Product image of Metoject Pen (Methotrexate) supplied by GNH India

Metoject Pen

Active Ingredient:
Methotrexate
Origin:
EU

Metoject Pen (Methotrexate)

Methotrexate, the active ingredient in Metoject Pen, is an antimetabolite presented as a pre‑filled pen for subcutaneous injection. It is used to manage autoimmune disorders such as rheumatoid arthritis and psoriasis, as well as certain cancers including acute lymphoblastic leukemia and non‑Hodgkin lymphoma.

GNH India supplies Metoject Pen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to European Union quality standards and provides cold‑chain logistics to maintain product integrity during global shipment.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

  • Methotrexate is an antimetabolite used in autoimmune and oncologic conditions.
  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: limits skin cell proliferation and improves plaque appearance.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication to achieve remission.
  • Non‑Hodgkin lymphoma: impedes tumor growth by disrupting DNA synthesis.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, decreasing tetrahydrofolate levels and thereby blocking the synthesis of purine and pyrimidine nucleotides. This disruption of folate metabolism reduces DNA, RNA and protein production in rapidly dividing cells and modulates immune cell activity, providing both immunosuppressive and anti‑neoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or general weakness.
  • Mouth sores or oral ulceration.
  • Elevated liver enzymes.
  • Mild rash or itching.
  • Transient low blood cell counts.

Serious or Rare Side Effects

  • Pulmonary toxicity, including interstitial pneumonitis.
  • Severe liver injury or fibrosis.
  • Bone marrow suppression leading to pancytopenia.
  • Life‑threatening infections due to immunosuppression.
  • Renal failure or nephrotoxicity.
  • Anaphylactic or severe allergic reactions.

Precautions & Warnings

  • Before using Metoject Pen, several safety considerations are essential.
  • Pregnancy: contraindicated (Category X) due to high teratogenic risk.
  • Renal function: assess baseline; adjust or avoid if severe impairment.
  • Liver function: monitor enzymes regularly; avoid in advanced hepatic disease.
  • Hematologic monitoring: perform complete blood counts frequently to detect cytopenias.
  • Infection risk: screen for latent infections and avoid use during active infections.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several medicines that can alter its safety or effectiveness.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase toxicity.
  • Penicillins: reduce renal clearance, raising methotrexate levels.
  • Proton pump inhibitors: may elevate systemic exposure.
  • Live vaccines: heightened risk of infection.

Moderate Interactions (Monitor Closely)

  • Sulfonamides: additive bone‑marrow suppression.
  • Trimethoprim‑sulfamethoxazole: similar hematologic risk.
  • Azathioprine: combined immunosuppression may increase infection risk.
  • Alcohol: can exacerbate liver toxicity.

Frequently Asked Questions

Metoject Pen contains methotrexate and is indicated for the treatment of rheumatoid arthritis and psoriasis, as well as for certain cancers such as acute lymphoblastic leukemia and non‑Hodgkin lymphoma. It works by modulating immune activity and inhibiting rapid cell proliferation.

Methotrexate blocks the enzyme dihydrofolate reductase, reducing tetrahydrofolate availability. This limits the synthesis of purine and pyrimidine nucleotides, which are essential for DNA, RNA and protein production, thereby suppressing immune cell activity and slowing the growth of malignant cells.

The dose of Metoject Pen is individualized by the prescribing clinician based on the specific condition, disease severity, patient weight, renal and hepatic function, and response to therapy. No fixed dosing regimen is provided here; the prescriber sets the appropriate amount.

Methotrexate 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 while breastfeeding because it can be excreted in milk and affect the infant.

To request Metoject Pen, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies 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.

Metoject Pen (methotrexate) is a conventional disease‑modifying antirheumatic drug (DMARD) and differs from biologic agents such as TNF‑alpha inhibitors. While biologics target specific cytokines, methotrexate broadly suppresses immune cell proliferation. It is generally less expensive but requires careful monitoring for toxicity.

Metoject Pen should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the pen in its original packaging until use to maintain stability and prevent contamination.

Metoject Pen is a pre‑filled, single‑use device designed for subcutaneous injection. The user selects the prescribed dose, cleans the injection site, inserts the needle, and presses the plunger to deliver the medication. Proper technique and disposal of the pen are essential.

Serious adverse events include severe liver toxicity, bone‑marrow suppression leading to pancytopenia, pulmonary fibrosis or interstitial pneumonitis, and life‑threatening infections due to immunosuppression. Patients should be monitored regularly for signs of these complications.

Metoject Pen is contraindicated in pregnant or breastfeeding individuals, patients with severe hepatic or renal impairment, active uncontrolled infections, and those with known hypersensitivity to methotrexate or any component of the pen. Caution is also advised for patients with pre‑existing lung disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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