Product image of Metother (Methotrexate) supplied by GNH India

Metother

Active Ingredient:
Methotrexate
Origin:
EU

Metother (Methotrexate)

Methotrexate, the active ingredient in Metother, is an antimetabolite presented as a subcutaneous formulation for subcutaneous use. It treats autoimmune conditions such as rheumatoid arthritis and psoriasis, and is also employed in certain cancers and ectopic pregnancy.

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

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

Methotrexate is employed in several immune‑mediated and oncologic conditions where inhibition of cell proliferation is desired.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication leading to remission.
  • Non‑Hodgkin lymphoma: contributes to tumor control by inhibiting DNA synthesis.
  • Ectopic pregnancy: terminates trophoblastic tissue non‑surgically.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting dihydrofolate reductase, an enzyme required for conversion of dihydrofolate to tetrahydrofolate. This blockade reduces synthesis of purine nucleotides and thymidylate, leading to decreased DNA, RNA and protein production, which impairs rapidly dividing cells, including immune cells and malignant cells.

Side Effects

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

Common Side Effects

  • Nausea and vomiting: mild to moderate gastrointestinal upset.
  • Fatigue: persistent tiredness.
  • Mouth ulcers: painful sores in the oral cavity.
  • Elevated liver enzymes: mild hepatic irritation.

Serious or Rare Side Effects

  • Severe liver toxicity: risk of hepatitis or fibrosis.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Bone marrow suppression: pancytopenia leading to infection or bleeding.
  • Renal impairment: reduced kidney function or acute failure.

Precautions & Warnings

When using Metother, several safety considerations are essential.

  • Pregnancy: contraindicated due to teratogenic risk (Category X).
  • Renal function: assess creatinine clearance before initiation.
  • Liver function: monitor transaminases regularly.
  • Blood counts: perform complete blood count before each dose.
  • Concurrent NSAIDs: avoid or use with caution due to renal risk.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several medicines that may alter its safety or effectiveness.

Major Interactions (Avoid)

  • Live vaccines: may cause severe infection.
  • High‑dose aspirin: increases risk of bone marrow suppression.
  • Trimethoprim‑sulfamethoxazole: potentiates myelosuppression.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may affect renal clearance.
  • Proton pump inhibitors: may alter methotrexate elimination.

Frequently Asked Questions

Metother contains methotrexate and is prescribed for conditions such as rheumatoid arthritis, moderate to severe plaque psoriasis, certain hematologic cancers like acute lymphoblastic leukemia and non‑Hodgkin lymphoma, and for medical management of ectopic pregnancy.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA, RNA and protein synthesis. This inhibition reduces the proliferation of rapidly dividing cells, including immune cells involved in inflammation and malignant cells in cancer.

The dose of Metother is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. No fixed regimen is provided here; the prescriber determines the appropriate dosing schedule.

Methotrexate is classified as pregnancy category X because it is known to cause fetal malformations and embryotoxicity. It is contraindicated during pregnancy and should not be used by breastfeeding mothers, as it can be excreted in breast milk and harm the infant.

To order Metother, 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 required import documentation.

For rheumatoid arthritis, methotrexate (Metother) is often compared with leflunomide or biologic agents such as TNF‑α inhibitors. Methotrexate is a small‑molecule immunosuppressant with a well‑established efficacy‑safety profile, whereas biologics target specific cytokines and may have higher costs and different infection risks.

Metother should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid freezing. Follow standard aseptic techniques when preparing the subcutaneous injection.

Metother is supplied for subcutaneous injection. A healthcare professional or trained individual administers the dose into the subcutaneous tissue, typically in the abdomen, thigh or upper arm, following aseptic technique and the prescriber's instructions.

Serious risks include severe liver toxicity, interstitial pneumonitis or pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, and acute renal failure. Patients should be monitored regularly for liver enzymes, lung symptoms, blood counts and renal function.

Metother is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate, patients with severe renal or hepatic impairment, and those with active, uncontrolled infections. Caution is also advised for patients with pre‑existing blood dyscrasias.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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