Product image of Metoject (Methotrexate) supplied by GNH India

Metoject

Active Ingredient:
Methotrexate
Origin:
EU

Metoject (Methotrexate)

Methotrexate, the active ingredient in Metoject, is a folate antagonist (antimetabolite) presented as an injectable solution for intramuscular, intravenous, and subcutaneous use. It is employed to treat autoimmune disorders and certain malignancies in adult and pediatric patients.

GNH India supplies Metoject as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory documentation for import and distribution. Customers benefit from reliable supply chains and responsive technical support throughout the product lifecycle.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

  • Methotrexate acts as a folate pathway inhibitor and is indicated for several autoimmune and oncologic conditions.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Acute lymphoblastic leukemia: induces remission by inhibiting malignant cell proliferation.
  • Non‑Hodgkin lymphoma: contributes to tumor control in combination regimens.
  • Gestational trophoblastic disease: promotes resolution of trophoblastic tissue.

How It Works

  • Methotrexate competitively inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for synthesis of purine nucleotides and thymidylate. This blockade reduces DNA, RNA and protein synthesis, leading to decreased proliferation of rapidly dividing cells, including activated immune cells and malignant lymphocytes. Intracellular polyglutamation prolongs its activity and also interferes with enzymes such as thymidylate synthase and AICAR transformylase, enhancing anti‑proliferative effects.

Side Effects

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

Common Side Effects

  • Nausea
  • Fatigue
  • Mouth sores
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe liver toxicity
  • Pulmonary fibrosis
  • Bone marrow suppression

Precautions & Warnings

  • When using Metoject, several safety measures should be observed.
  • Monitor liver function: perform baseline and periodic liver enzyme tests.
  • Assess blood counts: regular CBC to detect cytopenias.
  • Avoid in pregnancy: contraindicated due to teratogenicity.
  • Use folic acid supplementation: reduces mucosal toxicity.
  • Adjust dose in renal impairment: evaluate renal function before each administration.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate has notable drug interactions that require attention.

Major Interactions (Avoid)

  • NSAIDs: increase methotrexate toxicity.
  • Live vaccines: heightened risk of infection.
  • Penicillins: enhance myelosuppression.
  • Sulfonamides: increase hematologic toxicity.

Moderate Interactions (Monitor Closely)

  • Warfarin: enhanced anticoagulant effect.
  • Proton pump inhibitors: may alter absorption.
  • Trimethoprim: additive bone marrow suppression.

Frequently Asked Questions

Metoject contains methotrexate and is prescribed for several conditions, including rheumatoid arthritis, severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. In each case the drug works to suppress abnormal immune activity or malignant cell growth.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate into its active form. This interruption stops the synthesis of DNA, RNA and proteins, thereby reducing the proliferation of rapidly dividing cells such as activated immune cells and cancerous lymphocytes.

The dose of Metoject is individualized. A qualified prescriber determines the amount, frequency and route based on the specific indication, patient weight, renal function and other clinical factors. No standard dosing can be quoted without a medical prescription.

Metoject is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy because it can cause fetal malformations or death. It is also not recommended while breastfeeding, as methotrexate can be excreted in milk and affect 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 import documentation.

Compared with biologic agents used for rheumatoid arthritis or psoriasis, methotrexate is a small‑molecule drug that can be administered by injection and is generally less expensive. However, biologics may have a more targeted mechanism and a different safety profile, while methotrexate offers broad immunosuppressive activity useful in both autoimmune and oncologic settings.

Metoject should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging until use and discard any solution that appears discolored or particulate.

Metoject is supplied as an injectable solution and can be given intramuscularly, intravenously or subcutaneously, depending on the clinical indication and prescriber preference. Administration is performed by a qualified healthcare professional using aseptic technique.

The most critical adverse events include severe liver toxicity, pulmonary fibrosis, and bone‑marrow suppression leading to pancytopenia. Patients should be monitored regularly for liver enzyme elevations, respiratory symptoms and blood‑count abnormalities, and treatment should be stopped if any of these serious reactions occur.

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 with pre‑existing lung disease or immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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