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 injection for subcutaneous use. It treats autoimmune conditions such as rheumatoid arthritis and psoriasis, as well as certain cancers, in adult and pediatric patients.

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

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is employed across several disease families, primarily autoimmune and oncologic disorders.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: diminishes skin lesions and plaque formation.
  • Crohn's disease: helps achieve and maintain remission of intestinal inflammation.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation as part of chemotherapy protocols.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate and thereby disrupting folate‑dependent synthesis of purines and pyrimidines. This impairs DNA, RNA, and protein synthesis in rapidly dividing cells and also modulates inflammatory pathways, contributing to its immunosuppressive and anti‑inflammatory actions.

Side Effects

Methotrexate may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Mild oral ulceration.
  • Transient elevation of liver enzymes.
  • Low white blood cell count (leukopenia).
  • Mild hair thinning.

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Significant bone marrow suppression leading to pancytopenia.
  • Renal impairment or acute kidney injury.
  • Severe cutaneous reactions such as Stevens‑Johnson syndrome.
  • Teratogenic effects causing fetal malformations.

Precautions & Warnings

Methotrexate requires careful monitoring and patient education to minimize risks.

  • Baseline testing: obtain liver function, renal function, and complete blood count before initiating therapy.
  • Monitoring: repeat laboratory assessments regularly to detect toxicity early.
  • Contraindications: avoid use in pregnancy due to known teratogenicity.
  • Drug holidays: consider temporary discontinuation before major surgery or invasive procedures.
  • Patient counseling: advise on avoiding alcohol and informing about signs of infection or liver injury.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate interacts with several drug classes that can alter its efficacy or toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Proton pump inhibitors (e.g., omeprazole): may raise methotrexate plasma levels.
  • Trimethoprim‑sulfamethoxazole: potentiates bone marrow suppression.

Moderate Interactions (Monitor Closely)

  • Penicillins and other antibiotics: may affect renal clearance.
  • Live vaccines: risk of severe infection due to immunosuppression.
  • Folate supplements: can reduce efficacy but are often used to mitigate side effects; adjust dose under medical supervision.

Frequently Asked Questions

Metoject Pen contains methotrexate and is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, Crohn's disease, and as part of chemotherapy regimens for acute lymphoblastic leukemia. It works by modulating immune activity and inhibiting cell proliferation in these disorders.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA, RNA and protein synthesis. This action suppresses rapidly dividing immune cells and inflammatory pathways, providing therapeutic effects in autoimmune diseases and certain cancers.

The specific dose of Metoject Pen is determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Dosing regimens vary widely, and the prescriber will tailor the amount and frequency to each individual case.

Methotrexate is classified as pregnancy category X because it is known to cause fetal malformations and embryotoxicity. It is contraindicated in pregnancy and should be discontinued well before conception. Use during breastfeeding is also discouraged, as the drug can be excreted in milk.

To request Metoject Pen, 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 import documentation.

Metoject Pen offers a pre‑filled, subcutaneous delivery system that can improve patient convenience and dosing accuracy compared with oral tablets or traditional injectable vials. Subcutaneous administration often results in more consistent absorption and may reduce gastrointestinal side effects seen with oral methotrexate.

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

Metoject Pen is a pre‑filled, single‑use pen designed for subcutaneous injection. After selecting the prescribed dose, the user removes the safety cap, places the needle against the skin (typically on the abdomen or thigh), and presses the plunger to deliver the medication. Training by a healthcare professional is recommended.

Serious risks include liver toxicity, pulmonary fibrosis, severe bone‑marrow suppression leading to pancytopenia, and teratogenic effects. Patients should be monitored regularly for liver enzymes, lung function and blood counts, and should avoid pregnancy throughout treatment and for a defined period after discontinuation.

Metoject Pen is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, severe renal or hepatic impairment, and patients with active infections that could be worsened by immunosuppression. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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