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 presented as a tablet for oral use. It treats certain cancers and autoimmune diseases in adults.

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

Manufacturer / TM Owner

Ebewe Pharma

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Indications & Clinical Uses

  • Methotrexate is employed across a range of neoplastic and autoimmune disease pathways.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Non-Hodgkin lymphoma: impedes growth of lymphoma cells.
  • Osteosarcoma: limits tumor expansion and metastasis.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This reduction in tetrahydrofolate limits the synthesis of purine nucleotides and thymidylate, essential components for DNA replication and cell division, thereby exerting cytostatic and immunosuppressive effects on rapidly dividing cells.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or weakness
  • Oral mucosal ulceration
  • Mild elevation of liver enzymes
  • Transient low white blood cell count
  • Mild hair thinning

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening bone marrow suppression
  • Acute renal failure
  • Severe cutaneous reactions (e.g., Stevens‑Johnson syndrome)
  • Opportunistic infections due to immunosuppression

Precautions & Warnings

When using Methotrexat Ebewe, several safety measures should be observed.

  • Monitor blood counts: perform regular CBC to detect cytopenias.
  • Assess liver function: check transaminases before and during therapy.
  • Evaluate renal function: adjust dose if creatinine clearance is reduced.
  • Contraindicated in pregnancy: avoid use and ensure effective contraception.
  • Avoid live vaccines: immunosuppression may increase infection risk.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate plasma levels and risk of toxicity.
  • Trimethoprim or other folate antagonists: potentiate bone‑marrow suppression.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Proton‑pump inhibitors: may increase methotrexate exposure.
  • Penicillins and sulfonamides: can affect renal clearance.
  • Azathioprine or other immunosuppressants: additive myelosuppression risk.

Frequently Asked Questions

Methotrexat Ebewe contains methotrexate, which is prescribed for several autoimmune and oncologic conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and osteosarcoma. The drug works by slowing abnormal cell growth and modulating immune activity, helping to control disease symptoms and progression.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA synthesis. This inhibition reduces the production of nucleotides required for cell replication, particularly affecting rapidly dividing cells such as cancer cells and activated immune cells, thereby exerting both antineoplastic and immunosuppressive effects.

The specific dose of Methotrexat Ebewe is determined by the prescribing healthcare professional based on the patient’s condition, weight, renal function and treatment goals. Dosing regimens vary widely between indications, and the prescriber will tailor the amount and frequency to achieve optimal therapeutic benefit while minimizing risk.

Methotrexat Ebewe is classified as pregnancy category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. Women of child‑bearing potential must use effective contraception. The drug is also excreted in breast milk, so breastfeeding is not recommended while receiving treatment.

To place an order, visit the product page on gnhindia.com, enter the required quantity and submit the enquiry form. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Methotrexate is one of the most widely used antimetabolites, distinguished by its oral availability and broad therapeutic range across oncology and rheumatology. Compared with agents such as 5‑fluorouracil or pemetrexed, methotrexate offers a well‑characterized safety profile and extensive clinical experience, though each drug’s suitability depends on the specific disease and patient factors.

Methotrexat Ebewe should be stored at temperatures below 25 °C. Keep the tablets in their original packaging, protect them from moisture and direct sunlight, and ensure the container is tightly closed to maintain product stability throughout its shelf life.

Methotrexat Ebewe is taken orally as a tablet. The prescriber will specify whether the tablet should be swallowed with water, and whether it should be taken with or without food, based on the individual treatment plan and tolerability considerations.

The most serious risks include severe liver toxicity, pulmonary fibrosis, life‑threatening bone‑marrow suppression, and acute renal failure. Patients should be monitored regularly for liver enzymes, lung function, blood counts and renal parameters to detect early signs of these potentially fatal complications.

Methotrexat Ebewe is contraindicated in pregnant women, individuals with severe hepatic or renal impairment, patients with known hypersensitivity to methotrexate, and those receiving live vaccines. It should also be avoided in patients with uncontrolled infections or severe immunodeficiency unless specifically directed by a specialist.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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