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 injection for intramuscular, intravenous, and subcutaneous use. It is employed in the management of several autoimmune and oncologic conditions, including rheumatoid arthritis, psoriasis, and certain cancers.

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

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Metoject is an antimetabolite used across a range of autoimmune and malignant disease pathways.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Non‑Hodgkin lymphoma: impedes growth of lymphoma cells.
  • Gestational trophoblastic disease: promotes resolution of abnormal 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, leading to reduced DNA, RNA, and protein production, which in turn suppresses rapidly dividing cells in both immune-mediated disorders and certain cancers.

Side Effects

Metoject may cause a range of adverse reactions.

Common Side Effects

  • Nausea and vomiting: mild to moderate gastrointestinal upset.
  • Fatigue: general tiredness or lack of energy.
  • Mouth sores: ulceration of oral mucosa.
  • Elevated liver enzymes: mild hepatic enzyme changes.

Serious or Rare Side Effects

  • Bone marrow suppression: risk of anemia, leukopenia, or thrombocytopenia.
  • Severe hepatotoxicity: potential for liver injury requiring monitoring.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Renal impairment: reduced kidney function, especially with high doses.

Precautions & Warnings

Before initiating Metoject, several safety considerations are recommended.

  • Monitor blood counts: perform regular CBC to detect marrow suppression.
  • Assess liver function: check transaminases and bilirubin periodically.
  • Evaluate renal function: ensure adequate clearance before dosing.
  • Avoid use in pregnancy: teratogenic risk requires strict contraception.
  • Counsel about contraception: both male and female patients must use effective methods.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Trimethoprim‑sulfamethoxazole: potentiates bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may raise methotrexate serum levels.
  • Penicillins (high‑dose): can reduce renal clearance of methotrexate.
  • 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 certain cancers including acute lymphoblastic leukemia, non‑Hodgkin lymphoma, and gestational trophoblastic disease. It works by limiting cell proliferation in these disease processes.

Methotrexate blocks the enzyme dihydrofolate reductase, which is essential for converting folate to its active form. This inhibition reduces the synthesis of nucleotides needed for DNA and RNA production, thereby slowing the growth of rapidly dividing cells in both immune-mediated conditions and malignant tumors.

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 across indications and should be individualized by a qualified healthcare professional.

Metoject is classified as Pregnancy Category X, indicating it is contraindicated in pregnancy due to a high risk of fetal harm. It is also not recommended while breastfeeding because methotrexate can be excreted in breast milk and may 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 necessary import documentation.

Metoject (methotrexate) is a first‑line antimetabolite widely used for both autoimmune diseases and certain cancers. Compared with newer agents such as leflunomide or biologics, methotrexate offers a well‑established efficacy profile and lower cost, but it requires regular monitoring for toxicity and strict contraception measures.

Metoject must be stored at 2‑8 °C in a refrigerator, protected from light, and should never be frozen or shaken. Keep the product in its original packaging until use to maintain stability and potency.

Metoject is supplied as a sterile injection and can be given intramuscularly, intravenously, or subcutaneously, depending on the clinical indication and physician preference. Administration is performed by a qualified healthcare professional in a controlled setting.

The most serious risks include bone marrow suppression leading to anemia, leukopenia, or thrombocytopenia; severe liver toxicity; pulmonary complications such as interstitial pneumonitis; and renal impairment. Patients should be monitored regularly for these adverse events.

Metoject is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe hepatic or renal impairment, and those receiving live vaccines. It should also be avoided in patients with uncontrolled infections or severe immunodeficiency.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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