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

Methotrexate Teva

Active Ingredient:
Methotrexate
Origin:
EU

Methotrexate Teva (Methotrexate)

Methotrexate, the active ingredient in Methotrexate Teva, is an antimetabolite (folate antagonist) presented as a sterile injectable formulation for epidural, intrabursal and intracoronary use. It treats rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and gestational trophoblastic disease in appropriate patients. It is indicated for use in adult and pediatric populations as determined by the prescribing clinician.

GNH India supplies Methotrexate Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide, with a focus on quality assurance, regulatory compliance and reliable global logistics.

Manufacturer / TM Owner

Teva Sweden Ab

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Indications & Clinical Uses

Methotrexate is an antimetabolite that interferes with folate metabolism, used in several autoimmune and oncologic conditions.

  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: slows skin cell proliferation and improves lesions.
  • Acute lymphoblastic leukemia: inhibits malignant cell growth.
  • Non‑Hodgkin lymphoma: induces tumor cell apoptosis.
  • Gestational trophoblastic disease: promotes resolution of abnormal trophoblastic tissue.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the availability of folate cofactors required for synthesis of purine nucleotides and thymidylate, thereby impairing DNA, RNA and protein synthesis in rapidly dividing cells and modulating immune cell activity.

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.
  • Oral ulcers or mucositis.
  • Mild elevation of liver enzymes.
  • Decreased white blood cell count.
  • Mild rash.

Serious or Rare Side Effects

  • Severe liver toxicity or hepatitis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Significant bone marrow suppression leading to anemia, neutropenia or thrombocytopenia.
  • Acute renal failure.
  • Life‑threatening infections.
  • Anaphylactic or severe allergic reactions.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures before and during therapy.

  • Pregnancy: contraindicated (Category X) – avoid use in pregnant or trying-to-conceive patients.
  • Renal function: assess baseline creatinine and adjust dose in impairment.
  • Hepatic function: monitor liver enzymes regularly; avoid in severe liver disease.
  • Hematologic monitoring: perform complete blood counts to detect bone‑marrow suppression.
  • Drug interactions: review concomitant medications for potential toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Methotrexate interacts with several drug classes; some combinations must be avoided while others require close observation.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Penicillins (e.g., ampicillin): reduce renal clearance, raising serum levels.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: additive bone‑marrow suppression.
  • Proton pump inhibitors: may affect methotrexate absorption.
  • Azathioprine or other immunosuppressants: combined effect on immune function.
  • Trimethoprim‑sulfamethoxazole: increased risk of hematologic toxicity.
  • Vitamin supplements containing folic acid: may diminish therapeutic effect.

Frequently Asked Questions

Methotrexate Teva is a prescription antimetabolite indicated for several conditions, including rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and gestational trophoblastic disease. It works by interfering with folate metabolism, which helps reduce inflammation in autoimmune disorders and limits the growth of certain cancer cells.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting dihydrofolate to tetrahydrofolate. This inhibition reduces the supply of folate cofactors needed for DNA, RNA and protein synthesis, particularly in rapidly dividing cells. The result is decreased proliferation of immune cells and malignant cells, providing therapeutic benefit in autoimmune and oncologic diseases.

The dose of Methotrexate Teva is individualized and set by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. Physicians may start with a low dose and adjust gradually, following established clinical guidelines and regular monitoring.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated during pregnancy because of a high risk of fetal malformations and miscarriage. It is also not recommended for breastfeeding mothers, as the drug can be excreted in breast milk and may harm the infant.

To order Methotrexate Teva, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain if needed) and any required 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‑α inhibitors. In oncology, it offers a distinct mechanism compared with alkylating agents or newer targeted therapies, but may be combined with other drugs for synergistic effect. Choice of therapy depends on disease severity, patient comorbidities and response to prior treatments.

Methotrexate Teva should be stored at 2‑8 °C in a refrigerator. Keep the product in its original packaging, protect it from light, and do not freeze or shake the vial. If the temperature exceeds the recommended range, discard the product according to local regulations.

Methotrexate Teva is supplied as a sterile injectable solution and may be given by qualified healthcare professionals via epidural, intrabursal or intracoronary routes, depending on the clinical indication. Administration technique, dosage volume and infusion rate are determined by the treating physician and follow institutional protocols.

Serious adverse events include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to anemia or infection, acute renal failure, and life‑threatening allergic reactions. Patients should be monitored regularly for liver enzymes, pulmonary symptoms, renal function and complete blood counts to detect these risks early.

Methotrexate Teva is contraindicated in pregnant women, individuals attempting conception, and those with known hypersensitivity to methotrexate or any component of the formulation. It should also be avoided in patients with severe hepatic impairment, uncontrolled renal failure, or active serious infections unless the benefits clearly outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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