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 treat rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia and other autoimmune conditions.

GNH India supplies Metoject Pen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable access to this essential immunosuppressant for qualified healthcare providers and supporting therapeutic programs across multiple therapeutic areas. Our global logistics network ensures timely delivery and compliance with local regulatory requirements.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is employed in several autoimmune and oncologic disease pathways to modulate immune activity and cell proliferation.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication as part of chemotherapy protocols.
  • Other autoimmune conditions: provides disease control in severe inflammatory disorders such as inflammatory bowel disease.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate and thereby limiting purine and pyrimidine nucleotide synthesis. This reduces DNA, RNA and protein production, curbing the proliferation of rapidly dividing immune cells while also dampening inflammatory pathways, resulting in immunosuppressive and anti‑inflammatory effects.

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)
  • Mild liver enzyme elevation

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Renal impairment
  • Severe bone marrow suppression (pancytopenia)

Precautions & Warnings

Use of Metoject Pen requires careful monitoring and adherence to safety guidelines.

  • Pregnancy: contraindicated; teratogenic risk classified as Category X.
  • Liver function: monitor hepatic enzymes regularly; avoid in pre‑existing liver disease.
  • Renal function: assess creatinine clearance before initiation and during therapy.
  • Blood counts: perform complete blood count monitoring to detect cytopenias.
  • Concomitant immunosuppressants: evaluate risk of additive immunosuppression.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes; awareness of these interactions helps prevent toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors (e.g., omeprazole): may raise serum levels.
  • Trimethoprim‑sulfamethoxazole: risk of severe bone marrow suppression.
  • Live vaccines: heightened infection risk.

Moderate Interactions (Monitor Closely)

  • Penicillins and other antibiotics: may affect renal clearance.
  • Sulfonylureas: potential for enhanced hypoglycemia.
  • Alcohol: adds to hepatic stress.

Frequently Asked Questions

Metoject Pen delivers methotrexate, which is approved for rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, and other severe autoimmune disorders where conventional therapy is insufficient.

Methotrexate blocks the enzyme dihydrofolate reductase, reducing the production of tetrahydrofolate needed for DNA and RNA synthesis. This antiproliferative effect limits the growth of rapidly dividing immune and cancer cells and also dampens inflammatory pathways.

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

Methotrexate is classified as Pregnancy Category X because it is teratogenic and can cause fetal harm. It is contraindicated during pregnancy and should not be used while breastfeeding, as it can be excreted in milk.

To order, submit an enquiry on the Metoject Pen 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.

Compared with agents such as leflunomide or biologic TNF inhibitors, methotrexate offers a well‑established oral and subcutaneous route, a broad therapeutic window, and lower acquisition cost, but it requires regular laboratory monitoring for hepatic, renal and hematologic safety.

Metoject Pen should be stored at 2‑8 °C (refrigerated). Keep the pen in its original packaging, protect it from light, and do not freeze or shake the device. Do not use if the pen has been exposed to temperatures outside this range.

Metoject Pen is a pre‑filled, single‑use device for subcutaneous injection. The patient or healthcare professional removes the protective cap, selects the appropriate injection site (typically the abdomen or thigh), and presses the plunger to deliver the prescribed dose.

Serious risks include severe liver toxicity, pulmonary fibrosis or interstitial pneumonitis, renal impairment, and profound bone marrow suppression leading to pancytopenia. Patients should report symptoms such as persistent nausea, shortness of breath, jaundice, or unusual bruising immediately.

Metoject Pen is contraindicated in pregnant or nursing women, patients with known hypersensitivity to methotrexate, those with severe hepatic or renal disease, and individuals receiving live vaccines. Caution is also advised for patients with existing blood dyscrasias.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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