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

Methotrexate Teva

Active Ingredient:
Methotrexate Sodium
Origin:
EU

Methotrexate Teva (Methotrexate Sodium)

Methotrexate, the active ingredient in Methotrexate Teva, is an antimetabolite (folate antagonist) presented as a sterile solution for epidural, intrabursal and intracoronary use. It treats rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia and non‑Hodgkin lymphoma in appropriate patients.

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

Manufacturer / TM Owner

Teva Santé

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Indications & Clinical Uses

Methotrexate is used across several disease families, primarily as an immunosuppressant and antineoplastic agent.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation and improves plaque lesions.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Non‑Hodgkin lymphoma: limits tumor growth by inhibiting DNA synthesis.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the availability of reduced folate cofactors required for thymidylate and purine synthesis, leading to impaired DNA, RNA and protein production. The resulting inhibition of cell proliferation particularly affects rapidly dividing immune cells and malignant lymphoid cells, providing both immunosuppressive and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or general weakness.
  • Oral mucosal ulcers or sore mouth.
  • Mild elevation of liver enzymes.
  • Transient rash or itching.
  • Mild decrease in blood cell counts.

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening bone marrow suppression.
  • Acute renal failure.
  • Severe infections due to immunosuppression.
  • Anaphylactic or severe allergic reactions.

Precautions & Warnings

Before initiating therapy, several safety considerations should be addressed.

  • Liver monitoring: perform baseline and periodic liver function tests.
  • Hematologic monitoring: check complete blood counts regularly.
  • Pregnancy avoidance: do not use in pregnant or nursing women unless clearly indicated.
  • Renal assessment: evaluate kidney function and adjust dosing if needed.
  • Drug review: assess concomitant medications for potential interactions.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase toxicity risk.
  • Penicillins: may enhance hematologic suppression.
  • Sulfonamide antibiotics: can potentiate bone marrow effects.
  • Live vaccines: risk of severe infection.
  • Alcohol: exacerbates liver injury.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect absorption.
  • Trimethoprim‑sulfamethoxazole: increase myelosuppression.
  • Azathioprine: additive immunosuppression.
  • Leflunomide: heightened hepatotoxicity.
  • Warfarin: potential alteration of anticoagulant effect.

Frequently Asked Questions

Methotrexate Teva is indicated for rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia and non‑Hodgkin lymphoma. In each case the drug works by inhibiting cell proliferation, which reduces inflammation in autoimmune diseases and limits tumor growth in hematologic cancers.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate, a key cofactor for DNA and RNA synthesis. This interruption hampers the replication of rapidly dividing cells, such as immune cells in arthritis and cancer cells in leukemia or lymphoma.

The specific dose and schedule of Methotrexate Teva are determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Dosage may vary widely between rheumatologic and oncologic indications.

Methotrexate is classified as contraindicated in pregnancy because it can cause fetal malformations and miscarriage. It is also not recommended while breastfeeding, as it may be excreted in milk and affect the infant. Women of child‑bearing potential should use effective contraception during treatment.

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 required import documentation.

Methotrexate is the most widely used folate antagonist and offers a broad therapeutic range across autoimmune and oncologic diseases. Compared with newer agents, it is generally less expensive but requires careful monitoring for hepatic, renal and hematologic toxicity. Choice of therapy depends on disease severity, patient comorbidities and clinician experience.

Methotrexate Teva should be stored at ambient temperature, below 25 °C, in its original packaging. The container should be kept away from moisture, direct sunlight and extreme heat to maintain product stability.

The product is supplied as a sterile solution for parenteral routes such as epidural, intrabursal or intracoronary injection. Administration is performed by qualified healthcare professionals following aseptic technique and the dosing instructions provided by the prescriber.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to infection or bleeding, acute renal failure, and life‑threatening allergic reactions. Patients should be monitored regularly for signs of organ dysfunction and instructed to report any unusual symptoms promptly.

Methotrexate Teva is contraindicated in pregnant women, breastfeeding mothers, patients with severe hepatic or renal impairment, and individuals with known hypersensitivity to methotrexate or any component of the formulation. Caution is also advised for patients with active infections or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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