Product image of Methotrexate Accord (Methotrexate) supplied by GNH India

Methotrexate Accord

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Accord (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Accord, is an antimetabolite presented as a sterile injectable for intra‑arterial, intramuscular, and intrathecal use. It is employed in the management of rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease.

GNH India supplies Methotrexate Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide, with distribution across Europe and other global markets, ensuring quality and regulatory compliance.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Methotrexate is used to treat diseases that involve abnormal cell proliferation or immune‑mediated inflammation.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell turnover and plaque formation.
  • Acute lymphoblastic leukemia: interferes with malignant lymphoblast replication.
  • Non‑Hodgkin lymphoma: impedes growth of lymphoma cells.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting dihydrofolate reductase, an enzyme required for tetrahydrofolate synthesis. This blockade reduces purine and pyrimidine production, leading to impaired DNA, RNA and protein synthesis, which selectively affects rapidly dividing cells and modulates immune responses.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Fatigue
  • Mouth sores (stomatitis)
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe bone marrow suppression
  • Hepatotoxicity with fibrosis
  • Pulmonary fibrosis or pneumonitis
  • Life‑threatening infection

Precautions & Warnings

Before initiating Methotrexate, several safety considerations should be observed.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant or nursing women.
  • Renal function: assess creatinine clearance and adjust or avoid if impaired.
  • Liver function: monitor transaminases regularly; discontinue if significant elevation.
  • Hematologic status: perform baseline and periodic complete blood counts.
  • Drug interactions: avoid concomitant high‑dose NSAIDs and live vaccines.
  • Store at controlled room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate can interact with other medicines, altering its efficacy or toxicity.

Major Interactions (Avoid)

  • Live vaccines: may cause severe infection.
  • High‑dose NSAIDs: increase methotrexate toxicity.
  • Sulfasalazine: additive bone‑marrow suppression.
  • Trimethoprim‑sulfamethoxazole: heightened myelosuppression.
  • Radiation therapy: enhanced tissue damage.

Moderate Interactions (Monitor Closely)

  • Penicillins: may raise methotrexate plasma levels.
  • Proton pump inhibitors: can affect renal clearance.
  • Azathioprine: combined immunosuppression risk.
  • Alcohol: may exacerbate liver toxicity.

Frequently Asked Questions

Methotrexate Accord is indicated for several serious conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. In each case the drug works to reduce abnormal cell growth or modulate immune activity, helping to control disease symptoms and progression.

Methotrexate functions as a folate antagonist. By inhibiting the enzyme dihydrofolate reductase, it blocks the formation of tetrahydrofolate, a key cofactor for synthesising purines and pyrimidines. This interruption limits DNA, RNA and protein production, which particularly affects rapidly dividing cells and immune cells.

The dose of Methotrexate Accord is individualized by the prescribing clinician. Factors such as the specific disease being treated, patient weight, renal and hepatic function, and concurrent medications are evaluated to select an appropriate dosing regimen. Patients should follow the prescriber’s instructions precisely.

Methotrexate 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 for breastfeeding mothers, as it can be excreted in milk and may harm the infant.

To request Methotrexate Accord, 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 required import documentation.

Methotrexate is one of the most widely used antimetabolites and is often compared with agents such as azathioprine or mycophenolate. Compared with newer biologics, methotrexate is less expensive but may require more laboratory monitoring. Its efficacy in rheumatoid arthritis and certain cancers remains well‑established, though individual response varies.

Methotrexate Accord should be stored at controlled room temperature, typically below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly closed when not in use. Follow any additional handling instructions provided with the shipment.

Methotrexate Accord is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular, or intrathecal routes, depending on the clinical indication and prescriber’s plan. Administration is performed by qualified healthcare professionals in a controlled setting, with dosing intervals determined by the treating physician.

The most serious risks of methotrexate include severe bone‑marrow suppression leading to pancytopenia, hepatotoxicity that can progress to fibrosis or cirrhosis, pulmonary toxicity such as interstitial pneumonitis, and life‑threatening infections due to immunosuppression. Prompt monitoring and early detection are essential to mitigate these hazards.

Methotrexate Accord should be avoided in pregnant or nursing women, patients with severe renal or hepatic impairment, those with existing bone‑marrow disorders, and individuals receiving live vaccines. It is also contraindicated in patients with known hypersensitivity to methotrexate or any of its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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