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

Methotrexate Cipla

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Cipla (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Cipla, is a folate antagonist presented as an oral formulation for oral use. It is employed in the management of rheumatoid arthritis, psoriasis, and several neoplastic diseases, including acute lymphoblastic leukemia and osteosarcoma, by targeting rapidly dividing cells.

GNH India supplies Methotrexate Cipla as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and clinical use across EU and other markets.

Manufacturer / TM Owner

Cipla Europe Nv

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 a folate antagonist used in several autoimmune and oncologic disease pathways.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication, contributing to remission.
  • Osteosarcoma: used as part of combination chemotherapy to inhibit tumor growth.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This reduction limits the cellular pool of tetrahydrofolate, a co‑factor required for synthesis of purine nucleotides and thymidylate, thereby impairing DNA, RNA and protein synthesis in rapidly dividing cells. By also affecting folate‑dependent enzymes, it further modulates immune cell function.

Side Effects

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

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset often occurring early in therapy.
  • Fatigue: persistent tiredness affecting daily activities.
  • Mouth sores: ulceration of oral mucosa.

Serious or Rare Side Effects

  • Severe liver toxicity: potential for hepatitis or fibrosis with prolonged use.
  • Pulmonary toxicity: interstitial pneumonitis presenting with cough and dyspnea.
  • Bone marrow suppression: severe pancytopenia requiring medical intervention.

Precautions & Warnings

When prescribing methotrexate, several precautions should be observed to minimize risks.

  • Baseline testing: obtain liver function, renal function and complete blood count before initiation.
  • Monitoring: schedule regular laboratory assessments to detect hepatotoxicity or cytopenias.
  • Concomitant drugs: avoid use with other folate antagonists or nephrotoxic agents.
  • Pregnancy: contraindicated in pregnancy; ensure effective contraception for women of childbearing potential.
  • Patient education: advise on signs of infection, liver issues, and pulmonary symptoms.
  • Store at ambient temperature: keep tablets in original container, protect from moisture and heat.

Avoid Interactions

Methotrexate has notable drug interactions that can alter its efficacy or increase toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): can increase methotrexate serum levels and risk renal toxicity.
  • Proton pump inhibitors (PPIs): may reduce renal clearance, enhancing toxicity.
  • Trimethoprim‑sulfamethoxazole: synergistic folate antagonism leading to severe myelosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: combined immunosuppression may raise infection risk.
  • Live vaccines: reduced efficacy and potential for infection.
  • Vitamin supplements containing folic acid: may diminish therapeutic effect, requiring dose adjustment.

Frequently Asked Questions

Methotrexate Cipla is indicated for the treatment of rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, osteosarcoma and other selected neoplastic diseases. It works by reducing inflammation in autoimmune conditions and by inhibiting the growth of rapidly dividing cancer cells.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a key co‑factor in DNA, RNA and protein synthesis. By limiting these building blocks, the drug suppresses the proliferation of immune cells in arthritis and psoriasis and interferes with tumor cell replication in cancer.

The dose of Methotrexate Cipla is individualized and set by the prescribing clinician based on the specific indication, patient weight, renal function and treatment response. Dosage regimens may differ between weekly low‑dose therapy for arthritis and higher, cyclic dosing for oncologic protocols.

Methotrexate is generally contraindicated during pregnancy because of its known teratogenic potential. Women of childbearing potential should use effective contraception while on therapy. Limited data exist for breastfeeding; most guidelines advise against use during lactation due to possible infant exposure.

To order Methotrexate Cipla, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

For rheumatoid arthritis, methotrexate is often the first‑line conventional disease‑modifying antirheumatic drug (DMARD) and is less expensive than biologic agents such as TNF‑α inhibitors. In oncology, it may be used alone or in combination regimens, offering a different toxicity profile compared with newer targeted therapies.

Methotrexate Cipla tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight.

Methotrexate Cipla is administered orally, usually with a full glass of water. For certain indications, clinicians may advise taking the dose on an empty stomach or with folic acid supplementation to reduce gastrointestinal irritation. The exact schedule is determined by the prescriber.

Serious adverse events include severe liver toxicity, interstitial pneumonitis, and bone‑marrow suppression leading to pancytopenia. Patients should promptly report persistent abdominal pain, jaundice, unexplained cough or shortness of breath, and signs of infection such as fever or sore throat.

Methotrexate Cipla should be avoided in patients with known hypersensitivity to methotrexate, severe liver disease, significant renal impairment, active infections, or in women who are pregnant or planning pregnancy without reliable contraception. It is also contraindicated in individuals receiving other potent folate antagonists.

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.