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

Methotrexat Ebewe

Active Ingredient:
Methotrexate Disodium
Origin:
EU

Methotrexat Ebewe (Methotrexate Disodium)

Methotrexate, the active ingredient in Methotrexat Ebewe, is an antimetabolite (folate antagonist) presented as a sterile injectable solution for intramuscular, intravenous, subcutaneous use. It is employed in the treatment of certain cancers, autoimmune diseases and ectopic pregnancy.
GNH India supplies Methotrexat Ebewe as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Ebewe Pharma

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Indications & Clinical Uses

Methotrexate acts on rapidly dividing cells and immune pathways, making it useful across several disease families.

  • Rheumatoid arthritis: reduces joint inflammation and disease progression.
  • Psoriasis: decreases skin cell proliferation and plaque formation.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant cell replication.
  • Non‑Hodgkin lymphoma: slows tumor growth through folate pathway blockade.
  • Breast cancer: used in combination regimens to limit tumor expansion.
  • Ectopic pregnancy: terminates trophoblastic tissue by disrupting DNA synthesis.

How It Works

  • Methotrexate disodium inhibits the enzyme dihydrofolate reductase, leading to depletion of tetrahydrofolate, a cofactor required for purine and pyrimidine synthesis. This impairs DNA, RNA and protein production, thereby reducing cellular replication in rapidly dividing tissues such as malignant cells and activated immune cells.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Oral mucositis (mouth sores).
  • Mild liver enzyme elevation.
  • Transient low white blood cell count.
  • Skin rash or itching.

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Profound bone marrow suppression leading to pancytopenia.
  • Life‑threatening infections due to immunosuppression.
  • Renal failure from crystal precipitation.
  • Rare anaphylactic reactions on injection.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated (Category X); avoid use in women of childbearing potential.
  • Renal function: assess creatinine clearance before initiation and periodically thereafter.
  • Hepatic function: perform baseline liver tests and monitor during therapy.
  • Hematologic monitoring: regular complete blood counts to detect myelosuppression.
  • Drug interactions: review concomitant medications for potential additive toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate can interact with several medicines, altering efficacy or toxicity.

Major Interactions (Avoid)

  • Live vaccines: increased risk of severe infection.
  • NSAIDs (e.g., ibuprofen, naproxen): heightened methotrexate toxicity.
  • Trimethoprim‑sulfamethoxazole: enhanced myelosuppression.

Moderate Interactions (Monitor Closely)

  • Penicillins and sulfonamides: may increase plasma levels.
  • Phenytoin, carbamazepine: can reduce methotrexate effectiveness.
  • Alcohol: potentiates liver injury.
  • Proton pump inhibitors: may affect renal clearance.

Frequently Asked Questions

Methotrexat Ebewe contains methotrexate, which is prescribed for rheumatoid arthritis, severe psoriasis, certain leukemias, non‑Hodgkin lymphoma, breast cancer, and ectopic pregnancy. It works by interfering with cell growth and immune activity, making it effective in both oncologic and autoimmune settings.

Methotrexate blocks dihydrofolate reductase, an enzyme needed to produce tetrahydrofolate. Without tetrahydrofolate, cells cannot synthesize DNA, RNA, and proteins efficiently. This halts the proliferation of rapidly dividing cells such as cancer cells and activated immune cells, reducing disease activity.

The specific dose of Methotrexat Ebewe is determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Only a qualified healthcare professional can set the appropriate dosing regimen.

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 cold‑chain where needed) and import documentation.

Methotrexate is a widely used folate antagonist with a well‑established efficacy and safety profile. Compared with newer agents such as pemetrexed or leflunomide, methotrexate is generally less expensive and has extensive clinical experience, though individual response and toxicity may vary.

Methotrexat Ebewe should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the vial. Keep it in the original packaging until use to maintain stability and sterility.

Methotrexat Ebewe is supplied as a sterile injectable solution and can be given intramuscularly, intravenously or subcutaneously, depending on the clinical indication and physician’s judgment. Administration is performed by a qualified healthcare professional under aseptic conditions.

The most serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, and life‑threatening infections. Patients should be monitored regularly for liver enzymes, lung function and blood counts to detect these complications early.

Methotrexat Ebewe should not be used by pregnant women, individuals with severe renal or hepatic impairment, patients with known hypersensitivity to methotrexate or its excipients, and those receiving live vaccines. It is also contraindicated in patients with active infections that could be worsened by immunosuppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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