Product image of Metotressato Teva (Methotrexate) supplied by GNH India

Metotressato Teva

Active Ingredient:
Methotrexate
Origin:
EU

Metotressato Teva (Methotrexate)

Methotrexate, the active ingredient in Metotressato Teva, is an antimetabolite (folate antagonist) presented as a sterile injectable solution for epidural, intra‑articular and intramuscular use. It is employed to manage rheumatoid arthritis, psoriasis, certain malignancies and selected intra‑articular inflammatory joint conditions in adult patients.
GNH India supplies Metotressato Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Teva Italia 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.
  • Psoriasis: diminishes skin plaque formation and severity.
  • Certain malignancies (e.g., leukemia, lymphoma): interferes with cancer cell proliferation.
  • Intra‑articular treatment of osteoarthritis or inflammatory joint disease: provides local immunosuppression and pain relief.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, decreasing tetrahydrofolate production. This limits the synthesis of purine and pyrimidine nucleotides, impairing DNA, RNA and protein synthesis in rapidly dividing cells, including immune cells and malignant cells, thereby exerting immunosuppressive and antineoplastic effects.

Side Effects

Methotrexate may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting: gastrointestinal discomfort that may be transient.
  • Fatigue: persistent tiredness affecting daily activities.
  • Elevated liver enzymes: mild hepatic changes detectable on laboratory testing.

Serious or Rare Side Effects

  • Severe liver toxicity: risk of hepatitis or fibrosis requiring monitoring.
  • Pulmonary fibrosis: progressive scarring of lung tissue.
  • Bone marrow suppression: severe anemia, leukopenia or thrombocytopenia that can lead to infection or bleeding.

Precautions & Warnings

Before initiating therapy, clinicians should assess several safety parameters.

  • Monitor liver function: perform baseline and periodic liver enzyme tests.
  • Monitor blood counts: regular complete blood counts to detect marrow suppression.
  • Avoid use in pregnancy: methotrexate is contraindicated and requires effective contraception.
  • Adjust for renal impairment: dose modifications may be needed in reduced kidney function.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Methotrexate interacts with several drugs that can alter its safety or efficacy.

Major Interactions (Avoid)

  • NSAIDs: increase risk of renal toxicity and gastrointestinal ulceration.
  • Trimethoprim‑sulfamethoxazole: additive bone‑marrow suppression.
  • Live vaccines: heightened infection risk due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect methotrexate absorption and clearance.
  • Azathioprine: combined immunosuppression can raise infection susceptibility.

Frequently Asked Questions

Metotressato Teva, containing methotrexate, is indicated for rheumatoid arthritis, moderate to severe plaque psoriasis, certain hematologic malignancies such as leukemia and lymphoma, and for intra‑articular injection in osteoarthritis or other inflammatory joint diseases to reduce local inflammation.

Methotrexate blocks dihydrofolate reductase, lowering tetrahydrofolate levels. This limits the synthesis of nucleotides needed for DNA, RNA and protein production, which suppresses rapidly dividing immune cells and cancer cells, providing both immunosuppressive and antineoplastic effects.

The prescribed dose of Metotressato Teva is individualized by the treating physician based on the specific indication, patient weight, renal and hepatic function, and response to therapy. No standard dose is provided here; the prescriber sets the regimen.

Methotrexate is classified as Pregnancy Category X, meaning it is contraindicated in pregnancy due to a high risk of fetal malformations and miscarriage. It is also not recommended while breastfeeding because it can be excreted in milk and harm the infant.

To order, 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.

Both methotrexate and azathioprine suppress immune activity, but methotrexate acts by inhibiting folate metabolism, while azathioprine interferes with purine synthesis. Methotrexate is often preferred for rheumatoid arthritis and psoriasis due to its efficacy and dosing schedule, whereas azathioprine may be chosen for organ transplantation or specific autoimmune conditions.

Store Metotressato Teva at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct light, and avoid freezing to maintain stability.

Metotressato Teva is supplied as a sterile injectable solution and can be given via epidural, intra‑articular or intramuscular injection. The route, site and frequency are determined by the prescribing clinician according to the therapeutic indication.

Serious risks include severe liver toxicity (hepatitis or fibrosis), pulmonary fibrosis, and bone‑marrow suppression leading to anemia, leukopenia or thrombocytopenia. Patients should be monitored regularly for liver enzymes, respiratory symptoms and complete blood counts to detect these complications early.

Methotrexate should not be used by individuals who are pregnant, planning pregnancy, or breastfeeding. It is also contraindicated in patients with severe renal or hepatic impairment, active infections, or known hypersensitivity to methotrexate or any component of the formulation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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