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 presented as an injectable solution for intra‑arterial and intravenous use. It works by inhibiting dihydrofolate reductase, thereby reducing DNA synthesis in rapidly dividing cells. Clinically, it is used to manage certain hematologic malignancies, autoimmune arthritis, and severe psoriasis, providing disease control in adult and pediatric patients.

GNH India supplies Methotrexate Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company follows rigorous manufacturing and quality assurance protocols to ensure product integrity throughout global distribution.

Manufacturer / TM Owner

Teva Sweden Ab

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Indications & Clinical Uses

Methotrexate is used across several disease families, primarily targeting malignant cell proliferation and immune‑mediated inflammation.

  • Acute lymphoblastic leukemia: reduces leukemic cell growth and improves remission rates.
  • Non‑Hodgkin lymphoma: induces tumor cell death and contributes to disease control.
  • Rheumatoid arthritis: decreases joint inflammation and slows structural damage.
  • Psoriasis: limits skin cell hyperproliferation, leading to clearance of plaques.

How It Works

  • Methotrexate competitively inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for purine and pyrimidine synthesis. This blockade impairs DNA, RNA, and protein synthesis in rapidly dividing cells. At lower doses, it promotes the release of adenosine, which exerts anti‑inflammatory effects on immune cells. The combined antiproliferative and anti‑inflammatory actions underlie its efficacy in oncology and rheumatology.

Side Effects

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

Common Side Effects

  • Nausea
  • Vomiting
  • Fatigue
  • Mucositis (mouth sores)
  • Elevated liver enzymes
  • Cytopenias (low blood counts)

Serious or Rare Side Effects

  • Severe liver toxicity (hepatic fibrosis or cirrhosis)
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening bone marrow suppression
  • Renal failure
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Opportunistic infections due to immunosuppression

Precautions & Warnings

Before initiating therapy, several safety measures should be observed.

  • Liver monitoring: perform baseline and periodic liver function tests.
  • Renal monitoring: assess kidney function before and during therapy.
  • Hematologic monitoring: check complete blood counts regularly.
  • Pregnancy avoidance: contraindicated in pregnancy; use effective contraception.
  • Drug interactions: avoid concomitant use with NSAIDs and certain antibiotics that increase toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several medicines; awareness helps prevent toxicity.

Major Interactions (Avoid)

  • NSAIDs: may increase methotrexate plasma levels and toxicity.
  • Trimethoprim‑sulfamethoxazole: enhances myelosuppression risk.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppressive effect, monitor blood counts.
  • Phenytoin: may reduce methotrexate concentrations, adjust dose if needed.
  • Sulfonamides: potential for increased toxicity, require careful monitoring.

Frequently Asked Questions

Methotrexate Teva is indicated for the treatment of acute lymphoblastic leukemia, non‑Hodgkin lymphoma, rheumatoid arthritis, and moderate to severe plaque psoriasis. In oncology it targets malignant cell proliferation, while in rheumatology and dermatology it modulates immune activity to reduce inflammation and tissue damage.

Methotrexate inhibits dihydrofolate reductase, blocking the formation of tetrahydrofolate needed for purine and pyrimidine synthesis. This limits DNA, RNA and protein production in rapidly dividing cells, producing antineoplastic effects. At lower doses it increases extracellular adenosine, which suppresses inflammatory pathways in immune cells.

The dose of Methotrexate Teva is individualized by the prescribing clinician based on the specific indication, disease severity, patient weight, renal and hepatic function, and treatment response. No universal dosing regimen is provided; the prescriber sets the appropriate dose and schedule for each patient.

Methotrexate is classified as contraindicated in pregnancy because it can cause fetal malformations and miscarriage. Women of child‑bearing potential must use effective contraception during treatment and for a defined period after discontinuation. Limited data exist for breastfeeding, and the drug is generally avoided due to potential infant exposure.

To request Methotrexate Teva, 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 logistics if needed) and any required import documentation.

Methotrexate is a small‑molecule antimetabolite that directly interferes with DNA synthesis, whereas many newer biologics target specific cytokines or cell‑surface receptors. Methotrexate is often less expensive and can be combined with biologics for synergistic effect, but it may have a broader toxicity profile, requiring regular laboratory monitoring.

Methotrexate Teva should be stored in a refrigerated environment between 2 °C and 8 °C. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. If a temporary temperature excursion occurs, consult the product label before use.

Methotrexate Teva is supplied as an injectable solution for intra‑arterial or intravenous administration. The route, infusion rate, and frequency are determined by the treating physician based on the indication and patient factors. Administration is performed by qualified healthcare professionals in a clinical setting.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, renal failure, and life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be educated to report persistent cough, unexplained bruising, jaundice, severe abdominal pain, or rash promptly.

Methotrexate Teva is contraindicated in patients with known hypersensitivity to methotrexate, active severe infections, significant liver disease, uncontrolled renal impairment, and in pregnant or breastfeeding women. Caution is also advised for individuals with pre‑existing pulmonary disease or those receiving other myelosuppressive agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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