Product image of Methotrexate Accord Healthcare (Methotrexate) supplied by GNH India

Methotrexate Accord Healthcare

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Accord Healthcare (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Accord Healthcare, is a Antimetabolite presented as a parenteral solution for Intraarterial, Intramuscular, Intrathecal use. It treats rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non-Hodgkin lymphoma and gestational trophoblastic disease in appropriate patients.

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

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is employed across several disease families, primarily autoimmune disorders and certain malignancies.

  • Rheumatoid arthritis: reduces inflammation and joint damage in patients with active disease.
  • Psoriasis: slows skin cell proliferation, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication, supporting remission.
  • Non-Hodgkin lymphoma: inhibits tumor growth as part of combination chemotherapy.
  • Gestational trophoblastic disease: induces remission by targeting rapidly dividing trophoblastic tissue.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the synthesis of purine nucleotides and thymidylate, leading to impaired DNA synthesis and cell replication. The effect is most pronounced in rapidly dividing cells, such as immune cells and malignant tumor cells, resulting in immunosuppression and antineoplastic activity.

Side Effects

Methotrexate may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or weakness.
  • Oral mucosal ulceration (mouth sores).
  • Elevated liver enzymes.
  • Decreased white blood cell count.
  • Mild rash or itching.

Serious or Rare Side Effects

  • Severe hepatic toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Profound bone marrow suppression leading to pancytopenia.
  • Life‑threatening infections.
  • Acute renal failure.
  • Anaphylactic or severe hypersensitivity reactions.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures before and during therapy.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant women.
  • Renal function: assess baseline and monitor; adjust dose or discontinue if impaired.
  • Liver function: perform regular liver enzyme tests; avoid in severe hepatic disease.
  • Infection risk: monitor for signs of infection; postpone treatment during active infections.
  • Hematologic monitoring: conduct frequent CBCs; discontinue if severe cytopenia occurs.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several drug classes, necessitating vigilance to prevent toxicity.

Major Interactions (Avoid)

  • Nonsteroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Aminoglycoside antibiotics: potentiate nephrotoxic effects.
  • Live vaccines: heightened risk of severe infection.
  • High‑dose folic acid supplements: may diminish therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Sulfonamide antibiotics: may raise hematologic toxicity.
  • Penicillins (e.g., ampicillin): can elevate methotrexate plasma levels.
  • Proton pump inhibitors: may affect renal clearance of methotrexate.
  • Trimethoprim: increased risk of myelosuppression.

Frequently Asked Questions

Methotrexate Accord Healthcare is indicated for several serious conditions, including rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. In each case, the drug works by inhibiting cell proliferation, thereby reducing inflammation in autoimmune disorders and limiting tumor growth in cancers.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folic acid into its active form. This interruption hampers the synthesis of DNA building blocks, especially in rapidly dividing cells such as immune cells and malignant tumor cells, leading to reduced inflammation and tumor progression.

The dose of Methotrexate Accord Healthcare is individualized based on the specific indication, patient characteristics, and clinical response. The prescribing physician determines the appropriate amount, frequency, and route of administration, and dose adjustments are made according to therapeutic monitoring and safety assessments.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnant women due to a high risk of fetal toxicity and birth defects. It is also not recommended for breastfeeding mothers because it can be excreted in breast milk and may harm 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, verifying trade or institutional credentials before providing a quotation, availability, shipping details (including cold‑chain if needed), and necessary import documentation.

Methotrexate is a conventional disease‑modifying antirheumatic drug (DMARD) and is often the first‑line therapy for rheumatoid arthritis. Compared with biologic agents, it is less expensive and administered orally or by injection, but may require more frequent monitoring for toxicity. Biologics target specific cytokines and may be used when methotrexate alone is insufficient.

Methotrexate Accord Healthcare should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture and direct light. Do not freeze. Ensure that the container remains sealed until use to maintain stability and potency.

Methotrexate can be given via intra‑arterial, intramuscular, or intrathecal injection, depending on the clinical indication and prescribing physician’s recommendation. The route, volume, and infusion rate are determined by the treatment protocol and the patient’s condition.

The most serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, life‑threatening infections, acute renal failure, and severe hypersensitivity reactions such as anaphylaxis. Patients should be monitored regularly for early signs of these complications.

Methotrexate is contraindicated in pregnant women, individuals with severe hepatic or renal impairment, patients with active infections, and those with known hypersensitivity to methotrexate or any of its excipients. Caution is also advised for patients with pre‑existing blood disorders or pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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