Product image of Metotrexato Accord (Methotrexate) supplied by GNH India

Metotrexato Accord

Active Ingredient:
Methotrexate
Origin:
EU

Metotrexato Accord (Methotrexate)

Methotrexate, the active ingredient in Metotrexato Accord, is a folate antagonist presented as a sterile solution for intraarterial, intramuscular, intrathecal use. It is employed to manage autoimmune disorders and several malignant diseases in adult and pediatric patients.

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

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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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 inflammation and slows joint damage in adult patients.
  • Psoriasis: limits skin cell proliferation, improving plaque severity.
  • Acute lymphoblastic leukemia: interferes with leukemic cell replication, supporting remission.
  • Non‑Hodgkin lymphoma: hampers malignant B‑cell growth as part of combination regimens.
  • Gestational trophoblastic disease: induces regression of trophoblastic tissue after curettage.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the synthesis of purine nucleotides and thymidylate, leading to impaired DNA synthesis and cell replication, particularly in rapidly dividing immune and malignant cells.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue or malaise.
  • Oral mucosal ulceration.
  • Mild elevation of liver enzymes.
  • Transient low blood cell counts.
  • Mild alopecia.

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 rapid infusion.

Precautions & Warnings

Before initiating therapy, clinicians should assess baseline organ function and counsel patients on risk mitigation.

  • Monitor blood counts: perform regular CBC to detect myelosuppression.
  • Assess liver function: check transaminases and bilirubin periodically.
  • Evaluate renal function: adjust dosing if creatinine clearance is reduced.
  • Contraindicated in pregnancy: ensure effective contraception for women of child‑bearing potential.
  • Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Methotrexate interacts with several drugs that can amplify toxicity or reduce efficacy.

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate serum levels and risk of nephrotoxicity.
  • Trimethoprim‑sulfamethoxazole: potentiates myelosuppression.
  • Live vaccines: heightened risk of infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Azathioprine: additive bone‑marrow suppression.
  • Phenytoin and other enzyme inducers: may lower methotrexate concentrations.
  • Folic acid supplementation: can reduce efficacy if high doses are used.

Frequently Asked Questions

Metotrexato Accord contains methotrexate, which is prescribed for rheumatoid arthritis, severe psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and gestational trophoblastic disease. In each case the drug works by limiting abnormal cell growth or immune activity, helping to control disease symptoms and progression.

Methotrexate blocks the enzyme dihydrofolate reductase, stopping the formation of tetrahydrofolate needed for DNA synthesis. This interruption reduces the replication of rapidly dividing cells, such as immune cells involved in inflammation and cancer cells, thereby decreasing disease activity.

The exact dose and schedule of Metotrexato Accord are determined by the prescribing clinician based on the specific indication, patient weight, renal and hepatic function, and treatment goals. Healthcare providers tailor the regimen to achieve optimal efficacy while minimizing toxicity.

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 excreted in breast milk, so breastfeeding is not recommended while receiving the drug.

To place an 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 import documentation.

Methotrexate is the most widely used folate antagonist and is often preferred for its extensive clinical experience, multiple administration routes, and cost‑effectiveness. Alternatives such as pemetrexed have different toxicity profiles and are typically reserved for specific cancer types, whereas methotrexate remains the first‑line choice for many autoimmune and hematologic conditions.

Metotrexato Accord should be stored at ambient temperature, below 25 °C, in its original container to protect it from moisture and direct sunlight. Keep the product out of reach of children and avoid freezing or exposing it to extreme temperatures.

The drug is supplied as a sterile solution for intra‑arterial, intramuscular or intrathecal injection, depending on the clinical indication. Administration is performed by qualified healthcare professionals under aseptic conditions, with dosing intervals and volumes determined by the treating physician.

Serious risks include severe liver toxicity, pulmonary fibrosis, life‑threatening infections due to bone‑marrow suppression, acute renal failure, and rare cases of pancytopenia. Patients should be monitored regularly for signs of organ dysfunction and counseled to report any unusual symptoms promptly.

Methotrexate is contraindicated in pregnant women, individuals with severe hepatic or renal impairment, patients with known hypersensitivity to methotrexate or its excipients, and those receiving live vaccines. Clinicians should also exercise caution in patients with pre‑existing blood dyscrasias or pulmonary disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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