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 strength/form for intramuscular, intrathecal, intravenous use. It treats leukemia, lymphoma, psoriasis, and rheumatoid arthritis in appropriate 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 B.V.

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Indications & Clinical Uses

  • Methotrexate is employed across disease groups where rapid cell proliferation or immune activation is central.
  • Leukemia: helps achieve remission by inhibiting malignant cell replication.
  • Lymphoma: reduces tumor burden through antiproliferative activity.
  • Psoriasis: moderates skin cell turnover and inflammation.
  • Rheumatoid arthritis: suppresses immune‑mediated joint damage.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, decreasing tetrahydrofolate availability and thereby limiting purine and pyrimidine synthesis. This blockade reduces DNA, RNA, and protein production, leading to impaired cell division in rapidly proliferating tissues and modulation of immune cell activity.

Side Effects

Methotrexate may cause a range of adverse reactions.

Common Side Effects

  • Nausea or vomiting
  • Fatigue or malaise
  • Oral mucosal ulceration
  • Mild elevations in liver enzymes
  • Transient low white blood cell counts
  • Mild skin rash

Serious or Rare Side Effects

  • Severe hepatic toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening bone marrow suppression
  • Acute renal failure
  • Severe infections due to immunosuppression
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis

Precautions & Warnings

  • Safe use of Methotrexate Accord requires careful monitoring and patient education.
  • Monitor liver function: perform baseline and periodic liver enzyme tests.
  • Monitor blood counts: check complete blood count before each dose.
  • Assess renal function: evaluate serum creatinine and clearance.
  • Avoid use in pregnancy: contraindicated due to teratogenic risk.
  • Review concomitant medications: adjust for drugs that affect folate metabolism.
  • Store at ambient temperature: keep in original packaging, protect from moisture and light.

Avoid Interactions

Methotrexate can interact with several medicines, altering efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs)
  • Sulfonamide antibiotics
  • Live vaccines
  • Trimethoprim‑sulfamethoxazole
  • Other folate antagonists (e.g., pemetrexed)

Moderate Interactions (Monitor Closely)

  • Azathioprine
  • Warfarin
  • Phenytoin
  • Carbamazepine
  • Oral contraceptives

Frequently Asked Questions

Methotrexate Accord is indicated for the treatment of certain cancers such as leukemia and lymphoma, as well as for chronic inflammatory conditions including psoriasis and rheumatoid arthritis. It works by targeting rapidly dividing cells and modulating immune responses, helping to control disease activity in these disorders.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folic acid into its active form. This inhibition reduces the synthesis of DNA, RNA, and proteins, limiting the proliferation of malignant cells and dampening the activity of immune cells that drive inflammation.

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 prior response to therapy. Only a qualified healthcare professional should set the dosing regimen.

Methotrexate is classified as a high‑risk teratogen and is contraindicated during pregnancy because it can cause fetal malformations and loss. It is also excreted in breast milk, so breastfeeding is generally not recommended while receiving the drug.

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.

Compared with biologic agents, methotrexate is a small‑molecule drug that can be administered via injection or orally, offering a lower cost and broader availability. However, biologics may have a more targeted mechanism with different safety profiles, while methotrexate’s efficacy is well‑established across several indications.

Methotrexate Accord should be stored at ambient temperature, below 25 °C, in its original container. Protect the product from moisture, direct sunlight, and extreme temperatures to maintain stability and potency throughout its shelf life.

Methotrexate Accord is supplied for parenteral use and can be given intramuscularly, intravenously, or intrathecally by a qualified healthcare professional. The route and infusion rate are selected according to the clinical indication and patient tolerance.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, acute kidney injury, and life‑threatening infections. Patients should be monitored regularly for signs of organ dysfunction and infection, and therapy should be stopped if severe adverse events occur.

Methotrexate Accord is contraindicated in patients with known hypersensitivity to methotrexate, severe hepatic or renal impairment, active infections, and in women who are pregnant or planning pregnancy. Caution is also advised for individuals with pre‑existing lung disease or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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