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 an antimetabolite (folate antagonist) presented as a formulation for intra‑arterial, intramuscular, and intrathecal use. It is employed in the treatment of certain cancers, autoimmune disorders, and ectopic pregnancy.

GNH India supplies Methotrexate Accord Healthcare as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company adheres to EU quality standards and provides reliable global distribution.

Manufacturer / TM Owner

Accord Healthcare Limited

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Indications & Clinical Uses

Methotrexate is used in several oncologic and autoimmune disease pathways, targeting rapidly dividing cells and immune modulation.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions by decreasing keratinocyte proliferation.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant lymphoblast growth.
  • Non‑Hodgkin lymphoma: contributes to tumor control through cytotoxic activity.
  • Breast cancer: used as part of combination regimens to limit tumor cell replication.
  • Ectopic pregnancy: terminates trophoblastic tissue when surgical options are unsuitable.

How It Works

  • Methotrexate competitively inhibits 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 purines and thymidylate, thereby impairing DNA, RNA and protein synthesis in rapidly dividing cells and activated immune cells.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Fatigue
  • Mouth sores (stomatitis)
  • Elevated liver enzymes
  • Low white blood cell count (leukopenia)

Serious or Rare Side Effects

  • Severe liver toxicity (hepatic fibrosis or cirrhosis)
  • Pulmonary fibrosis or interstitial pneumonitis
  • Bone marrow failure leading to pancytopenia
  • Life‑threatening infections due to immunosuppression

Precautions & Warnings

When prescribing methotrexate, clinicians should observe several precautionary measures to minimize risk.

  • Liver monitoring: perform baseline and periodic liver function tests.
  • Hematologic monitoring: check complete blood counts regularly.
  • Renal function: adjust dose or avoid use in significant renal impairment.
  • Pregnancy avoidance: contraindicated in pregnancy; ensure effective contraception for both sexes.
  • Drug interactions: avoid concurrent use of high‑dose NSAIDs and other folate antagonists.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • NSAIDs (high‑dose): increase risk of renal toxicity and myelosuppression.
  • Penicillins (e.g., ampicillin): may reduce methotrexate clearance, raising serum levels.
  • Sulfonamides: potentiate bone marrow suppression.
  • Live vaccines: risk of severe infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may increase methotrexate exposure.
  • Azathioprine or other immunosuppressants: additive myelosuppression.
  • Warfarin: enhanced anticoagulant effect, monitor INR.
  • Trimethoprim: may increase methotrexate toxicity.

Frequently Asked Questions

Methotrexate Accord Healthcare is indicated for several serious conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, breast cancer and ectopic pregnancy. In each case the drug works by interfering with cell growth or immune activity, helping to control disease progression or eliminate abnormal tissue.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate. Without tetrahydrofolate, cells cannot synthesize purines and thymidylate, the building blocks of DNA and RNA. This inhibition hampers DNA replication and cell division, particularly affecting rapidly dividing cancer cells and activated immune cells.

The specific dose of Methotrexate Accord Healthcare is determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Dosage regimens differ between oncology, rheumatology and obstetric uses, and the prescriber will tailor the amount and frequency to each individual case.

Methotrexate is classified as pregnancy category X, meaning it is contraindicated in pregnancy because it can cause fetal malformations and loss. Women of child‑bearing potential must use effective contraception. The drug is also excreted in breast milk, so breastfeeding is not recommended while receiving methotrexate.

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 required) and the necessary import documentation.

Methotrexate differs from biologic agents such as TNF‑α inhibitors by acting as a small‑molecule folate antagonist that directly impairs DNA synthesis. It is often less expensive and can be administered orally or by injection, but it may require more intensive laboratory monitoring for liver and blood‑cell toxicity compared with many biologics.

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

The drug can be given by intra‑arterial, intramuscular or intrathecal injection, depending on the indication and prescribing information. Administration is performed by a qualified healthcare professional in a clinical setting, following aseptic technique and the specific dosing schedule ordered by the treating physician.

Serious risks include severe liver toxicity, pulmonary fibrosis, bone‑marrow suppression leading to pancytopenia, and life‑threatening infections due to immunosuppression. Patients should be monitored regularly for liver enzymes, blood counts and respiratory symptoms, and any signs of severe toxicity require immediate medical evaluation.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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