Product image of Methotrexát Denk (Methotrexate) supplied by GNH India

Methotrexát Denk

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexát Denk (Methotrexate)

Methotrexate, the active ingredient in Methotrexát Denk, is an antimetabolite (folate antagonist) presented as a subcutaneous injection solution for subcutaneous use. It treats rheumatoid arthritis, psoriasis, certain leukemias and other serious conditions in appropriate patients.

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

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

Methotrexate is used across several autoimmune and oncologic disease pathways.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin plaque formation and severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Osteosarcoma: inhibits tumor growth.
  • Ectopic pregnancy: terminates trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the synthesis of purine nucleotides and thymidylate, impairing DNA, RNA and protein synthesis in rapidly dividing cells, which underlies its antineoplastic and immunosuppressive actions.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or weakness.
  • Oral mucosal ulceration.
  • Mild to moderate liver enzyme elevation.
  • Transient rash or itching.
  • Decreased white blood cell count.

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver failure.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening infections due to immunosuppression.
  • Aplastic anemia or bone‑marrow failure.
  • Acute renal impairment.
  • Anaphylactic or severe hypersensitivity reactions.

Precautions & Warnings

Methotrexát Denk requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant patients.
  • Liver function: perform baseline and periodic liver enzyme tests.
  • Renal function: assess creatinine clearance before initiation and during therapy.
  • Hematology: obtain regular complete blood counts to detect cytopenias.
  • Concomitant folate: consider folic acid supplementation to reduce toxicity.
  • Immunosuppression: monitor for signs of infection and advise patients to seek prompt medical attention.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexát Denk can interact with several drug classes, requiring vigilance.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Aminoglycoside antibiotics: heightened risk of nephrotoxicity.
  • Live vaccines: risk of uncontrolled infection.
  • High‑dose vitamin C: may reduce methotrexate efficacy.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect methotrexate absorption.
  • Azathioprine: additive immunosuppressive effect.
  • Phenytoin: may increase methotrexate clearance, reducing efficacy.
  • Alcohol: potentiates hepatic toxicity.
  • Sulfonamides: possible additive toxicity on blood cells.

Frequently Asked Questions

Methotrexát Denk contains methotrexate and is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, osteosarcoma, and medically managed ectopic pregnancy. In each case, it works by interfering with cell proliferation or immune activity to control disease progression.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folic acid into its active form. This inhibition reduces the production of nucleotides needed for DNA, RNA and protein synthesis, thereby limiting the growth of rapidly dividing cells and dampening immune responses.

The specific dose and dosing schedule of Methotrexát Denk are determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Only a qualified healthcare professional should set the regimen.

Methotrexát Denk is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. 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 if needed) and import documentation.

Methotrexát Denk shares the folate‑antagonist mechanism with other agents such as pemetrexed, but methotrexate has a broader range of approved indications, including autoimmune diseases. Its safety profile, dosing flexibility (including subcutaneous administration), and long‑standing clinical use make it a widely adopted option in many therapeutic areas.

Methotrexát Denk should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and do not freeze or shake the solution. Maintaining the cold chain preserves drug stability and potency.

Methotrexát Denk is supplied as a sterile solution for subcutaneous injection. A qualified healthcare professional administers the dose using aseptic technique, typically into the abdomen or thigh, according to the prescriber’s instructions and local clinical guidelines.

Serious risks include severe liver toxicity, pulmonary fibrosis, life‑threatening infections due to immunosuppression, bone‑marrow failure (aplastic anemia), acute renal impairment, and rare anaphylactic reactions. Patients should be monitored regularly for early signs of these complications.

Methotrexát Denk is contraindicated in pregnant women, individuals with severe liver disease, uncontrolled renal impairment, active infections, or known hypersensitivity to methotrexate or any excipients. It should also be avoided in patients receiving live vaccines or certain interacting medications without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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