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 parenteral formulation for intraarterial, intramuscular, and intravenous use. It is employed in the management of rheumatoid arthritis, psoriasis, certain cancers, and ectopic pregnancy.

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

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is a folate antagonist used across autoimmune and oncologic disease pathways.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: limits skin cell proliferation and improves plaque lesions.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication.
  • Non‑Hodgkin lymphoma: induces tumor cell death.
  • Breast cancer: enhances the effect of other chemotherapeutic agents.
  • Ectopic pregnancy: halts trophoblastic growth to allow non‑surgical resolution.

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 production in rapidly dividing cells. The resulting antiproliferative effect underlies its utility in autoimmune disorders and malignancies.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Mouth ulcers or sore throat.
  • Mild elevation of liver enzymes.

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Profound bone‑marrow suppression leading to pancytopenia.

Precautions & Warnings

Careful monitoring and patient education are essential when using Methotrexate.

  • Liver monitoring: perform regular liver function tests.
  • Hematologic monitoring: check complete blood counts frequently.
  • Pregnancy avoidance: contraindicated in pregnancy (Category X).
  • Renal function: adjust dose in patients with impaired clearance.
  • Folic acid supplementation: recommended to reduce mucosal toxicity.
  • Store at controlled room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Trimethoprim‑sulfamethoxazole: may potentiate bone‑marrow suppression.
  • Live vaccines: risk of uncontrolled infection.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppression requiring blood‑count monitoring.
  • Phenytoin: may reduce methotrexate plasma levels, necessitating efficacy assessment.

Frequently Asked Questions

Methotrexate Accord is indicated for rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, breast cancer, and ectopic pregnancy. In each case the drug works by inhibiting cell proliferation, thereby reducing inflammation in autoimmune disease or limiting tumor growth in cancer.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate. Without tetrahydrofolate, cells cannot synthesize purines and thymidylate, leading to reduced DNA and RNA production. This antiproliferative effect is most pronounced in 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 indication, patient weight, renal function, and treatment goals. Dosing regimens vary widely between autoimmune disorders and oncology protocols, and the prescriber will tailor the schedule to each individual patient.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and loss. It is also not recommended while breastfeeding because it can be excreted in milk and may harm the infant. Effective contraception is required for women of child‑bearing potential.

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 necessary import documentation.

Methotrexate is often considered the first‑line disease‑modifying antirheumatic drug because of its proven efficacy, oral and parenteral options, and cost‑effectiveness. Compared with biologic DMARDs, it has a broader therapeutic window but requires regular laboratory monitoring for liver and marrow toxicity. Choice depends on disease severity, patient comorbidities, and response to therapy.

Methotrexate Accord should be stored at controlled room temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and ensure the container is tightly sealed to maintain stability throughout its shelf life.

Methotrexate Accord is supplied as a parenteral solution and can be given via intra‑arterial, intramuscular, or intravenous injection, depending on the clinical indication and prescribing protocol. Administration is performed by qualified healthcare professionals in a controlled setting.

The most serious risks include severe liver toxicity, pulmonary fibrosis, and profound bone‑marrow suppression that can lead to life‑threatening infections or bleeding. Patients should be monitored closely for signs of hepatic dysfunction, respiratory symptoms, and abnormal blood counts, and treatment should be stopped if these events occur.

Methotrexate Accord is contraindicated in pregnant women, individuals with severe liver disease, uncontrolled infections, and patients with known hypersensitivity to methotrexate or any component of the formulation. Caution is also advised for patients with renal impairment or existing bone‑marrow disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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