Product image of Metoject (Methotrexate) supplied by GNH India

Metoject

Active Ingredient:
Methotrexate
Origin:
EU

Metoject (Methotrexate)

Methotrexate, the active ingredient in Metoject, is an antimetabolite presented as an injectable solution for intramuscular, intravenous, subcutaneous use. It treats autoimmune disorders and several types of cancer in both adult and pediatric patients.

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

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is employed across inflammatory and oncologic disease pathways to modify disease activity and improve outcomes.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: decreases skin plaque formation and severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Non‑Hodgkin lymphoma: induces tumor cell death.
  • Osteosarcoma: impedes tumor growth and metastasis.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This disruption impairs folate‑dependent synthesis of purine nucleotides and thymidylate, leading to reduced DNA replication and cell division, particularly in rapidly proliferating immune and cancer cells.

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 mucosal ulceration.
  • Transient elevation of liver enzymes.
  • Mild leukopenia or thrombocytopenia.
  • Skin rash or photosensitivity.

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis.
  • Pulmonary toxicity, including interstitial pneumonitis.
  • Significant bone marrow suppression leading to infection.
  • Renal impairment or failure.
  • Life‑threatening hypersensitivity reactions.
  • Rare neurotoxicity presenting as seizures or encephalopathy.

Precautions & Warnings

Methotrexate therapy requires careful monitoring and patient education to minimise risks.

  • Baseline and periodic blood counts: monitor for cytopenias.
  • Liver function tests: assess for hepatotoxicity.
  • Renal function: adjust dose in impairment.
  • Pregnancy contraindication: avoid in women of childbearing potential; use effective contraception.
  • Vaccination: do not administer live vaccines during treatment.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes that can alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate plasma levels.
  • Penicillins and sulfonamides: potentiate bone‑marrow suppression.
  • Trimethoprim‑sulfamethoxazole: heighten risk of hematologic toxicity.
  • Live vaccines: may cause severe infection.

Moderate Interactions (Monitor Closely)

  • Azathioprine or cyclosporine: additive immunosuppression.
  • Proton pump inhibitors: may affect renal clearance.
  • Leucovorin rescue: adjust timing to avoid antagonism.
  • Alcohol: increases hepatic risk.

Frequently Asked Questions

Metoject contains methotrexate and is indicated for rheumatoid arthritis, plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and osteosarcoma. In each case the drug works to suppress abnormal immune activity or to inhibit the growth of malignant cells.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA synthesis. This limits the proliferation of rapidly dividing cells, such as activated immune cells in autoimmune disease and cancer cells in hematologic and solid tumours.

The dose of Metoject is individualized by the prescribing clinician based on the specific indication, patient weight, renal function and treatment response. Only a qualified health‑care professional should determine the appropriate dosing regimen.

Metoject is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal harm. It is also not recommended while breastfeeding, as methotrexate may be excreted in milk and affect the infant.

To request Metoject, submit an enquiry on the product page at gnhindia.com with 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 where needed) and import documentation.

Methotrexate is one of the most widely used antimetabolites, offering a balance of efficacy and cost for many autoimmune and oncologic indications. Compared with newer agents such as leflunomide or biologics, methotrexate has a longer safety record but may require more laboratory monitoring for toxicity.

Metoject should be stored refrigerated between 2 °C and 8 °C, protected from light, and must not be frozen or shaken. Before administration, the solution may be allowed to reach room temperature, but any unused portion should be discarded according to local regulations.

Metoject is supplied as an injectable solution and can be given intramuscularly, intravenously or subcutaneously, depending on the clinical protocol. Administration is performed by a qualified health‑care professional using aseptic technique and appropriate dosing equipment.

The most serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to infection or bleeding, and renal failure. Patients should be monitored regularly for signs of organ dysfunction and instructed to report any new respiratory symptoms, jaundice or unusual bruising.

Metoject is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe hepatic or renal impairment, and those with active, uncontrolled infections. Caution is also advised for patients receiving live vaccines or other potent immunosuppressants.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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