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 sterile injectable solution for intra‑arterial, intramuscular, or intravenous use. It is employed to treat certain cancers, autoimmune disorders and ectopic pregnancy in adult patients.
GNH India supplies Methotrexate Accord Healthcare 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 used across several disease families, primarily as an antineoplastic and immunosuppressive agent.

  • Rheumatoid arthritis: reduces inflammatory activity and slows joint damage in adult patients.
  • Psoriasis: limits skin cell proliferation and improves plaque lesions.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Non‑Hodgkin lymphoma: impedes tumor growth as part of combination chemotherapy.
  • Ectopic pregnancy: halts trophoblastic tissue development to allow non‑surgical resolution.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, decreasing tetrahydrofolate production. This reduction limits the synthesis of purine and pyrimidine nucleotides, impairing DNA, RNA and protein synthesis in rapidly dividing cells. The resulting cytostatic effect suppresses malignant cell proliferation and modulates immune cell activity, accounting for its antineoplastic and immunosuppressive properties.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or general weakness.
  • Oral mucosal ulceration (mouth sores).
  • Transient elevation of liver enzymes.
  • Mild alopecia (hair thinning).
  • Decreased white blood cell count.

Serious or Rare Side Effects

  • Severe hepatic toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening bone marrow suppression leading to pancytopenia.
  • Acute renal failure.
  • Severe cutaneous reactions such as Stevens‑Johnson syndrome.
  • Opportunistic infections due to profound immunosuppression.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate baseline organ function and counsel patients on potential risks.

  • Monitor liver function: obtain baseline and periodic liver enzyme tests.
  • Monitor blood counts: perform regular complete blood counts to detect cytopenias.
  • Assess renal function: adjust dosing in patients with impaired clearance.
  • Avoid use in pregnancy: methotrexate is teratogenic and contraindicated.
  • Review concomitant NSAID use: NSAIDs can increase methotrexate toxicity.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several drug classes; awareness helps prevent toxicity.

Major Interactions (Avoid)

  • Concurrent folate antagonists (e.g., trimethoprim) – may amplify myelosuppression.
  • High‑dose NSAIDs – increase serum methotrexate levels and renal toxicity.
  • Live vaccines – risk of severe infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or cyclophosphamide – additive bone marrow suppression.
  • Proton pump inhibitors – may reduce renal clearance of methotrexate.
  • Oral contraceptives – may alter hormone levels; monitor efficacy.
  • Allopurinol – can increase methotrexate toxicity; adjust dose if needed.

Frequently Asked Questions

Methotrexate Accord Healthcare is indicated for several serious conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and ectopic pregnancy. In each case the drug works by inhibiting cell proliferation or modulating immune activity, helping to control disease progression and symptoms.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate. This limits the synthesis of nucleotides needed for DNA and RNA formation, thereby reducing the replication of rapidly dividing cells such as cancer cells and activated immune cells.

The specific dose of methotrexate is determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Dosage regimens can vary widely, ranging from low weekly doses for autoimmune disease to higher, more frequent doses in oncology protocols.

Methotrexate is classified as teratogenic and is contraindicated in pregnancy because it can cause fetal malformations and miscarriage. It is also excreted in breast milk, so breastfeeding is not recommended while receiving the drug. Women of child‑bearing potential should use effective contraception during treatment and for a defined period after discontinuation.

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 any required import documentation.

Methotrexate is often considered the first‑line disease‑modifying antirheumatic drug (DMARD) because of its proven efficacy and cost‑effectiveness. Alternatives such as leflunomide or biologic agents (e.g., TNF inhibitors) may be used when methotrexate is insufficient or not tolerated, but they are generally more expensive and may have different safety profiles.

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 sunlight, and ensure the container is tightly sealed to maintain stability.

The product is supplied as a sterile injectable solution and can be given by intra‑arterial, intramuscular, or intravenous injection, depending on the clinical indication and prescribing guidance. Administration is performed by qualified healthcare professionals in a controlled setting.

The most critical risks include severe liver toxicity, pulmonary fibrosis, life‑threatening bone marrow suppression, and acute renal failure. Patients should be monitored regularly for signs of organ dysfunction, and any unexpected symptoms such as persistent cough, jaundice, or unexplained bruising should prompt immediate medical evaluation.

Methotrexate is contraindicated in patients with known hypersensitivity to the drug, active severe liver disease, significant renal impairment, uncontrolled infections, and in women who are pregnant or planning to become pregnant. Caution is also advised for individuals with pre‑existing blood dyscrasias or pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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