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 solution for intra‑arterial, intramuscular and intravenous use. It is employed to treat certain autoimmune disorders and several types of cancer in adult and pediatric patients.
GNH India supplies Methotrexate Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Accord Healthcare France Sas

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Indications & Clinical Uses

Methotrexate is used across a range of autoimmune and oncologic conditions, acting by inhibiting cell proliferation.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: induces remission by targeting rapidly dividing lymphoblasts.
  • Non‑Hodgkin lymphoma: impedes tumor growth through DNA synthesis inhibition.
  • Gestational trophoblastic disease: promotes resolution of abnormal trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, decreasing tetrahydrofolate levels required for purine and pyrimidine synthesis. This blockade impairs DNA, RNA and protein production, leading to reduced cellular replication and increased apoptosis in rapidly dividing cells, including immune cells and malignant clones.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Fatigue or weakness
  • Mucositis (mouth sores)
  • Alopecia (hair loss)
  • Elevated liver enzymes
  • Mild rash

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia
  • Pulmonary toxicity (interstitial pneumonitis)
  • Severe hepatotoxicity or fibrosis
  • Acute renal failure
  • Life‑threatening cutaneous reactions (e.g., Stevens‑Johnson syndrome)
  • Severe infection due to immunosuppression

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant patients.
  • Renal function: assess baseline and monitor; adjust or discontinue if impaired.
  • Liver function: regularly check transaminases; discontinue if significant elevation occurs.
  • Hematologic monitoring: perform frequent blood counts to detect bone‑marrow suppression.
  • Drug interactions: review concomitant medications for potential additive toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes, requiring vigilance.

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity.
  • Penicillins (e.g., ampicillin): may reduce methotrexate clearance.
  • Proton pump inhibitors: can raise methotrexate plasma levels.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: may augment toxicity.
  • Trimethoprim: potentiates myelosuppression.
  • Azathioprine: additive bone‑marrow suppression risk.

Frequently Asked Questions

Methotrexate Accord is indicated for several autoimmune and oncologic diseases, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and gestational trophoblastic disease. In each case, the drug works by inhibiting cell proliferation, helping to control inflammation or tumor growth.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate. This reduces the availability of nucleotides needed for DNA, RNA and protein synthesis, thereby limiting the replication of rapidly dividing cells such as immune cells and cancer cells.

The specific dose of Methotrexate Accord is determined by the prescribing clinician based on the patient’s condition, age, weight, renal and hepatic function, and treatment goals. Dosage regimens vary widely across the approved indications.

Methotrexate 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 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 required import documentation.

Methotrexate is a folate antagonist, similar to drugs like pemetrexed and leflunomide, but it is distinguished by its broad indication range, including both autoimmune diseases and multiple cancers. Its dosing flexibility and extensive clinical experience make it a cornerstone therapy, though safety monitoring is more intensive than for some newer agents.

Methotrexate Accord should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging to maintain stability and prevent moisture exposure.

The product is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular or intravenous routes, depending on the clinical indication and physician’s judgment. Administration is performed by qualified healthcare professionals in a controlled setting.

The most serious risks include bone‑marrow suppression leading to pancytopenia, severe hepatotoxicity or liver fibrosis, pulmonary toxicity such as interstitial pneumonitis, and acute renal failure. Prompt monitoring of blood counts, liver and kidney function is essential to detect these complications early.

Methotrexate Accord is contraindicated in pregnant women, patients with severe renal or hepatic impairment, and individuals with known hypersensitivity to methotrexate or any component of the formulation. It should also be avoided in patients receiving live vaccines.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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