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, or subcutaneous use. It is employed in the management of rheumatoid arthritis, psoriasis, and selected malignancies such as acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and breast 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, providing reliable sourcing, regulatory support, and cold‑chain logistics for this injectable chemotherapy and immunosuppressant agent.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is an antimetabolite used to modulate immune activity and inhibit cancer cell proliferation.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin lesions and plaque formation.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication.
  • Non‑Hodgkin lymphoma: impedes tumor growth.
  • Breast cancer: enhances the effectiveness of combination chemotherapy.
  • Ectopic pregnancy: terminates trophoblastic tissue when surgery is not feasible.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade disrupts folate-dependent synthesis of purines and thymidylate, leading to impaired DNA, RNA, and protein synthesis in rapidly dividing cells, thereby exerting immunosuppressive and cytotoxic effects.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Mouth sores (stomatitis).
  • Mild elevation of liver enzymes.
  • Temporary hair thinning.

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Significant bone marrow suppression leading to infection or bleeding.
  • Acute renal failure.
  • Anaphylactic or severe hypersensitivity reactions.

Precautions & Warnings

Prior to initiating therapy, several safety measures should be observed.

  • Monitor blood counts: perform regular CBC to detect cytopenias.
  • Assess liver function: check transaminases before and during treatment.
  • Avoid use in pregnancy: methotrexate is contraindicated and requires effective contraception.
  • Counsel on contraception: both male and female patients must use reliable methods.
  • Adjust dose in renal impairment: reduce dosage or increase monitoring as needed.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate can interact with several medicines, altering its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Proton pump inhibitors (e.g., omeprazole): may raise methotrexate plasma levels.
  • Trimethoprim‑sulfamethoxazole: potentiates bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: additive myelosuppression.
  • Live vaccines: risk of infection due to immunosuppression.

Frequently Asked Questions

Metoject, containing methotrexate, is prescribed for autoimmune disorders such as rheumatoid arthritis and psoriasis, as well as for certain cancers including acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and breast cancer. It may also be used in the medical management of ectopic pregnancy when surgery is not an option.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate into its active form. This inhibition disrupts the synthesis of nucleotides needed for DNA, RNA, and protein production, thereby limiting the proliferation of rapidly dividing immune cells and cancer cells.

The specific dose of Metoject is determined by the prescribing clinician based on the patient’s condition, weight, renal function, and treatment goals. Dosage regimens vary widely between autoimmune indications and oncologic protocols, and the prescriber will tailor the schedule accordingly.

Metoject is classified as pregnancy category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and miscarriage. It is also not recommended during breastfeeding because methotrexate can be excreted in breast milk and may harm the infant.

To place an order, submit an enquiry on the Metoject 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 handling), and necessary import documentation.

Metoject (methotrexate) is an antimetabolite that interferes with folate metabolism, whereas many other chemotherapy agents target microtubules, DNA cross‑linking, or kinase pathways. Methotrexate is often used in combination regimens because of its distinct mechanism, and it can be administered via injection, offering flexibility compared with oral formulations of other agents.

Metoject should be stored at 2‑8 °C (refrigerated). Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution. Proper cold‑chain storage maintains drug stability and potency.

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 healthcare professional under aseptic conditions, with dosage and frequency set by the treating physician.

The most serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to infection or bleeding, acute renal failure, and life‑threatening hypersensitivity reactions. Patients should be monitored regularly for signs of organ dysfunction and blood‑cell abnormalities.

Metoject should not be used by pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe liver disease, uncontrolled infections, or significant renal impairment without dose adjustment. It is also contraindicated in patients receiving live vaccines due to the risk of infection.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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