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

Methotrexat Ebewe

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexat Ebewe (Methotrexate)

Methotrexate, the active ingredient in Methotrexat Ebewe, is an antimetabolite (folate antagonist) presented as an intravenous solution for injection use. It is employed to treat autoimmune diseases such as rheumatoid arthritis and psoriasis, as well as certain cancers including acute lymphoblastic leukemia, non‑Hodgkin lymphoma and breast cancer.

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

Manufacturer / TM Owner

Ebewe Pharma

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Indications & Clinical Uses

Methotrexate is used in several disease categories where inhibition of folate metabolism is therapeutic.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation and improves lesions.
  • Acute lymphoblastic leukemia: induces remission by targeting rapidly dividing leukemic cells.
  • Non‑Hodgkin lymphoma: provides cytotoxic activity against malignant lymphocytes.
  • Breast cancer: used as part of combination chemotherapy regimens to inhibit tumor growth.

How It Works

  • Methotrexate competitively inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This depletion of tetrahydrofolate reduces the synthesis of purine nucleotides and thymidylate, impairing DNA, RNA and protein synthesis in rapidly dividing cells. The resulting antiproliferative effect underlies its antineoplastic activity, while in lower doses it modulates immune cell function, providing immunosuppressive benefits.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Fatigue: general tiredness.
  • Mouth sores: ulceration of oral mucosa.
  • Elevated liver enzymes: transient increase in hepatic transaminases.

Serious or Rare Side Effects

  • Severe liver toxicity: risk of fibrosis or cirrhosis.
  • Pulmonary toxicity: interstitial pneumonitis.
  • Myelosuppression: severe neutropenia or pancytopenia.

Precautions & Warnings

When prescribing methotrexate, several safety considerations are required.

  • Pregnancy contraindication: drug is teratogenic; avoid in pregnancy (Category X).
  • Breastfeeding avoidance: contraindicated during lactation.
  • Renal function monitoring: assess creatinine clearance before and during therapy.
  • Hepatic function monitoring: regular liver enzyme tests required.
  • Hematologic monitoring: complete blood count should be checked regularly.
  • Store at ambient temperature: keep below 25°C, protect from light and moisture, retain in original packaging.

Avoid Interactions

Methotrexate interacts with several medicines that may alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors: may raise serum methotrexate levels.
  • Penicillins (e.g., ampicillin): reduce renal clearance leading to toxicity.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: can displace methotrexate from plasma proteins.
  • Trimethoprim‑sulfamethoxazole: additive bone marrow suppression.
  • Live vaccines: risk of infection due to immunosuppression.

Frequently Asked Questions

Methotrexat Ebewe contains methotrexate, which is prescribed for autoimmune conditions such as rheumatoid arthritis and psoriasis, as well as for certain malignancies including acute lymphoblastic leukemia, non‑Hodgkin lymphoma and breast cancer. It works by interfering with cell growth and immune activity.

Methotrexate blocks the enzyme dihydrofolate reductase, limiting the production of tetrahydrofolate needed for DNA, RNA and protein synthesis. This inhibition slows the proliferation of rapidly dividing cells, providing antineoplastic effects, and at lower doses modulates immune cell activity, offering immunosuppressive benefits.

The dosage of methotrexate is individualized. A qualified prescriber determines the appropriate dose, frequency, and duration based on the specific indication, patient characteristics, and clinical response. No generic dosing information is provided here.

Methotrexate is classified as pregnancy category X because it is known to cause fetal harm and is contraindicated during pregnancy. It is also contraindicated while breastfeeding, as 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 import documentation.

Compared with other immunosuppressants such as azathioprine, methotrexate offers a distinct mechanism by targeting folate metabolism, often providing stronger anti‑inflammatory effects in rheumatoid arthritis and psoriasis. Biologic agents act on specific cytokines and may be used when methotrexate is insufficient or not tolerated.

Methotrexat Ebewe should be stored at ambient temperature, preferably below 25 °C. Keep the vial in its original packaging, protect it from moisture and direct light, and avoid freezing. Follow standard aseptic techniques when preparing for intravenous administration.

The product is supplied as an injectable solution for intravenous use. It is administered by a qualified healthcare professional, typically as a slow IV infusion or injection, according to the prescriber’s instructions and institutional protocols.

Serious adverse events include severe liver toxicity, pulmonary fibrosis or pneumonitis, and profound myelosuppression leading to infections or bleeding. Patients should be monitored regularly for liver enzymes, lung symptoms and blood counts, and any alarming signs should prompt immediate medical evaluation.

Methotrexat Ebewe is contraindicated in pregnant women, nursing mothers, and individuals with severe renal or hepatic impairment. Patients with known hypersensitivity to methotrexate or any component of the formulation should also avoid its use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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