and thrombocytopenia.
  • Avoid in pregnancy: drug is teratogenic and contraindicated.
  • Use effective contraception: both males and females must employ reliable methods during treatment and for several months after cessation.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Aminoglycoside antibiotics: potentiate nephrotoxic effects.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamide antibiotics: may augment myelosuppression.
  • Phenytoin: can reduce methotrexate plasma concentrations.
  • Proton pump inhibitors: may affect gastrointestinal absorption.

Frequently Asked Questions

Methotrexat Al contains methotrexate, which is indicated for rheumatoid arthritis, severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and osteosarcoma. In autoimmune disorders it acts as a disease‑modifying agent, while in oncology it serves as a cytotoxic chemotherapy to inhibit tumor cell proliferation.

Methotrexate blocks the enzyme dihydrofolate reductase, reducing tetrahydrofolate levels needed for purine and pyrimidine synthesis. This limits DNA, RNA and protein production, thereby suppressing rapidly dividing cells such as activated immune cells in arthritis and malignant cells in cancer.

The dose of Methotrexat Al is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment goals. Only a qualified health‑care professional should determine the appropriate dosage regimen.

Methotrexate is classified as pregnancy category X because it is teratogenic and can cause fetal malformations or loss. It is contraindicated during pregnancy and women of child‑bearing potential must use effective contraception. Breastfeeding is also discouraged as the drug is excreted in milk.

To order Methotrexat Al, 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 required) and necessary import documentation.

Methotrexate is a cornerstone antimetabolite used when disease‑modifying antirheumatic drugs (DMARDs) such as sulfasalazine or leflunomide are insufficient, and it is often preferred over biologics for cost‑effectiveness. In oncology, it offers a distinct mechanism compared with alkylating agents, but may be combined with other chemotherapeutics for synergistic effect.

Methotrexat Al should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight and extreme temperature fluctuations. Do not freeze the solution and keep it out of reach of children.

Methotrexat Al is supplied as an injectable preparation for intramuscular or subcutaneous injection. Administration technique, injection site rotation and dosing frequency are determined by the treating physician, who will also provide guidance on pre‑medication and monitoring protocols.

The most serious adverse events include severe hepatotoxicity, pulmonary fibrosis, life‑threatening bone‑marrow suppression, acute renal failure, and severe cutaneous reactions such as Stevens‑Johnson syndrome. Prompt recognition of symptoms and regular laboratory monitoring are essential to mitigate these risks.

Methotrexat Al is contraindicated in pregnant or breastfeeding individuals, patients with severe hepatic impairment, uncontrolled infections, known hypersensitivity to methotrexate, and those with significant renal dysfunction that cannot be corrected. Caution is also advised for patients with pre‑existing lung disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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