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 formulation for subcutaneous use. It functions as an immunosuppressant and antineoplastic agent, indicated for autoimmune disorders such as rheumatoid arthritis and psoriasis, as well as for certain malignancies including acute lymphoblastic leukemia. GNH India supplies Metoject as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide. The company adheres to EU quality standards and provides regulatory‑approved batches for global distribution.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

  • Methotrexate is employed in the management of inflammatory and malignant conditions where cell proliferation needs to be controlled.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Osteosarcoma: used as part of combination chemotherapy to improve survival outcomes.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the availability of folate cofactors required for purine and pyrimidine synthesis, thereby impairing DNA, RNA and protein production. The resulting inhibition of cell proliferation affects rapidly dividing immune cells and malignant tumor cells, leading to immunosuppression and antineoplastic effects.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Oral mucosal ulceration.
  • Mild elevation of liver enzymes.
  • Transient decrease in blood cell counts.

Serious or Rare Side Effects

  • Severe hepatic toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening infection due to bone‑marrow suppression.
  • Acute renal failure.
  • Anaphylactic or severe hypersensitivity reactions.
  • Myelosuppression leading to pancytopenia.

Precautions & Warnings

  • Careful monitoring and patient education are essential when using methotrexate.
  • Liver monitoring: perform baseline and periodic liver function tests.
  • Blood count monitoring: check complete blood count regularly.
  • Renal function: assess kidney function before and during therapy.
  • Contraception: use effective birth control during treatment and for several months after discontinuation.
  • Drug interactions: avoid concurrent use of nephrotoxic agents without medical supervision.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate may interact with several medicines, requiring vigilance.

Major Interactions (Avoid)

  • NSAIDs: increase risk of methotrexate toxicity and renal impairment.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.
  • Live vaccines: may cause severe infection in immunocompromised patients.

Moderate Interactions (Monitor Closely)

  • Azathioprine: combined immunosuppression may heighten infection risk.
  • Phenytoin: may reduce methotrexate plasma concentrations.
  • Folic acid supplementation: can lessen efficacy; dose adjustments should be guided by a clinician.

Frequently Asked Questions

Metoject contains methotrexate, which is prescribed for autoimmune diseases such as rheumatoid arthritis and psoriasis, as well as for certain cancers including acute lymphoblastic leukemia and osteosarcoma. The specific indication is determined by the treating physician based on the patient’s diagnosis and clinical needs.

Methotrexate blocks the enzyme dihydrofolate reductase, limiting the production of tetrahydrofolate needed for DNA and RNA synthesis. By reducing nucleic acid formation, it slows the proliferation of rapidly dividing cells, including immune cells involved in inflammation and malignant tumor cells.

The dose of Metoject is individualized and set by the prescribing healthcare professional. Dosing depends on the indication, patient weight, renal function, and response to therapy. Patients should follow the exact regimen provided by their physician.

Methotrexate is generally contraindicated in pregnancy because of its known teratogenic potential. Women of child‑bearing potential should use effective contraception during treatment and for a defined period after stopping therapy. Breastfeeding is also discouraged unless the prescriber determines the benefits outweigh the risks.

To request Metoject, visit the product page on gnhindia.com, enter the required quantity, and submit the enquiry form. 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 logistics if needed) and import documentation.

Methotrexate, the active ingredient in Metoject, is a first‑line antimetabolite that offers oral and subcutaneous options, whereas many biologic agents target specific cytokines and require intravenous infusion. Methotrexate is generally less expensive but may have a broader side‑effect profile, requiring regular laboratory monitoring.

Metoject should be stored at 2‑8 °C (refrigerated). Keep the vials in the original packaging, protect them from light, and avoid freezing or shaking the product. Do not store at room temperature for extended periods.

Metoject is supplied as a sterile solution for subcutaneous injection. A healthcare professional prepares the dose using aseptic technique and injects it into the subcutaneous tissue, typically in the abdomen or thigh, according to the prescriber’s instructions.

Serious risks include severe liver toxicity, pulmonary fibrosis, bone‑marrow suppression leading to pancytopenia, acute renal failure, and life‑threatening infections. Patients should be monitored regularly for signs of organ dysfunction and advised to report any unusual symptoms promptly.

Metoject is contraindicated in patients with known hypersensitivity to methotrexate, severe renal or hepatic impairment, uncontrolled infections, and in women who are pregnant or planning to become pregnant without effective contraception. The prescriber will assess individual risk factors before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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