Product image of Metorthrit (Methotrexate) supplied by GNH India

Metorthrit

Active Ingredient:
Methotrexate
Origin:
EU

Metorthrit (Methotrexate)

Methotrexate, the active ingredient in Metorthrit, is an antimetabolite (folate antagonist) presented as an injectable solution for intramuscular, intravenous or subcutaneous use. It is employed to modify disease activity in rheumatic conditions and to treat certain cancers and ectopic pregnancy.

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

Manufacturer / TM Owner

S.C. Rompharm Company S.R.L.

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Indications & Clinical Uses

Methotrexate acts on rapidly dividing cells and immune pathways, making it useful across several disease families.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression in adult patients.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Acute lymphoblastic leukemia: induces remission by targeting malignant lymphoblasts.
  • Non‑Hodgkin lymphoma: contributes to tumor control as part of combination chemotherapy.
  • Ectopic pregnancy: terminates trophoblastic tissue when surgery is not indicated.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking the conversion of dihydrofolate to tetrahydrofolate. This limits the synthesis of purine nucleotides and thymidylate, impairing DNA, RNA and protein production in rapidly proliferating cells, including immune cells and malignant clones.

Side Effects

Adverse reactions may range from mild to life‑threatening and require monitoring.

Common Side Effects

  • Nausea or vomiting
  • Fatigue or malaise
  • Oral mucositis (mouth sores)
  • Transient elevation of liver enzymes
  • Mild cytopenias (low white blood cells or platelets)
  • Alopecia (hair thinning)

Serious or Rare Side Effects

  • Severe hepatotoxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Life‑threatening infection due to bone‑marrow suppression
  • Acute renal failure
  • Severe pancytopenia
  • Anaphylactoid reactions on injection

Precautions & Warnings

Methotrexate requires careful assessment and monitoring before and during therapy.

  • Pregnancy: contraindicated (Category X); avoid in women of childbearing potential unless effective contraception is used.
  • Renal function: evaluate creatinine clearance; dose adjustment may be needed.
  • Hepatic function: monitor liver enzymes regularly; avoid in pre‑existing severe liver disease.
  • Hematologic status: perform baseline and periodic complete blood counts.
  • Drug interactions: review concomitant medications for potential additive toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Methotrexate may interact with several medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • NSAIDs: increase methotrexate toxicity and renal impairment.
  • Live vaccines: heightened risk of severe infection.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect methotrexate clearance.
  • Sulfonamide antibiotics: increase risk of hematologic toxicity.
  • Alcohol: potentiates hepatotoxic effects.

Frequently Asked Questions

Metorthrit contains methotrexate and is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and medically managed ectopic pregnancy. It works by modulating immune activity and inhibiting cell proliferation in these disease states.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA, RNA and protein synthesis. This action suppresses rapidly dividing cells, including immune cells that drive inflammation and cancer cells that proliferate uncontrollably.

The specific dose of Metorthrit is determined by the prescribing clinician based on the indication, patient weight, renal and hepatic function, and treatment response. Dosing regimens vary widely and should follow the prescriber’s written order.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and loss. It is also excreted in breast milk, so breastfeeding is not recommended while receiving the drug.

To request Metorthrit, 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.

Compared with biologic DMARDs, methotrexate (Metorthrit) is a small‑molecule agent that is generally less expensive and administered by injection or orally. It has a well‑established efficacy profile but requires regular laboratory monitoring for hepatic and hematologic safety, whereas biologics target specific cytokines with different risk profiles.

Metorthrit should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use and discard any solution that appears discolored or contains particles.

Metorthrit is supplied as an injectable solution and can be given intramuscularly, intravenously or subcutaneously according to the prescriber’s instructions. Administration should be performed by a qualified healthcare professional using aseptic technique.

Serious risks include severe liver toxicity, pulmonary fibrosis, life‑threatening infections due to bone‑marrow suppression, acute renal failure, and rare but severe pancytopenia. Patients should be monitored closely for signs of organ dysfunction and infection throughout therapy.

Metorthrit is contraindicated in pregnant women, individuals with severe hepatic or renal impairment, patients with known hypersensitivity to methotrexate, and those receiving live vaccines. Caution is also advised for patients with pre‑existing blood disorders or uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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