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 use. It belongs to the immunosuppressant therapeutic class and is employed to treat rheumatoid arthritis, psoriasis, Crohn's disease and certain cancers in adult patients.

GNH India supplies Metoject Pen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, oncology centres and clinics worldwide. The company ensures product quality through stringent quality‑assurance processes and provides regulatory support for import and distribution across multiple regions.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is used in autoimmune and inflammatory disease management as well as certain oncologic conditions.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin lesion severity and plaque formation.
  • Crohn's disease: diminishes intestinal inflammation and promotes remission.
  • Certain cancers (e.g., leukemia, lymphoma): interferes with rapid proliferation of malignant cells.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate, a cofactor essential for purine and thymidylate synthesis. This blocks DNA, RNA and protein production, curbing the growth of rapidly dividing cells such as activated immune cells and malignant cells, while also increasing extracellular adenosine to produce 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 or weakness
  • Mouth sores (stomatitis)
  • Mild elevation of liver enzymes

Serious or Rare Side Effects

  • Severe liver toxicity (hepatitis, fibrosis)
  • Pulmonary toxicity (interstitial pneumonitis, fibrosis)
  • Bone marrow suppression leading to anemia, leukopenia or thrombocytopenia
  • Acute kidney injury or renal failure

Precautions & Warnings

When using Methotrexate, careful monitoring and specific precautions are essential to minimize risks.

  • Monitor liver function: perform regular liver enzyme tests.
  • Monitor blood counts: conduct complete blood count before and during therapy.
  • Assess renal function: evaluate creatinine clearance prior to initiation.
  • Avoid use in pregnancy: contraindicated; ensure effective contraception for both sexes.
  • Review concomitant medications: adjust doses of nephrotoxic or hepatotoxic drugs.
  • 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 efficacy or increase toxicity.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase risk of renal toxicity.
  • Trimethoprim‑sulfamethoxazole: may enhance bone marrow suppression.
  • Live vaccines: risk of severe infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: additive myelosuppression.
  • Proton pump inhibitors: may affect absorption.
  • Oral contraceptives: may reduce effectiveness of methotrexate.
  • Alcohol: can exacerbate liver toxicity.

Frequently Asked Questions

Metoject Pen delivers methotrexate, which is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, Crohn's disease, and certain malignancies such as leukemia and lymphoma. The drug helps control inflammation and suppresses abnormal cell growth in these disorders.

Methotrexate blocks the enzyme dihydrofolate reductase, halting the formation of tetrahydrofolate needed for DNA and RNA synthesis. This limits the proliferation of rapidly dividing cells, including activated immune cells and cancer cells, and also raises extracellular adenosine levels, providing anti‑inflammatory effects.

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 standard dosing can be provided without a medical assessment.

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 excreted in breast milk, so breastfeeding is not recommended while using this medication.

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 handling if needed) and any required import documentation.

Metoject Pen offers a convenient pre‑filled subcutaneous delivery system, which can improve patient adherence compared with oral tablets that may have variable absorption. Compared with other injectable forms, the pen provides precise dosing and reduces injection‑site discomfort. Alternative disease‑modifying agents, such as biologic DMARDs, have different mechanisms and safety profiles, so choice depends on clinical response and physician judgment.

Metoject Pen should be stored in a refrigerator at 2‑8 °C (36‑46 °F). Keep the pen in its original packaging, protect it from light, and avoid freezing or shaking. If a short period outside the refrigerator is unavoidable, follow the manufacturer’s guidance on temperature excursions.

Metoject Pen is a pre‑filled, single‑use device designed for subcutaneous injection. After confirming the prescribed dose, the pen is placed against the skin (typically on the abdomen or thigh), the needle is activated, and the medication is delivered by pressing the plunger. Patients should be trained by a healthcare professional on proper technique and disposal.

The most serious adverse events include severe liver toxicity, pulmonary fibrosis or interstitial pneumonitis, profound bone‑marrow suppression leading to anemia, leukopenia or thrombocytopenia, and acute kidney injury. Early detection through regular laboratory monitoring is essential to mitigate these risks.

Metoject Pen is contraindicated in pregnant women, individuals planning pregnancy without effective contraception, and patients with severe hepatic or renal impairment. It should also be avoided in patients with known hypersensitivity to methotrexate or any component of the pen, and in those receiving live vaccines due to heightened infection risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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