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 intra‑arterial, intramuscular and intravenous use. It is employed to treat rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, breast cancer and osteosarcoma in appropriate patients.

GNH India supplies Methotrexate Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and clinical use.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Methotrexate is used in autoimmune and oncologic disease pathways to modulate cell proliferation and immune activity.

  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: slows skin cell turnover and improves plaque lesions.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant lymphoblast proliferation.
  • Non‑Hodgkin lymphoma: contributes to tumor control through cytotoxic effects on rapidly dividing cells.
  • Breast cancer: used as part of combination regimens to limit tumor growth.
  • Osteosarcoma: administered to suppress bone‑derived tumor cell replication.

How It Works

  • Methotrexate competitively inhibits dihydrofolate reductase, preventing conversion of dihydrofolate to tetrahydrofolate. This depletion of tetrahydrofolate limits synthesis of purine nucleotides and thymidylate, impairing DNA, RNA and protein production in rapidly dividing cells. The drug also promotes accumulation of polyglutamated metabolites that further block enzymes involved in folate metabolism, enhancing its antineoplastic and immunosuppressive actions.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or weakness
  • Oral mucositis (mouth sores)
  • Transient elevation of liver enzymes
  • Decreased white blood cell count
  • Alopecia (hair thinning)

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis
  • Pulmonary toxicity, including interstitial pneumonitis
  • Life‑threatening bone marrow suppression
  • Acute renal failure
  • Severe infection due to immunosuppression

Precautions & Warnings

Prior to initiating therapy, several safety considerations should be addressed.

  • Baseline blood monitoring: obtain complete blood count and differential.
  • Liver function assessment: evaluate transaminases and bilirubin levels.
  • Renal function evaluation: check serum creatinine and clearance.
  • Pregnancy avoidance: contraindicated in pregnancy; ensure effective contraception.
  • Breastfeeding restriction: not recommended for nursing mothers.
  • Concomitant drug review: avoid known hepatotoxic or nephrotoxic agents.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several medicines that can alter its efficacy or toxicity.

Major Interactions (Avoid)

  • NSAIDs (e.g., ibuprofen, naproxen): increase methotrexate plasma levels and risk of toxicity.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: may enhance myelosuppression.
  • Phenytoin and carbamazepine: can reduce methotrexate effectiveness.
  • Proton pump inhibitors: may affect renal clearance of methotrexate.

Frequently Asked Questions

Methotrexate Accord is indicated for several autoimmune and oncologic conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, breast cancer and osteosarcoma. In each case the drug works by inhibiting cell proliferation and modulating immune responses, helping to control disease activity.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a key co‑factor in DNA, RNA and protein synthesis. By depleting tetrahydrofolate, the drug hampers the growth of rapidly dividing cells and suppresses immune activity, providing both antineoplastic and anti‑inflammatory effects.

The prescribed dose of Methotrexate Accord is individualized by the treating physician based on the specific indication, disease severity, patient weight, renal and hepatic function, and any concurrent therapies. Dosage regimens can vary widely, so the prescriber sets the exact amount and schedule for each patient.

Methotrexate is classified as pregnancy category X, meaning it is contraindicated in pregnancy because of a high risk of fetal malformations and miscarriage. It is also not recommended for breastfeeding mothers, as the drug can be excreted in breast milk and may harm the infant.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity of Methotrexate Accord. 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.

Compared with biologic agents, methotrexate is a small‑molecule folate antagonist that can be administered via injection and is generally less expensive. It has a well‑established efficacy profile for rheumatoid arthritis and certain cancers, but its safety monitoring requirements are more intensive than some newer biologics.

Methotrexate Accord should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and avoid freezing. Follow any additional handling instructions provided on the label.

The medication is supplied as a sterile injectable solution and can be given by intra‑arterial, intramuscular or intravenous injection, depending on the clinical indication and physician preference. Administration is performed by qualified healthcare professionals in a controlled setting.

Serious adverse events include severe liver toxicity, pulmonary fibrosis, life‑threatening bone‑marrow suppression, acute renal failure and serious infections. Patients should be monitored regularly for liver enzymes, blood counts and renal function, and any new respiratory symptoms or signs of infection should be reported immediately.

Methotrexate Accord is contraindicated in pregnant women, nursing mothers, and patients with severe hepatic or renal impairment. It should also be avoided in individuals with known hypersensitivity to methotrexate or any of its excipients, and in patients receiving live vaccines without appropriate medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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