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 a sterile injectable solution for intramuscular, intravenous, subcutaneous use. It is employed to treat autoimmune disorders and certain malignancies in adults and children.
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 an antimetabolite used across several disease families, primarily autoimmune and oncologic conditions.
  • Rheumatoid arthritis: reduces disease activity and joint inflammation.
  • Psoriasis: slows skin cell proliferation and improves lesions.
  • Acute lymphoblastic leukemia: interferes with leukemic cell DNA synthesis.
  • Non‑Hodgkin lymphoma: inhibits growth of malignant lymphocytes.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This limits the synthesis of purine nucleotides and thymidylate, reducing DNA replication and cell proliferation. The drug also exerts anti‑inflammatory effects by increasing extracellular adenosine, contributing to its efficacy in autoimmune diseases.

Side Effects

Adverse reactions can vary from mild to severe and should be monitored during therapy.

Common Side Effects

  • Nausea or vomiting.
  • Fatigue and malaise.
  • Mucositis or mouth sores.
  • Mild elevation of liver enzymes.

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia.
  • Severe hepatotoxicity or fibrosis.
  • Pulmonary toxicity, including interstitial pneumonitis.
  • Acute renal failure or nephrotoxicity.
  • Anaphylactic or severe hypersensitivity reactions.

Precautions & Warnings

  • Methotrexate requires careful monitoring and specific safety measures before and during treatment.
  • Pregnancy: contraindicated (Category X) due to high teratogenic risk.
  • Renal function: assess baseline and monitor regularly; dose adjustment may be needed.
  • Liver function: perform periodic liver enzyme tests to detect hepatotoxicity.
  • Hematologic monitoring: conduct frequent blood counts to identify myelosuppression.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Penicillins and other β‑lactam antibiotics: may enhance methotrexate plasma levels.
  • Sulfonamides and trimethoprim: potentiate bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: additive myelosuppressive effect.
  • Warfarin: may increase anticoagulant effect, requiring INR monitoring.

Frequently Asked Questions

Metoject, containing methotrexate, is prescribed for rheumatoid arthritis, severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. It works by suppressing abnormal immune activity and inhibiting the growth of rapidly dividing cancer cells.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA and RNA synthesis. This limits cell proliferation, especially in rapidly dividing tissues such as immune cells and malignant cells, and also increases extracellular adenosine, which has anti‑inflammatory properties.

The dose of Metoject is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. Dosage regimens vary widely, and the prescriber determines the appropriate amount and frequency.

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

To request Metoject, 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 is a first‑line antimetabolite with a well‑established efficacy and safety profile for both autoimmune diseases and certain cancers. Compared with newer agents like leflunomide or biologics, methotrexate is generally less expensive but requires regular monitoring for toxicity. Its broad therapeutic range makes it a versatile option.

Metoject should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from direct sunlight, moisture and extreme temperature fluctuations to maintain stability and potency.

Metoject is supplied as a sterile injectable solution and can be given by intramuscular, intravenous, or subcutaneous injection. The route, site and frequency are determined by the treating physician based on the indication and patient-specific factors.

The most serious risks include bone marrow suppression leading to severe anemia or infection, hepatotoxicity that can progress to fibrosis or cirrhosis, pulmonary toxicity such as interstitial pneumonitis, and renal impairment. Patients should be monitored regularly for these complications.

Metoject is contraindicated in pregnant women, nursing mothers, and patients with severe renal or hepatic impairment. Individuals with known hypersensitivity to methotrexate or any component of the formulation should also avoid its use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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