Product image of Methotrexate Arrow (Methotrexate) supplied by GNH India

Methotrexate Arrow

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Arrow (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Arrow, is a folate antagonist antimetabolite presented as an oral tablet for oral use. It is used to treat rheumatoid arthritis, psoriasis, and certain cancers in adult patients.

GNH India supplies Methotrexate Arrow as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Eugia Pharma (Malta) Ltd

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Indications & Clinical Uses

  • Methotrexate acts on rapidly dividing cells and modulates immune pathways, making it useful in several disease families.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation and improves lesions.
  • Acute lymphoblastic leukemia, osteosarcoma, gestational trophoblastic disease: interferes with cancer cell replication, contributing to tumor control.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, leading to decreased tetrahydrofolate production. This impairs the synthesis of purines and pyrimidines, essential for DNA replication and cell division. The resulting blockade of DNA synthesis affects rapidly proliferating cells, including immune cells and malignant tumor cells, thereby exerting immunosuppressive and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Mouth sores (stomatitis).
  • Mild elevation of liver enzymes.
  • Decreased white blood cell count.
  • Diarrhea.

Serious or Rare Side Effects

  • Severe liver toxicity or hepatitis.
  • Pulmonary fibrosis or severe lung inflammation.
  • Significant bone marrow suppression leading to anemia or infection.
  • Renal failure or impaired kidney function.
  • Life‑threatening skin reactions such as Stevens‑Johnson syndrome.
  • Severe infections due to immunosuppression.

Precautions & Warnings

  • Before initiating therapy, several safety measures should be considered.
  • Monitor blood counts: perform regular complete blood count testing.
  • Assess liver function: check hepatic enzymes periodically.
  • Avoid in pregnancy: methotrexate is contraindicated (Category X).
  • Check renal function: evaluate creatinine and glomerular filtration rate.
  • Review concomitant nephrotoxic drugs: adjust therapy as needed.
  • Store at ambient temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

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

Major Interactions (Avoid)

  • NSAIDs (e.g., ibuprofen, naproxen): increase methotrexate toxicity.
  • Penicillins (e.g., ampicillin): reduce renal clearance, raising plasma levels.
  • Proton pump inhibitors (e.g., omeprazole): may elevate methotrexate concentrations.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: additive bone‑marrow suppression risk.
  • Live vaccines: heightened infection risk due to immunosuppression.
  • Alcohol: amplifies liver injury potential.

Frequently Asked Questions

Methotrexate Arrow is prescribed for rheumatoid arthritis, psoriasis, and certain cancers such as acute lymphoblastic leukemia, osteosarcoma, and gestational trophoblastic disease. In each case, the drug works by interfering with DNA synthesis, which reduces inflammation in autoimmune disorders and limits the growth of malignant cells.

Methotrexate blocks the enzyme dihydrofolate reductase, which is needed to produce tetrahydrofolate, a co‑factor for purine and pyrimidine synthesis. By limiting these building blocks, the drug hampers DNA replication and cell division, affecting rapidly dividing immune cells and tumor cells, thereby providing immunosuppressive and antineoplastic effects.

The dose of Methotrexate Arrow is individualized by the prescribing clinician based on the specific indication, patient weight, renal function, and treatment response. Only a qualified healthcare professional should determine the appropriate regimen and schedule.

Methotrexate Arrow is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. It is also not recommended while breastfeeding, as it may be excreted in breast milk and affect the infant. Effective contraception is required for women of child‑bearing potential.

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 any cold‑chain requirements), and necessary import documentation.

Compared with biologic agents, methotrexate is a small‑molecule antimetabolite that is taken orally and is generally less expensive. While biologics target specific cytokines, methotrexate has a broader mechanism affecting DNA synthesis. Efficacy varies by disease; methotrexate is often first‑line for rheumatoid arthritis and psoriasis, whereas biologics may be added for refractory cases.

Methotrexate Arrow 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 closed to maintain stability.

Methotrexate Arrow is administered orally, typically as a tablet swallowed with water. The exact dosing schedule—such as weekly versus daily dosing—depends on the condition being treated and is determined by the prescribing physician.

Serious risks include severe liver toxicity, pulmonary fibrosis, significant bone‑marrow suppression leading to anemia or infection, and renal failure. Patients should be monitored regularly for liver enzymes, blood counts, and kidney function, and any signs of infection or respiratory distress should prompt immediate medical evaluation.

Methotrexate Arrow should not be used by pregnant or breastfeeding women, individuals with severe liver disease, uncontrolled renal impairment, or known hypersensitivity to methotrexate. It is also contraindicated in patients receiving certain interacting medications without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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