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 a folate antagonist presented as a sterile solution for epidural, intrabursal, and intracoronary use. It is employed to treat autoimmune disorders and certain cancers in adult patients. The drug interferes with DNA synthesis, providing immunosuppressive and antineoplastic effects. It is indicated for conditions such as rheumatoid arthritis, psoriasis, acute lymphoblastic leukemia, and osteosarcoma.

GNH India supplies Metotressato Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company ensures quality assurance, regulatory compliance, and reliable cold‑chain logistics for all shipments.

Manufacturer / TM Owner

Teva Italia S.R.L.

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Indications & Clinical Uses

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

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: decreases skin cell proliferation, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with malignant cell replication, supporting remission.
  • Osteosarcoma: provides antineoplastic activity as part of multimodal therapy.

How It Works

  • Methotrexate acts as a folate antagonist by competitively inhibiting the enzyme dihydrofolate reductase. This blockade prevents the conversion of dihydrofolate to tetrahydrofolate, a cofactor required for synthesis of purine nucleotides and thymidylate. Consequently, DNA, RNA and protein synthesis are reduced, leading to decreased proliferation of rapidly dividing immune cells and malignant tumor cells.

Side Effects

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

Common Side Effects

  • Nausea or vomiting
  • Fatigue
  • Mild elevation of liver enzymes

Serious or Rare Side Effects

  • Severe liver toxicity or fibrosis
  • Pulmonary fibrosis or interstitial pneumonitis
  • Bone marrow suppression leading to pancytopenia

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy: contraindicated; category X due to teratogenic risk.
  • Renal function: assess before initiation and monitor regularly.
  • Hepatic function: avoid in patients with active liver disease; monitor enzymes.
  • Immunosuppression: monitor for infections; advise patients to report fever.
  • Concomitant NSAIDs: increase risk of renal toxicity; use with caution.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • Live vaccines: may cause severe infection.
  • High-dose aspirin or NSAIDs: increase risk of renal toxicity.
  • Trimethoprim‑sulfamethoxazole: can enhance myelosuppression.

Moderate Interactions (Monitor Closely)

  • Proton pump inhibitors: may affect absorption.
  • Azathioprine or other immunosuppressants: additive bone marrow suppression.
  • Phenytoin: may reduce methotrexate levels.

Frequently Asked Questions

Metotressato Teva contains methotrexate, which is prescribed for autoimmune diseases such as rheumatoid arthritis and psoriasis, as well as for certain malignancies including acute lymphoblastic leukemia and osteosarcoma. The drug works by suppressing abnormal immune activity and inhibiting tumor cell growth.

Methotrexate is a folate antagonist that blocks dihydrofolate reductase, an enzyme needed to convert dihydrofolate into tetrahydrofolate. This interruption reduces the synthesis of purines and thymidylate, essential building blocks for DNA and RNA, thereby limiting the proliferation of rapidly dividing immune and cancer cells.

The dosage of Metotressato Teva is individualized by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment response. Only a qualified health‑care professional should determine the appropriate dose and administration 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 discontinued well before conception. Breastfeeding is also not recommended, as the drug can be excreted in milk and affect the infant.

To request Metotressato Teva, 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 the necessary import documentation.

Compared with biologic agents such as TNF‑α inhibitors, methotrexate is a small‑molecule drug that can be administered by injection and has a well‑established efficacy in rheumatoid arthritis and psoriasis. It is generally less expensive but may require more laboratory monitoring for hepatic and hematologic toxicity.

Metotressato Teva should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. The product must not be frozen or shaken vigorously. Keep the vial in its original packaging until use to maintain stability.

The medication is supplied as a sterile solution for injection and is given by a qualified health‑care professional via epidural, intrabursal, or intracoronary routes, depending on the therapeutic indication. Administration technique and dosing schedule are determined by the treating physician.

The most critical adverse events include severe liver toxicity, pulmonary fibrosis, and bone‑marrow suppression leading to pancytopenia. These conditions can be life‑threatening and require immediate medical attention. Regular monitoring of liver enzymes, lung function, and blood counts helps mitigate these risks.

Methotrexate is contraindicated in pregnant or nursing women, patients with severe renal or hepatic impairment, active infections, and those receiving live vaccines. Individuals with known hypersensitivity to methotrexate or any component of the formulation should also avoid its use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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