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 (folate antagonist) presented as a pre‑filled subcutaneous pen injector for subcutaneous use. It is used to manage chronic inflammatory and autoimmune disorders, including rheumatoid arthritis, moderate to severe plaque psoriasis, and Crohn’s disease, primarily in adult patients. It is indicated for patients who have not responded adequately to conventional therapy.

GNH India supplies Metoject Pen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product complies with EU regulatory standards and is manufactured under GMP conditions.

Manufacturer / TM Owner

Medac Gesellschaft Für Klinische Spezialpräparate Mbh (Wedel)

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Indications & Clinical Uses

Methotrexate is used as a disease‑modifying antirheumatic drug (DMARD) for several inflammatory conditions.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and reduces plaque formation.
  • Crohn's disease: decreases intestinal inflammation and helps maintain remission.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate and thereby limiting purine and pyrimidine synthesis. This reduction in DNA, RNA, and protein production curtails the proliferation of rapidly dividing immune cells and also exerts anti‑inflammatory effects through adenosine release.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Fatigue: persistent tiredness.
  • Mouth sores: ulceration of oral mucosa.
  • Elevated liver enzymes: mild hepatic enzyme increase.
  • Headache: occasional mild headache.
  • Hair thinning: mild temporary loss of hair.

Serious or Rare Side Effects

  • Severe liver toxicity: risk of hepatitis or fibrosis.
  • Bone marrow suppression: leading to anemia, leukopenia or thrombocytopenia.
  • Pulmonary fibrosis: interstitial lung disease.
  • Severe infection: opportunistic infections due to immunosuppression.
  • Kidney dysfunction: impaired renal function.
  • Severe skin reactions: Stevens‑Johnson syndrome or toxic epidermal necrolysis.

Precautions & Warnings

When using Methotrexate, several precautions should be observed to minimize risks.

  • Monitor liver function: regular tests recommended.
  • Assess blood counts: watch for cytopenias.
  • Evaluate renal function: adjust if impaired.
  • Avoid use in pregnancy: teratogenic risk.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate can interact with other medicines, affecting its safety and effectiveness.

Major Interactions (Avoid)

  • Live vaccines: may cause severe infection.
  • High-dose NSAIDs: increase methotrexate toxicity.
  • Other folate antagonists: additive toxicity.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect renal clearance.
  • Sulfonamide antibiotics: risk of bone marrow suppression.
  • Alcohol: can exacerbate liver toxicity.

Frequently Asked Questions

Metoject Pen delivers methotrexate, which is indicated for several chronic inflammatory diseases. It is commonly prescribed for rheumatoid arthritis to reduce joint damage, for moderate to severe plaque psoriasis to improve skin lesions, and for Crohn’s disease to control intestinal inflammation and maintain remission.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA, RNA and protein synthesis. This limits the proliferation of rapidly dividing immune cells and also promotes the release of anti‑inflammatory adenosine, thereby reducing inflammation in autoimmune conditions.

The dose of Metoject Pen is individualized by the prescribing healthcare professional based on the specific disease, severity, patient weight, renal and hepatic function, and response to therapy. Only a qualified prescriber should set the dosing schedule and any adjustments.

Methotrexate is classified as teratogenic and is contraindicated during pregnancy because it can cause fetal malformations and miscarriage. It is also generally not recommended while breastfeeding, as it may be excreted in breast milk and affect the infant. Women of child‑bearing potential should use effective contraception.

To place an 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 handling if needed) and the necessary import documentation.

Metoject Pen delivers methotrexate, a cornerstone DMARD with a well‑established efficacy and safety profile. Compared with biologic agents, methotrexate is less expensive and administered subcutaneously, offering convenient self‑injection. However, biologics may be chosen when patients do not respond adequately to methotrexate or when a faster onset of action is required.

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

Metoject Pen is a pre‑filled, single‑use injector designed for subcutaneous injection. The patient or caregiver removes the safety cap, selects the prescribed dose by turning the dose selector, and injects the medication into the subcutaneous tissue of the abdomen, thigh or upper arm as instructed by a healthcare professional.

The most serious risks include severe liver toxicity, bone marrow suppression leading to anemia or infections, pulmonary fibrosis, and rare but life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for liver enzymes, blood counts and respiratory symptoms to detect these complications early.

Metoject Pen should not be used by individuals who are pregnant, planning to become pregnant, or breastfeeding. It is also contraindicated in patients with severe renal or hepatic impairment, known hypersensitivity to methotrexate, or active infections that could be worsened by immunosuppression. A healthcare professional must evaluate suitability before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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