Product image of Metojectpen (Methotrexate) supplied by GNH India

Metojectpen

Active Ingredient:
Methotrexate
Origin:
EU

Metojectpen (Methotrexate)

Methotrexate, the active ingredient in Metojectpen, is an antimetabolite (folate antagonist) presented as a pre‑filled subcutaneous injection pen for subcutaneous use. It treats rheumatoid arthritis, severe plaque psoriasis, juvenile idiopathic arthritis, and certain malignancies such as acute lymphoblastic leukemia and lymphoma.

GNH India supplies Metojectpen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, oncology centres and clinics worldwide. The company ensures consistent quality and regulatory compliance across a broad range of therapeutic areas, with reliable logistics and support for clinical programs.

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) and antineoplastic agent to manage inflammatory and malignant conditions.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Severe plaque psoriasis: decreases skin lesions and plaque formation.
  • Juvenile idiopathic arthritis: controls disease activity and improves joint function.
  • Acute lymphoblastic leukemia: interferes with malignant cell proliferation.
  • Lymphoma: inhibits growth of malignant lymphoid cells.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, leading to reduced tetrahydrofolate synthesis. This impairs the formation of purine nucleotides and thymidylate, thereby blocking DNA, RNA and protein synthesis in rapidly dividing cells. The drug also modulates immune function by increasing extracellular adenosine, which contributes to its anti‑inflammatory effects in rheumatic diseases.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or weakness.
  • Mouth ulcers or stomatitis.
  • Elevated liver enzymes.

Serious or Rare Side Effects

  • Severe liver toxicity, including hepatitis or fibrosis.
  • Pulmonary toxicity such as interstitial pneumonitis.
  • Bone marrow suppression leading to severe infection, anemia or thrombocytopenia.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and counsel patients on potential risks.

  • Monitor liver function: perform regular hepatic enzyme tests.
  • Monitor blood counts: check complete blood count frequently.
  • Avoid use in pregnancy: methotrexate is teratogenic (Category X).
  • Use caution in renal impairment: adjust dosing as needed.
  • Counsel on infection signs: advise immediate medical attention for fever or unexplained illness.
  • 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 efficacy.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive immunosuppressive effect, monitor blood counts.
  • Allopurinol: may increase methotrexate levels, watch for toxicity.
  • Phenytoin: can reduce methotrexate clearance, adjust monitoring accordingly.

Frequently Asked Questions

Metojectpen contains methotrexate and is indicated for rheumatoid arthritis, severe plaque psoriasis, juvenile idiopathic arthritis, and certain cancers such as acute lymphoblastic leukemia and lymphoma. It is prescribed when disease‑modifying therapy is required to control inflammation or to inhibit malignant cell growth.

Methotrexate blocks the enzyme dihydrofolate reductase, reducing tetrahydrofolate production. This limits synthesis of DNA, RNA and proteins in rapidly dividing cells, which curtails cancer cell proliferation. In rheumatic diseases, it also raises extracellular adenosine levels, providing anti‑inflammatory effects.

The exact dose of Metojectpen is individualized by the prescribing clinician based on the patient’s disease severity, weight, renal and hepatic function, and response to therapy. Dosing regimens vary between rheumatologic and oncologic indications, and the prescriber will set the appropriate schedule.

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 stopped well before conception. Breastfeeding is also not recommended, as methotrexate can be excreted in milk and affect the infant.

To request Metojectpen, 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 any required import documentation.

Metojectpen (methotrexate) is a conventional synthetic DMARD, offering oral‑like convenience in an injectable pen and a well‑established safety profile. Biologic DMARDs target specific cytokines (e.g., TNF‑α inhibitors) and may be used when methotrexate alone is insufficient, but they are generally more expensive and require more intensive monitoring.

Metojectpen should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the pen. If the product must be transported, maintain the cold chain using validated insulated containers and temperature monitors to preserve drug stability.

Metojectpen is a pre‑filled pen designed for subcutaneous injection. The prescriber or trained healthcare professional selects the prescribed dose, cleans the injection site, and presses the pen to deliver the medication into the subcutaneous tissue, typically in the abdomen or thigh.

The most serious risks include severe liver toxicity, pulmonary fibrosis or interstitial pneumonitis, and profound bone‑marrow suppression that can lead to life‑threatening infections, anemia or bleeding. Patients should be monitored regularly for liver enzymes, lung symptoms and complete blood counts.

Metojectpen is contraindicated in pregnant women, individuals with severe hepatic or renal impairment, and patients with known hypersensitivity to methotrexate or any component of the formulation. Caution is also advised for those with active infections, immunodeficiency, or a history of pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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