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 an oral tablet for oral use. It is employed to treat autoimmune disorders and certain cancers in adult patients, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia and non‑Hodgkin lymphoma.

GNH India supplies Methotrexate Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network ensures reliable delivery to oncology centres, rheumatology units and transplant facilities across Europe, Asia and the Americas.

Manufacturer / TM Owner

Accord Healthcare B.V.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Methotrexate is used in several disease categories, primarily autoimmune disorders and malignancies, where it modulates cell proliferation.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: decreases skin cell turnover, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with leukemic cell replication, contributing to remission.
  • Non‑Hodgkin lymphoma: impairs lymphoma cell growth as part of combination therapy.
  • Ectopic pregnancy: terminates trophoblastic tissue to avoid surgical intervention.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This reduction limits the availability of tetrahydrofolate‑dependent one‑carbon transfer reactions required for synthesis of purine nucleotides and thymidylate, thereby impairing DNA, RNA and protein synthesis in rapidly dividing cells. The resulting antiproliferative effect underlies its activity in inflammatory and neoplastic conditions.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Stomatitis or mouth ulcers
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis
  • Pulmonary toxicity (interstitial pneumonitis)
  • Significant bone marrow failure (aplastic anemia)

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and counsel patients on safety measures.

  • Monitor liver function: perform baseline and periodic liver enzyme tests.
  • Assess blood counts: regular CBC to detect bone marrow suppression.
  • Evaluate renal function: adjust dose if creatinine clearance is reduced.
  • Avoid use in pregnancy: teratogenic risk mandates strict contraception.
  • Counsel on folic acid supplementation: may reduce mucosal toxicity.
  • Store at ambient temperature below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate has several drug interactions that may require avoidance or close monitoring.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors (e.g., omeprazole): may raise serum levels.
  • Trimethoprim‑sulfamethoxazole: potentiates bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Penicillins (high‑dose): can reduce renal clearance of methotrexate.
  • Live vaccines: risk of infection due to immunosuppression.
  • Alcohol: may exacerbate hepatotoxicity.

Frequently Asked Questions

Methotrexate Accord is indicated for several serious conditions, including rheumatoid arthritis and psoriasis as a disease‑modifying antirheumatic drug, as well as acute lymphoblastic leukemia and non‑Hodgkin lymphoma when used as part of chemotherapy protocols. It is also employed in the medical management of ectopic pregnancy.

Methotrexate blocks dihydrofolate reductase, an enzyme needed to regenerate tetrahydrofolate. Without tetrahydrofolate, cells cannot perform essential one‑carbon transfers for making purine bases and thymidine, which are building blocks of DNA and RNA. This inhibition halts the rapid division of immune cells and cancer cells, providing therapeutic benefit.

The dose of Methotrexate Accord is individualized by the prescribing clinician based on the specific indication, disease severity, patient weight, renal and hepatic function, and concurrent therapies. No standard dose is provided here; the prescriber sets the appropriate regimen for each patient.

Methotrexate is classified as Pregnancy Category X because it is known to cause fetal malformations and embryotoxicity. It is contraindicated in pregnancy and women of child‑bearing potential must use effective contraception. Breastfeeding is also not recommended, as methotrexate can be excreted in milk and affect the infant.

To place an order, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials, then respond with pricing, availability, shipping details (including cold‑chain if needed) and any required import documentation.

Compared with biologic DMARDs, methotrexate is a small‑molecule oral agent that is less expensive and has a well‑established efficacy profile for rheumatoid arthritis and psoriasis. In oncology, it is less potent than newer targeted therapies but remains a cornerstone in combination regimens for acute lymphoblastic leukemia and certain lymphomas because of its broad antiproliferative activity.

Methotrexate Accord should be stored at ambient temperature below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct light, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Methotrexate Accord is supplied as oral tablets and is taken by mouth with a full glass of water. Depending on the prescribing regimen, it may be taken with or without food. Patients are often advised to follow the prescriber’s instructions regarding timing and any required folic acid supplementation.

The most critical adverse events include severe liver toxicity, pulmonary fibrosis or interstitial pneumonitis, and profound bone‑marrow suppression leading to aplastic anemia. Early signs such as persistent cough, jaundice, unusual bruising or infections should prompt immediate medical evaluation.

Methotrexate Accord is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe hepatic impairment, uncontrolled infections, and those with significant renal dysfunction that cannot be adequately managed. It should also be avoided in patients receiving live vaccines due to immunosuppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.