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 solution for intra‑arterial, intramuscular, and intravenous use. It treats rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, osteosarcoma, and gestational trophoblastic disease in the appropriate patient populations.

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 B.V.

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Indications & Clinical Uses

Methotrexate is an antimetabolite used in several autoimmune and oncologic disease families.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant cell proliferation.
  • Osteosarcoma: incorporated into chemotherapy regimens to limit tumor growth.
  • Gestational trophoblastic disease: helps eradicate trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This impairs synthesis of purine nucleotides and thymidylate, leading to reduced DNA replication and cell division, particularly affecting rapidly proliferating immune and cancer cells.

Side Effects

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

Common Side Effects

  • Nausea
  • Oral mucositis
  • Fatigue
  • Alopecia

Serious or Rare Side Effects

  • Bone marrow suppression
  • Severe hepatic toxicity
  • Pulmonary fibrosis
  • Life‑threatening infections

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated (Category X) – avoid use in pregnant women.
  • Renal function: assess before initiating; dose adjustment may be needed in impairment.
  • Hepatic function: monitor liver enzymes regularly during therapy.
  • NSAID co‑administration: increases risk of toxicity – monitor closely.
  • Concomitant antibiotics (e.g., penicillins): may reduce clearance and raise serum levels.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes that can alter its safety profile.

Major Interactions (Avoid)

  • NSAIDs: increase methotrexate toxicity.
  • Penicillins (e.g., ampicillin): reduce renal clearance, raising serum levels.
  • Proton pump inhibitors (e.g., omeprazole): may enhance toxicity.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: may increase risk of bone marrow suppression.
  • Live vaccines: immunosuppression may reduce efficacy and raise infection risk.

Frequently Asked Questions

Methotrexate Accord is employed in the management of rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, osteosarcoma, and gestational trophoblastic disease. In each case, it acts to suppress abnormal cell proliferation or immune activity, helping to control disease symptoms and progression.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate. This disruption hampers the synthesis of purine nucleotides and thymidylate, leading to reduced DNA replication and cell division, particularly affecting rapidly dividing immune and cancer cells.

The specific dose of Methotrexate Accord is determined by the prescribing clinician based on the patient’s condition, weight, renal and hepatic function, and treatment goals. Only a qualified healthcare professional should set the dosage regimen.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal harm. 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 import documentation.

Methotrexate is a widely used antimetabolite with a well‑characterized safety profile and multiple indications. Compared with newer agents such as pemetrexed or leflunomide, methotrexate is generally less expensive but may require more intensive monitoring for hepatic, renal, and hematologic toxicity.

Methotrexate Accord should be stored at 2‑8 °C, protected from light, and kept in its original packaging. Do not freeze or shake the product. If the solution reaches room temperature, it should be used promptly and not re‑refrigerated.

Methotrexate Accord is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular, or intravenous routes. Administration is performed by qualified healthcare professionals in a clinical setting, following aseptic technique and appropriate dosing guidelines.

The most serious risks include bone marrow suppression leading to severe cytopenias, significant hepatic toxicity that can progress to fibrosis or cirrhosis, pulmonary fibrosis, and life‑threatening infections due to immunosuppression. Prompt monitoring and early detection are essential.

Methotrexate Accord should not be used by pregnant women, individuals with severe renal or hepatic impairment, patients with known hypersensitivity to methotrexate, or those receiving live vaccines without appropriate medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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