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

Methotrexate Pfizer Italia

Active Ingredient:
Methotrexate Sodium
Origin:
EU

Methotrexate Pfizer Italia (Methotrexate Sodium)

Methotrexate, the active ingredient in Methotrexate Pfizer Italia, is an antimetabolite (folate antagonist) presented as a sterile injectable solution for intraarterial, intramuscular, intrathecal use. It treats conditions such as rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and gestational trophoblastic disease.

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

Manufacturer / TM Owner

Pfizer Italia S.R.L.

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Indications & Clinical Uses

Methotrexate is an antimetabolite used in several autoimmune and oncologic disease pathways.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation and plaque formation.
  • Acute lymphoblastic leukemia: impairs malignant lymphoblast replication.
  • Non‑Hodgkin lymphoma: inhibits growth of lymphoma cells.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for thymidylate and purine synthesis. This blockade reduces DNA, RNA and protein synthesis, preferentially affecting rapidly dividing cells and modulating immune responses through increased extracellular adenosine.

Side Effects

Methotrexate may cause a range of adverse reactions.

Common Side Effects

  • Nausea and vomiting.
  • Mucositis and oral ulceration.
  • Fatigue and weakness.
  • Alopecia (hair loss).
  • Elevated liver enzymes.
  • Mild rash.

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia.
  • Pulmonary toxicity (interstitial pneumonitis).
  • Severe infection due to immunosuppression.
  • Renal failure from precipitation.
  • Hepatotoxicity with fibrosis or cirrhosis.
  • Life‑threatening skin reactions such as Stevens‑Johnson syndrome.

Precautions & Warnings

Before initiating therapy, several safety measures should be observed.

  • Monitor blood counts: perform regular complete blood count assessments.
  • Assess liver function: conduct periodic liver enzyme tests.
  • Check renal function: evaluate creatinine clearance and adjust dose if impaired.
  • Avoid use in pregnancy: methotrexate is teratogenic and contraindicated.
  • Educate patient on infection signs: advise immediate reporting of fever or sore throat.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several medicines that may alter its safety or efficacy.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Penicillins (e.g., ampicillin): reduce renal clearance of methotrexate.
  • Proton pump inhibitors: may raise systemic methotrexate levels.
  • Live vaccines: heightened risk of infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamides, trimethoprim, pyrimethamine: additive bone‑marrow suppression.
  • Azathioprine: combined immunosuppressive effect.
  • Alcohol: potentiates hepatotoxicity.

Frequently Asked Questions

Methotrexate Pfizer Italia is prescribed for several autoimmune and oncologic conditions, including rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and gestational trophoblastic disease. It works by interfering with cell growth and immune activity, helping to control disease activity in these indications.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate into its active form needed for DNA and RNA synthesis. By limiting nucleotide production, it slows the proliferation of rapidly dividing cells such as cancer cells and immune cells, and also increases extracellular adenosine, which has anti‑inflammatory effects.

The dose of Methotrexate Pfizer Italia is individualized by the prescribing clinician based on the specific indication, patient weight, renal function and treatment goals. Healthcare providers determine the appropriate amount, frequency and route of administration for each patient.

Methotrexate is classified as teratogenic and is contraindicated in pregnancy because it can cause fetal malformations and loss. Women of child‑bearing potential should use effective contraception. Limited data exist for breastfeeding, and the drug may pass into breast milk, so use is generally discouraged.

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 necessary import documentation.

Methotrexate shares a folate‑antagonist mechanism with drugs such as pemetrexed and trimetrexate, but it is the most widely used for both autoimmune diseases and certain cancers. Compared with newer agents, methotrexate is less expensive and has a well‑characterized safety profile, though monitoring for toxicity remains essential.

Methotrexate Pfizer Italia should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the vial or ampoule sealed until use and avoid exposure to extreme temperatures or direct sunlight.

The product is supplied as a sterile injectable solution and can be given via intra‑arterial, intramuscular or intrathecal routes, depending on the clinical indication and physician’s prescription. Administration is performed by qualified healthcare professionals using aseptic technique.

Serious risks include bone‑marrow suppression leading to pancytopenia, severe liver injury or fibrosis, pulmonary toxicity such as interstitial pneumonitis, renal impairment from drug precipitation, and life‑threatening infections due to immunosuppression. Patients should be monitored regularly for these complications.

Methotrexate should be avoided in patients with known hypersensitivity to the drug, severe renal or hepatic impairment, active infections, and in women who are pregnant or planning to become pregnant. Caution is also advised for individuals with pre‑existing lung disease or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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