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

Methotrexat Phares

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexat Phares (Methotrexate)

Methotrexate, the active ingredient in Methotrexat Phares, is an antimetabolite presented as an injectable for intramuscular, intrathecal and intravenous use. It is employed in the management of autoimmune disorders and several malignant diseases, acting on rapidly dividing cells.

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

Manufacturer / TM Owner

Pharma Resources Gmbh

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Indications & Clinical Uses

Methotrexate is used across a range of autoimmune and oncologic conditions, targeting abnormal cell proliferation and immune activation.

  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: decreases skin plaque formation and severity.
  • Acute lymphoblastic leukemia: induces remission by inhibiting leukemic cell growth.
  • Non‑Hodgkin lymphoma: contributes to tumor control in combination regimens.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.
  • Osteosarcoma: enhances chemotherapy effectiveness by limiting tumor cell replication.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This impairs synthesis of purine nucleotides and thymidylate, leading to reduced DNA replication and cell division, particularly in rapidly proliferating immune and malignant cells.

Side Effects

Methotrexate may cause a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Nausea and vomiting: mild to moderate gastrointestinal upset.
  • Fatigue: general tiredness or weakness.
  • Oral ulcers: painful sores in the mouth.
  • Elevated liver enzymes: transient changes in liver function tests.
  • Low blood counts: mild neutropenia or anemia.
  • Skin rash: mild erythema or itching.

Serious or Rare Side Effects

  • Severe hepatotoxicity: significant liver injury requiring monitoring.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Myelosuppression: profound neutropenia, thrombocytopenia, or pancytopenia.
  • Renal impairment: acute kidney injury.
  • Severe mucositis: extensive oral and gastrointestinal ulceration.
  • Neurotoxicity: seizures or encephalopathy, especially with intrathecal use.

Precautions & Warnings

Methotrexate requires careful monitoring and patient education to minimize risks.

  • Baseline testing: obtain liver function, renal function and complete blood count before initiation.
  • Monitoring: repeat laboratory assessments regularly during therapy.
  • Contraindications: avoid in pregnancy and lactation due to teratogenicity.
  • Drug interactions: review concomitant medications for potential additive toxicity.
  • Patient counseling: advise on folic acid supplementation and avoidance of alcohol.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes, necessitating vigilance.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors: may raise methotrexate plasma levels.
  • Trimethoprim‑sulfamethoxazole: enhances myelosuppression risk.

Moderate Interactions (Monitor Closely)

  • Penicillins: can reduce renal clearance of methotrexate.
  • Phenytoin: may lower methotrexate efficacy.
  • Live vaccines: risk of infection due to immunosuppression.

Frequently Asked Questions

Methotrexat Phares contains methotrexate, which is indicated for rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, gestational trophoblastic disease and osteosarcoma. In each condition the drug works to reduce abnormal cell growth or immune‑mediated inflammation, helping to control disease activity.

Methotrexate blocks dihydrofolate reductase, an enzyme needed for folate metabolism. This inhibition disrupts the synthesis of nucleotides required for DNA replication, leading to decreased proliferation of rapidly dividing cells such as immune cells and cancer cells. The result is reduced inflammation in autoimmune diseases and slowed tumor growth in malignancies.

The specific dose of Methotrexat Phares is determined by the prescribing clinician based on the patient’s diagnosis, disease severity, renal and hepatic function, and other individual factors. Healthcare providers calculate the appropriate amount and schedule, and patients should follow the prescriber’s instructions exactly.

Methotrexate is classified as pregnancy category X because it is known to cause fetal harm and birth defects. It is contraindicated in pregnancy and should be stopped well before conception. Breastfeeding is also not recommended, as the drug 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 any required import documentation.

Methotrexate is one of the most widely used antimetabolites, offering a broad therapeutic range from autoimmune diseases to several cancers. Compared with newer agents like pemetrexed or pralatrexate, methotrexate is generally less expensive and has a longer safety record, though individual response and toxicity profiles may differ, requiring clinician judgment.

Methotrexat Phares should be stored at 2‑8 °C in a refrigerator. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the product. Do not store at room temperature for extended periods, as stability may be compromised.

The product is supplied as an injectable solution for intramuscular, intrathecal or intravenous administration. The route, dose volume and infusion rate are selected by the treating physician based on the indication and patient characteristics. Administration should be performed by qualified healthcare personnel in an appropriate clinical setting.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound myelosuppression leading to infection or bleeding, renal failure, and rare neurotoxicity when given intrathecally. Patients should be monitored regularly for liver enzymes, blood counts and renal function, and any signs of infection or respiratory distress should prompt immediate medical evaluation.

Methotrexat Phares is contraindicated in pregnant or breastfeeding individuals, patients with severe hepatic impairment, uncontrolled infections, and those with known hypersensitivity to methotrexate or any excipients. Caution is also advised for patients with pre‑existing lung disease, renal insufficiency, or significant bone marrow suppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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