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

Methotrexate Pfizer

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Pfizer (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Pfizer, is an antimetabolite presented as a parenteral formulation for intra‑arterial, intramuscular, and intrathecal use. It is employed to treat autoimmune disorders, certain malignancies, and gestational trophoblastic disease in adult patients.

GNH India supplies Methotrexate Pfizer as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company ensures quality compliance and reliable delivery across global markets.

Manufacturer / TM Owner

Pfizer Hellas A.E.

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Indications & Clinical Uses

Methotrexate is used in several autoimmune and oncologic disease pathways to modulate cell proliferation and immune activity.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin lesion severity by limiting keratinocyte proliferation.
  • Acute lymphoblastic leukemia: eradicates malignant lymphoblasts through DNA synthesis inhibition.
  • Non‑Hodgkin lymphoma: induces tumor cell death in responsive lymphoma subtypes.
  • Gestational trophoblastic disease: promotes resolution of abnormal trophoblastic tissue.

How It Works

  • Methotrexate competitively inhibits dihydrofolate reductase, an enzyme required for tetrahydrofolate regeneration. This blockade reduces the synthesis of purine nucleotides and thymidylate, impairing DNA, RNA, and protein production. The resulting inhibition of cell division particularly affects rapidly proliferating immune cells and malignant clones, leading to immunosuppression and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Oral mucosal ulceration
  • Fatigue
  • Transient elevation of liver enzymes

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis
  • Interstitial pneumonitis
  • Life‑threatening bone marrow suppression
  • Renal impairment due to drug precipitation

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated (Category X); avoid use in pregnant or nursing women.
  • Baseline monitoring: obtain liver function tests, renal function, and complete blood count before initiation.
  • Folate supplementation: consider folic acid to reduce mucosal toxicity.
  • Concomitant nephrotoxic agents: avoid or monitor closely when used with NSAIDs or similar drugs.
  • Infection risk: monitor for signs of infection due to immunosuppression.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Methotrexate has several clinically important drug interactions that may require avoidance or close monitoring.

Major Interactions (Avoid)

  • NSAIDs (e.g., ibuprofen, naproxen): increase methotrexate toxicity by reducing renal clearance.
  • Proton pump inhibitors (e.g., omeprazole): may elevate methotrexate levels.
  • Penicillins (e.g., ampicillin): impair renal excretion, raising serum concentrations.
  • Live vaccines: heightened risk of severe infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: may potentiate hematologic toxicity.
  • Azathioprine or other immunosuppressants: additive bone marrow suppression.
  • Vitamin B12 or folic acid antagonists: interfere with folate pathway.
  • Diuretics (e.g., furosemide): affect renal handling of methotrexate.

Frequently Asked Questions

Methotrexate Pfizer is indicated for several autoimmune and oncologic conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. In each case the drug works by inhibiting cell proliferation, which helps control inflammation or malignant growth.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the regeneration of tetrahydrofolate needed for DNA, RNA and protein synthesis. This inhibition reduces the replication of rapidly dividing cells such as activated immune cells and cancer cells, providing immunosuppressive and antineoplastic effects.

The dose is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment goals. Methotrexate dosing regimens vary widely, so the prescriber sets the exact amount and schedule for each patient.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal malformations and loss. It is also not recommended during breastfeeding, as it can be excreted in milk and affect the infant.

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 belongs to the antimetabolite class and differs from biologic agents such as TNF inhibitors by directly inhibiting folate metabolism. Compared with other chemotherapy drugs, it has a well‑characterised safety profile and is often used at lower doses for autoimmune diseases, whereas higher doses are employed in oncology.

Methotrexate Pfizer should be stored at 2‑8 °C, protected from light, and kept in its original packaging to avoid moisture. Do not freeze the product, and handle it with gloves to prevent skin exposure. Once removed from refrigeration, use within the time frame specified by the manufacturer.

Methotrexate is administered by injection via intra‑arterial, intramuscular, or intrathecal routes, depending on the clinical indication. The healthcare professional prepares the dose under aseptic conditions and delivers it according to the prescribed schedule, which may be weekly, bi‑weekly, or as a single high‑dose infusion for certain cancers.

The most serious adverse events include severe liver toxicity, pulmonary fibrosis, life‑threatening bone‑marrow suppression, and renal failure due to drug precipitation. Patients should be monitored regularly for liver enzymes, blood counts, lung symptoms and renal function, and any signs of infection should be reported promptly.

Methotrexate is contraindicated in pregnant or nursing women, patients with severe hepatic impairment, uncontrolled renal disease, active infections, and those with known hypersensitivity to methotrexate or its excipients. Caution is also advised for individuals with a history of pulmonary disease or alcohol abuse.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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