Product image of Metotreksat Ebewe (Methotrexate Disodium) supplied by GNH India

Metotreksat Ebewe

Active Ingredient:
Methotrexate Disodium
Origin:
EU

Metotreksat Ebewe (Methotrexate Disodium)

Methotrexate Disodium, the active ingredient in Metotreksat Ebewe, is an antimetabolite (folate antagonist) presented as an injectable solution for intramuscular, intravenous, and subcutaneous use. It is employed to treat rheumatoid arthritis, severe psoriasis, certain leukemias and lymphomas, and ectopic pregnancy in adult patients.

GNH India supplies Metotreksat Ebewe as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support global distribution across multiple continents.

Manufacturer / TM Owner

Ebewe Pharma

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Methotrexate Disodium is used in several disease categories where inhibition of folate metabolism is therapeutic.

  • Rheumatoid arthritis: reduces joint inflammation and slows structural damage.
  • Psoriasis: improves severe skin lesions and plaque formation.
  • Acute lymphoblastic leukemia: contributes to remission by blocking malignant cell proliferation.
  • Non‑Hodgkin lymphoma: used in combination regimens to achieve tumor control.
  • Ectopic pregnancy: provides medical management to terminate trophoblastic tissue.

How It Works

  • Methotrexate Disodium competitively inhibits dihydrofolate reductase, decreasing tetrahydrofolate production and thereby impairing synthesis of purine and pyrimidine nucleotides. This disruption hampers DNA, RNA and protein synthesis, particularly in rapidly dividing cells, and also promotes release of adenosine, which exerts anti‑inflammatory effects.

Side Effects

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

Common Side Effects

  • Nausea and vomiting
  • Oral mucosal ulceration
  • Fatigue
  • Alopecia
  • Elevated liver enzymes
  • Mild skin rash

Serious or Rare Side Effects

  • Bone marrow suppression leading to pancytopenia
  • Severe infections due to immunosuppression
  • Pulmonary toxicity (interstitial pneumonitis)
  • Hepatotoxicity with fibrosis or cirrhosis
  • Renal impairment or failure
  • Life‑threatening cutaneous reactions such as Stevens‑Johnson syndrome

Precautions & Warnings

Before initiating Metotreksat Ebewe, several safety considerations should be evaluated.

  • Monitor blood counts: perform regular CBC to detect marrow suppression.
  • Assess liver function: schedule periodic LFTs for hepatotoxicity.
  • Evaluate renal function: adjust dosing if creatinine clearance is reduced.
  • Avoid in pregnancy: drug is teratogenic and contraindicated for pregnant patients.
  • Use effective contraception: both patients and partners should employ reliable methods during treatment and for several months after cessation.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Methotrexate Disodium has notable drug interactions that may require avoidance or close monitoring.

Major Interactions (Avoid)

  • Nonsteroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Proton pump inhibitors: may reduce renal clearance and raise serum levels.
  • Live vaccines: heightened risk of infection due to immunosuppression.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.
  • High‑dose folic acid supplementation: can diminish therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Azathioprine: combined immunosuppression may intensify infection risk.
  • Cyclosporine: increased nephrotoxicity when used together.
  • Penicillins (e.g., ampicillin): may elevate methotrexate concentrations.
  • Alcohol consumption: potentiates hepatotoxic effects.
  • Antacids containing aluminum or magnesium: reduce oral absorption of methotrexate.

Frequently Asked Questions

Metotreksat Ebewe contains methotrexate disodium and is prescribed for conditions such as rheumatoid arthritis, severe psoriasis, certain types of leukemia and lymphoma, and for medical management of ectopic pregnancy. It works by interfering with cell growth and immune activity, providing therapeutic benefit in these disease areas.

Methotrexate Disodium blocks the enzyme dihydrofolate reductase, which is essential for producing tetrahydrofolate, a co‑factor needed for DNA, RNA and protein synthesis. By limiting nucleotide formation, it slows the proliferation of rapidly dividing cells and also increases adenosine release, which contributes to its anti‑inflammatory properties.

The specific dose of Metotreksat Ebewe is determined by the prescribing clinician based on the patient’s condition, weight, renal function and treatment goals. Healthcare professionals tailor the regimen to achieve optimal efficacy while minimizing potential toxicity, and patients should follow the exact instructions provided by their prescriber.

Methotrexate is classified as teratogenic and is contraindicated in pregnancy because it can cause fetal malformations and loss. Women of child‑bearing potential should use effective contraception during treatment and for a defined period after stopping the drug. Breastfeeding is also not recommended, as methotrexate can be excreted in milk.

To request Metotreksat Ebewe, 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 necessary import documentation.

Metotreksat Ebewe delivers the same active ingredient, methotrexate disodium, as other branded or generic methotrexate formulations. Differences may lie in manufacturing standards, packaging, and regulatory approvals. Compared with biologic agents, methotrexate is generally less expensive but may require more laboratory monitoring for safety.

Metotreksat Ebewe should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Do not freeze the product. Ensure that the container is tightly closed and keep it out of reach of children.

The product is supplied as an injectable preparation and can be given by intramuscular, intravenous or subcutaneous injection, according to the prescriber’s instructions. Administration is performed by a qualified healthcare professional in a clinical setting, using aseptic technique and appropriate dosing equipment.

Serious adverse events include bone‑marrow suppression leading to pancytopenia, severe infections, pulmonary toxicity such as interstitial pneumonitis, significant liver injury (fibrosis or cirrhosis), renal failure, and life‑threatening skin reactions like Stevens‑Johnson syndrome. Patients should be educated to report any signs of infection, respiratory difficulty, jaundice or unusual skin changes promptly.

Metotreksat Ebewe is contraindicated in pregnant women, individuals with known hypersensitivity to methotrexate or its excipients, and patients with severe renal or hepatic impairment that cannot be corrected. Caution is also advised for those with active infections, uncontrolled immune disorders, or who are receiving other potent immunosuppressive agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.