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

Methotrexate Ebewe

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Ebewe (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Ebewe, is an antimetabolite presented as an oral tablet for oral use. It is employed to treat autoimmune disorders and certain cancers in adult patients.
GNH India supplies Methotrexate Ebewe as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sandoz Pharmaceuticals D.D.

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 an antimetabolite immunosuppressant that modulates cell proliferation in several disease families.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: limits skin cell overgrowth and improves plaque lesions.
  • Acute lymphoblastic leukemia: interferes with malignant lymphoblast replication.
  • Osteosarcoma: inhibits tumor cell division in bone cancer.
  • Gestational trophoblastic disease: induces remission by targeting proliferative trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, decreasing tetrahydrofolate production and thereby limiting purine and pyrimidine synthesis. This reduction in DNA, RNA, and protein synthesis impairs rapidly dividing cells, including immune cells and malignant cells, leading to immunosuppression and antineoplastic effects.

Side Effects

Methotrexate may cause a range of adverse reactions.

Common Side Effects

  • Nausea and vomiting
  • Fatigue
  • Mouth sores (stomatitis)
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe liver toxicity (hepatitis, fibrosis)
  • Pulmonary toxicity (interstitial pneumonitis)
  • Bone marrow suppression leading to severe infection

Precautions & Warnings

Before initiating therapy, several safety measures should be observed.

  • Monitor blood counts: perform regular CBC to detect marrow suppression.
  • Assess liver function: schedule periodic LFTs for hepatotoxicity.
  • Evaluate renal function: adjust use in patients with impaired clearance.
  • Pregnancy considerations: avoid use in pregnancy due to known teratogenic risk.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Methotrexate can interact with various medicines, requiring careful management.

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Azathioprine: enhanced immunosuppression.
  • Phenytoin: may reduce methotrexate plasma levels.
  • Proton pump inhibitors: can increase methotrexate exposure.

Frequently Asked Questions

Methotrexate Ebewe is prescribed for several autoimmune and oncologic conditions, including rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, osteosarcoma, and gestational trophoblastic disease. In each case, the drug works by limiting abnormal cell growth or immune activity, helping to control disease symptoms and progression.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a cofactor needed for synthesising purines and pyrimidines. By reducing these building blocks, the drug hampers DNA, RNA, and protein synthesis, particularly in rapidly dividing cells such as immune cells and cancer cells, resulting in immunosuppression and antitumor activity.

The specific dose of Methotrexate Ebewe is individualized by the prescribing clinician based on the patient’s diagnosis, disease severity, renal and hepatic function, and response to therapy. Dosage regimens can vary widely, and the prescriber will set the appropriate amount and frequency according to clinical guidelines and patient factors.

Methotrexate is classified as contraindicated in pregnancy because it can cause fetal malformations and embryonic loss. Women of child‑bearing potential should use effective contraception during treatment and for a period after discontinuation. Limited data exist for breastfeeding, and the drug is generally avoided because it may be excreted in milk.

To request Methotrexate Ebewe, 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 needs), and necessary import documentation.

For rheumatoid arthritis, methotrexate is often the first‑line disease‑modifying antirheumatic drug (DMARD) and is less expensive than biologic agents such as TNF‑inhibitors. In oncology, it offers a distinct mechanism compared with agents like anthracyclines, targeting folate metabolism rather than DNA intercalation. Choice of therapy depends on disease severity, patient tolerance, and cost considerations.

Methotrexate Ebewe tablets should be stored at ambient temperature, below 25 °C, in their original packaging to protect from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in bathrooms or near heat sources, and discard any tablets that appear discolored or damaged.

Methotrexate Ebewe is taken orally as a tablet. Patients should swallow the tablet whole with a full glass of water, preferably on an empty stomach unless directed otherwise by the prescriber. Some clinicians may advise folic acid supplementation to reduce certain side effects, but any additional medication should be approved by the treating physician.

The most critical adverse events include severe liver toxicity (which can progress to fibrosis or cirrhosis), pulmonary toxicity such as interstitial pneumonitis, and profound bone‑marrow suppression leading to infections, anemia, or bleeding. Regular monitoring of liver enzymes, lung function, and blood counts is essential to detect these complications early.

Methotrexate Ebewe is contraindicated in patients who are pregnant, planning to become pregnant, or breastfeeding. It should also be avoided in individuals with severe renal or hepatic impairment, uncontrolled infections, or known hypersensitivity to methotrexate or any tablet excipients. Clinicians must assess each patient’s medical history before initiating therapy.

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.