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

Methotrexat Lederle

Active Ingredient:
Methotrexate Disodium
Origin:
EU

Methotrexat Lederle (Methotrexate Disodium)

Methotrexate, the active ingredient in Methotrexat Lederle, is an antimetabolite (folate antagonist) presented as an oral tablet for systemic use. It is employed in the management of rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and breast cancer.

GNH India supplies Methotrexat Lederle as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, ensuring compliance with EU quality standards.

Manufacturer / TM Owner

Pfizer Pharma Gmbh

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Indications & Clinical Uses

  • Methotrexat Lederle is used in diseases where folate metabolism is targeted, primarily autoimmune and malignant conditions.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: limits skin cell proliferation and improves plaque appearance.
  • Acute lymphoblastic leukemia: interferes with leukemic cell replication.
  • Non‑Hodgkin lymphoma: induces tumor cell death by blocking DNA synthesis.
  • Breast cancer: acts as a cytotoxic agent in combination chemotherapy regimens.

How It Works

  • Methotrexat Lederle inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the availability of folate cofactors required for purine and pyrimidine synthesis, thereby impairing DNA, RNA and protein production in rapidly dividing cells and modulating immune cell activity.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Mucositis or mouth ulcers.
  • Fatigue and weakness.
  • Alopecia (hair loss).
  • Elevated liver enzymes.
  • Diarrhea.

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia.
  • Severe hepatic toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening infections due to immunosuppression.
  • Renal failure or nephrotoxicity.
  • Development of secondary malignancies.

Precautions & Warnings

  • When prescribing Methotrexat Lederle, clinicians should observe several safety measures.
  • Liver monitoring: perform baseline and periodic liver function tests.
  • Blood count monitoring: check complete blood count regularly.
  • Pregnancy avoidance: contraindicated in pregnancy; ensure effective contraception.
  • Renal function: adjust dose or avoid in severe renal impairment.
  • Drug interactions: review concomitant medications for known interactions.
  • Store at ambient temperature: keep in original packaging, protect from moisture and heat.

Avoid Interactions

Methotrexat Lederle interacts with several medicines; some combinations should be avoided while others require careful monitoring.

Major Interactions (Avoid)

  • NSAIDs: increase methotrexate toxicity and delay clearance.
  • Penicillins (e.g., ampicillin): may raise serum methotrexate levels.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may reduce absorption, affecting efficacy.
  • Oral contraceptives: methotrexate can diminish hormonal effectiveness.
  • Allopurinol: can potentiate methotrexate toxicity, requiring dose adjustment.

Frequently Asked Questions

Methotrexat Lederle contains methotrexate, which is prescribed for several autoimmune and oncologic conditions. It is commonly used to treat rheumatoid arthritis and psoriasis, and it forms part of chemotherapy regimens for acute lymphoblastic leukemia, non‑Hodgkin lymphoma and breast cancer.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate, a key cofactor for synthesising purines and pyrimidines. This inhibition reduces DNA, RNA and protein production, limiting the growth of rapidly dividing cells and modulating immune responses.

The prescribed dose of Methotrexat Lederle is set by the treating physician based on the specific indication, patient weight, renal and hepatic function, and any concurrent therapies. Dosage regimens vary widely, so patients should follow the prescriber’s exact instructions.

Methotrexat Lederle is classified as Pregnancy Category X, meaning it is contraindicated during pregnancy because of a high risk of fetal malformations and miscarriage. It is also not recommended while breastfeeding, as it can be excreted in milk and affect the infant.

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

Methotrexate is an antimetabolite, whereas alternatives such as biologic DMARDs (e.g., adalimumab) target specific cytokines. Methotrexate is generally less expensive and administered orally, but biologics may offer faster symptom control for some patients. Choice depends on disease severity, comorbidities, cost considerations and physician judgment.

Methotrexat Lederle tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight.

The medication is taken orally, usually with a full glass of water. Depending on the prescribing regimen, it may be taken once weekly or as directed by the clinician. Patients are often advised to take folic acid supplements to reduce certain side effects, but they should follow the prescriber’s guidance.

Serious risks include bone marrow suppression leading to pancytopenia, severe liver toxicity or fibrosis, pulmonary complications such as interstitial pneumonitis, and life‑threatening infections due to immunosuppression. Patients should promptly report symptoms like persistent fever, unusual bruising, jaundice, or shortness of breath.

Methotrexat Lederle is contraindicated in pregnant or breastfeeding women, patients with severe renal or hepatic impairment, and individuals with known hypersensitivity to methotrexate or any excipients. It should also be avoided in patients receiving live vaccines or those with uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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