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 a tablet for oral use. It is used to treat rheumatoid arthritis, psoriasis, and certain cancers such as 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

Methotrexat Ebewe is employed in the management of autoimmune diseases and specific malignancies where folate metabolism is a therapeutic target.

  • 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.
  • Breast cancer: used as part of combination chemotherapy to limit tumor growth.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting dihydrofolate reductase, which blocks the conversion of dihydrofolate to tetrahydrofolate. This interruption reduces the synthesis of purine nucleotides and thymidylate, leading to impaired DNA, RNA and protein production, and ultimately inhibits the proliferation of rapidly dividing cells.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or weakness
  • Oral mucosal ulceration (mouth sores)
  • Transient elevation of liver enzymes
  • Mild alopecia (hair thinning)
  • Low white blood cell count (leukopenia)

Serious or Rare Side Effects

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

Precautions & Warnings

When prescribing Methotrexat Ebewe, clinicians should observe several safety considerations.

  • Pregnancy: contraindicated (Category X) – avoid use in pregnant women.
  • Renal function: assess before initiation and monitor regularly.
  • Liver function: baseline tests required; monitor for hepatotoxicity.
  • Hematologic status: monitor blood counts for myelosuppression.
  • Drug interactions: avoid concomitant use with high‑dose NSAIDs and certain antibiotics.
  • Store at ambient temperature: keep below 25 °C, in original packaging, protect from moisture and light.

Avoid Interactions

Methotrexat Ebewe interacts with several medicines that can alter its efficacy or safety profile.

Major Interactions (Avoid)

  • Live vaccines: increased risk of severe infection.
  • Azathioprine or other immunosuppressants: additive bone‑marrow suppression.
  • High‑dose NSAIDs: may increase methotrexate toxicity.

Moderate Interactions (Monitor Closely)

  • Trimethoprim‑sulfamethoxazole: may enhance myelosuppression.
  • Penicillins: can reduce renal clearance of methotrexate.
  • Proton pump inhibitors: may affect absorption.
  • Alcohol: can exacerbate hepatotoxicity.

Frequently Asked Questions

Methotrexat Ebewe is indicated for the treatment of rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and certain breast cancer regimens. It works by targeting rapidly dividing cells and modulating immune responses.

Methotrexate is a folate antagonist that inhibits the enzyme dihydrofolate reductase. This blocks the formation of tetrahydrofolate, a co‑factor required for synthesis of purine nucleotides and thymidylate, thereby reducing DNA, RNA and protein production and limiting cell proliferation.

The dosage of Methotrexat Ebewe is individualized and determined by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. No standard dose is provided here.

Methotrexat Ebewe is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and miscarriage. It is also not recommended while breastfeeding because 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 any cold‑chain requirements) and necessary import documentation.

Methotrexat Ebewe shares the same mechanism of action as other folate antagonists such as pemetrexed, but methotrexate is more widely used for autoimmune diseases and a broader range of hematologic malignancies. Its oral formulation offers convenience, whereas some alternatives are only available intravenously.

Methotrexat Ebewe should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture, heat and direct sunlight to maintain stability.

Methotrexat Ebewe is taken orally as a tablet, usually with a full glass of water. Depending on the prescribing regimen, it may be taken once weekly or as directed by the healthcare professional. Patients should follow the prescriber’s instructions regarding timing and any required folic acid supplementation.

The most serious adverse events include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, and acute renal failure. Early detection through regular laboratory monitoring is essential to mitigate these risks.

Methotrexat Ebewe is contraindicated in pregnant women, individuals with severe renal or hepatic impairment, patients with known hypersensitivity to methotrexate or its excipients, and those receiving live vaccines. Caution is also advised for patients with pre‑existing blood disorders or uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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