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 (folate antagonist) presented as a sterile injectable solution for intraarterial, intramuscular, and intrathecal administration. It is used in the treatment of various malignancies, autoimmune disorders, and gestational trophoblastic disease in adult patients.

GNH India supplies Methotrexate Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and regulatory requirements to ensure product integrity. Products are shipped globally with appropriate temperature controls and documentation.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Methotrexate is an antimetabolite used in oncology and autoimmune disease management.
  • Acute lymphoblastic leukemia: reduces leukemic cell proliferation and induces remission.
  • Chronic lymphocytic leukemia: slows disease progression and improves survival.
  • Non‑Hodgkin lymphoma: decreases tumor burden and prolongs remission.
  • Psoriasis: limits skin cell overgrowth, reducing plaques.
  • Rheumatoid arthritis: diminishes inflammatory activity and joint damage.
  • Gestational trophoblastic disease: eradicates trophoblastic tissue and prevents recurrence.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This interruption depletes cellular folate pools, impairing synthesis of purine nucleotides and thymidylate, which are essential for DNA, RNA, and protein production. The resulting cytostatic effect preferentially affects rapidly dividing cells, such as malignant lymphocytes and hyperproliferative immune cells.

Side Effects

Methotrexate may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting.
  • Oral ulcers or mucositis.
  • Fatigue or malaise.
  • Mild liver enzyme elevation.

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis.
  • Bone marrow suppression leading to pancytopenia.
  • Pulmonary toxicity, including interstitial pneumonitis.
  • Nephrotoxicity with acute kidney injury.
  • Life‑threatening infections due to immunosuppression.

Precautions & Warnings

  • Before initiating therapy, clinicians should evaluate patient history, baseline labs, and potential contraindications.
  • Pregnancy avoidance: contraindicated in pregnancy (Category X) due to teratogenic risk.
  • Renal function monitoring: adjust dose or avoid if severe impairment.
  • Hepatic monitoring: perform regular liver function tests.
  • Infection vigilance: monitor for signs of infection and advise prompt reporting.
  • Contraception requirement: both male and female patients of reproductive potential must use effective contraception.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Methotrexate interacts with several drug classes that can modify its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors (e.g., omeprazole): may raise serum levels.
  • Trimethoprim‑sulfamethoxazole: enhances myelosuppression.

Moderate Interactions (Monitor Closely)

  • Penicillins: may reduce renal clearance.
  • Phenytoin: can lower methotrexate concentrations.
  • Live vaccines: risk of severe infection; avoid concurrent use.

Frequently Asked Questions

Methotrexate Accord is indicated for several serious conditions, including acute and chronic lymphoblastic leukemias, non‑Hodgkin lymphoma, rheumatoid arthritis, severe plaque psoriasis, and gestational trophoblastic disease. In each case, the drug works to suppress abnormal cell growth or immune activity as appropriate for the disease.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate, a form of folate needed for DNA, RNA and protein synthesis. By depleting these building blocks, it halts the proliferation of rapidly dividing cells such as cancerous lymphocytes and overactive immune cells.

The specific dose of Methotrexate Accord is determined by the prescribing clinician based on the patient’s diagnosis, disease severity, renal and hepatic function, and treatment protocol. Dosage regimens vary widely across indications and are individualized for safety and efficacy.

Methotrexate Accord 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 excreted in breast milk, so breastfeeding is not recommended while receiving treatment.

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 required import documentation.

Methotrexate is a folate antagonist, whereas other antimetabolites such as 5‑fluorouracil target thymidylate synthase. Methotrexate’s broad activity against both malignant and autoimmune cells makes it useful across oncology and rheumatology, while some alternatives may be more disease‑specific or have different toxicity profiles.

Methotrexate Accord should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. The product must not be frozen or shaken, and it should remain in its original packaging until ready for use to maintain stability.

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 prescribing physician’s protocol. Administration is performed by qualified healthcare professionals in a controlled setting.

The most serious risks include severe liver toxicity, bone‑marrow suppression leading to pancytopenia, pulmonary fibrosis or interstitial pneumonitis, and renal impairment. Patients should be monitored regularly with laboratory tests and clinical assessments to detect these complications early.

Methotrexate Accord is contraindicated in pregnant women, individuals with severe hepatic or renal dysfunction, patients with known hypersensitivity to methotrexate or its excipients, and those receiving live vaccines. Caution is also advised for patients with active infections or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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