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 (folate antagonist) presented as a sterile injectable solution for subcutaneous use. It is indicated for conditions such as rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia and gestational trophoblastic disease.

GNH India supplies Metoject as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, oncology centres, pharmacies and clinics across multiple continents and ensuring reliable global distribution.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is used in several disease categories where it modulates abnormal cell proliferation and immune activity.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell turnover, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant lymphoblast replication, contributing to remission.
  • Gestational trophoblastic disease: halts abnormal trophoblastic growth, facilitating cure.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade disrupts folate‑dependent synthesis of purine nucleotides and thymidylate, leading to impaired DNA, RNA and protein synthesis. The resulting antiproliferative effect is most pronounced in rapidly dividing immune cells and malignant cells, accounting for its immunosuppressive and antineoplastic actions.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Fatigue
  • Mouth sores (stomatitis)
  • Elevated liver enzymes

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis
  • Pulmonary fibrosis or pneumonitis
  • Life‑threatening infection
  • Bone marrow failure (aplastic anemia)

Precautions & Warnings

When prescribing Metoject, clinicians should observe several safety measures.

  • Pregnancy contraindicated: avoid use in pregnancy due to teratogenic risk (Category X).
  • Monitor liver function: perform regular hepatic enzyme tests.
  • Monitor blood counts: check complete blood count frequently.
  • Adjust dose in renal impairment: reduce or avoid in patients with reduced kidney function.
  • Assess for infections: screen for active infections before initiating therapy.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Methotrexate has notable drug interaction potential that requires careful management.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Penicillins and other β‑lactam antibiotics: heighten risk of bone‑marrow suppression.
  • Live vaccines: may cause severe infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect methotrexate renal clearance.
  • Sulfonamide antibiotics: additive bone‑marrow suppression risk.

Frequently Asked Questions

Metoject contains methotrexate and is prescribed for autoimmune conditions such as rheumatoid arthritis and psoriasis, as well as for certain cancers including acute lymphoblastic leukemia and for gestational trophoblastic disease. It works by modulating immune activity and inhibiting abnormal cell growth.

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

The dose of Metoject is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and response to therapy. No standard dosing can be provided here; the prescriber will set the appropriate regimen.

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

To order 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 where required) and import documentation.

Metoject (methotrexate) is an oral/ injectable antimetabolite, whereas alternatives for rheumatoid arthritis include biologic agents such as TNF‑alpha inhibitors. Methotrexate is generally less expensive and has a long safety record, but biologics may be chosen when patients do not respond adequately to methotrexate or need faster disease control.

Metoject should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Once removed from refrigeration, use according to the manufacturer’s stability guidelines.

Metoject is given by subcutaneous injection. The healthcare professional prepares the dose using aseptic technique and injects it into the subcutaneous tissue, typically in the abdomen, thigh or upper arm, following the prescriber’s instructions.

Serious risks include severe liver toxicity, pulmonary fibrosis or pneumonitis, life‑threatening infections due to immunosuppression, bone‑marrow failure (aplastic anemia) and renal impairment. Patients should be monitored regularly for signs of these conditions and report any new symptoms promptly.

Metoject should not be used by pregnant women, individuals with severe liver or kidney disease, patients with active infections, or those who have known hypersensitivity to methotrexate or any component of the formulation. Caution is also advised for patients with pre‑existing blood‑cell disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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