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 an antimetabolite (folate antagonist) presented as a sterile solution for intra‑arterial, intramuscular or intravenous use. It is employed to manage autoimmune disorders and certain malignancies in adult and pediatric patients through targeted therapy and is often incorporated into combination regimens.

GNH India supplies Metotrexato Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, transplant units and pharmacies worldwide, ensuring quality‑assured product delivery and regulatory compliance across global markets.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

Methotrexate is used in autoimmune and oncologic disease pathways to modulate cell proliferation and immune response.

  • Rheumatoid arthritis: reduces joint inflammation and slows disease progression.
  • Psoriasis: limits skin cell overgrowth and improves plaque appearance.
  • Acute lymphoblastic leukemia: interferes with malignant lymphoblast replication.
  • Non‑Hodgkin lymphoma: suppresses rapid tumor cell division.
  • Ectopic pregnancy: halts trophoblastic growth to allow non‑surgical resolution.

How It Works

  • Methotrexate inhibits the enzyme dihydrofolate reductase, preventing the conversion of dihydrofolate to tetrahydrofolate. This blockade reduces the availability of folate cofactors required for synthesis of purine nucleotides and thymidylate, leading to impaired DNA, RNA, and protein production. The resulting antiproliferative effect targets rapidly dividing immune cells and malignant cells, while also modulating inflammatory pathways.

Side Effects

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

Common Side Effects

  • Nausea or vomiting.
  • Fatigue and general weakness.
  • Oral mucosal ulceration (mouth sores).
  • Mild elevation of liver enzymes.
  • Transient decrease in white blood cell count.

Serious or Rare Side Effects

  • Severe hepatotoxicity or liver fibrosis.
  • Pulmonary toxicity, including interstitial pneumonitis.
  • Significant bone marrow suppression leading to anemia or infection risk.
  • Renal impairment or failure.
  • Life‑threatening infections due to immunosuppression.

Precautions & Warnings

Patients receiving methotrexate require careful monitoring and specific safety measures.

  • Monitor blood counts: perform regular complete blood count tests.
  • Assess liver function: schedule periodic liver enzyme evaluations.
  • Avoid use in pregnancy: methotrexate is contraindicated and requires effective contraception.
  • Adjust dose in renal impairment: reduce dosage or increase monitoring as kidney function declines.
  • Counsel on infection risk: advise prompt reporting of fever or signs of infection.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase methotrexate toxicity.
  • Penicillins and other antibiotics: may enhance bone‑marrow suppression.
  • Live vaccines: risk of severe infection due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Proton‑pump inhibitors: can raise methotrexate plasma levels.
  • Allopurinol: may increase risk of hematologic toxicity.

Frequently Asked Questions

Metotrexato Accord contains methotrexate, which is prescribed for rheumatoid arthritis, severe psoriasis, acute lymphoblastic leukemia, non‑Hodgkin lymphoma and for medical management of ectopic pregnancy. It works by slowing the growth of rapidly dividing cells involved in these diseases.

Methotrexate blocks dihydrofolate reductase, an enzyme needed to produce tetrahydrofolate, a form of folate essential for DNA, RNA and protein synthesis. By limiting these building blocks, the drug reduces the proliferation of immune cells and malignant cells, thereby controlling inflammation and tumor growth.

The dosage of methotrexate is individualized by the prescribing clinician based on the specific indication, patient weight, renal function and treatment response. Only a qualified healthcare professional should determine the appropriate dose and administration schedule.

Methotrexate is classified as pregnancy category X because it can cause fetal malformations and miscarriage. It is contraindicated in pregnancy and women of child‑bearing potential must use reliable contraception. Breastfeeding is also not recommended while receiving methotrexate.

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 a folate antagonist, whereas many other immunosuppressants such as biologic agents target specific cytokines or cell surface receptors. Methotrexate is generally less expensive and can be used orally or by injection, but it requires regular laboratory monitoring for liver and bone‑marrow toxicity.

Store Metotrexato Accord at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight and extreme temperature fluctuations to maintain stability and potency.

Metotrexato Accord is supplied as a sterile solution for intra‑arterial, intramuscular or intravenous injection. The route, dose volume and frequency are determined by the treating physician according to the clinical indication and patient characteristics.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to anemia or infection, and renal failure. Patients should be monitored regularly for liver enzymes, blood counts and kidney function, and any signs of infection or respiratory distress should be reported immediately.

Methotrexate should not be used by pregnant women, individuals with severe liver disease, uncontrolled infections, significant renal impairment, or those with 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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