Product image of Metvix (Methyl Aminolevulinate) supplied by GNH India

Metvix

Active Ingredient:
Methyl Aminolevulinate
Origin:
EU

Metvix (Methyl Aminolevulinate)

Methyl Aminolevulinate, the active ingredient in Metvix, is a photosensitizer presented as a 16% w/w cream for topical use. It is indicated for the treatment of actinic keratosis, a precancerous skin lesion caused by chronic ultraviolet exposure, in adult patients with sun‑damaged skin.

GNH India supplies Metvix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing EU‑approved quality for dermatology departments and outpatient settings. The company ensures regulatory conformity, batch traceability and reliable logistics for global distribution.

Manufacturer / TM Owner

Galderma Benelux B.V.

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Indications & Clinical Uses

Metvix is employed in dermatology for photodynamic therapy targeting actinic keratosis, a precancerous skin condition resulting from chronic UV damage. The treatment involves applying the cream to the lesion(s) and activating it with a specific light source, leading to selective destruction of abnormal cells while sparing surrounding healthy tissue.

  • Actinic keratosis: clears dysplastic keratinocytes, reduces lesion count and helps prevent progression to squamous cell carcinoma.

How It Works

  • Methyl Aminolevulinate is a prodrug that penetrates keratinocytes and is metabolized intracellularly to protoporphyrin IX. Upon illumination with a specific wavelength of light, protoporphyrin IX generates reactive oxygen species that cause localized oxidative damage, leading to selective destruction of the targeted abnormal skin cells while preserving normal tissue.

Side Effects

Common Side Effects

  • Pain at the application site during illumination
  • Redness (erythema) of treated skin
  • Swelling (edema) around the treated area
  • Crusting or scaling of the skin
  • Itching or burning sensation
  • Temporary hyperpigmentation

Serious or Rare Side Effects

  • Severe photosensitivity reactions extending beyond the treated field
  • Secondary infection of the treated area
  • Persistent scarring or ulceration
  • Allergic dermatitis or hypersensitivity reaction
  • Systemic symptoms such as fever or malaise
  • Unusual pigmentary changes or hypopigmentation

Precautions & Warnings

Before using Metvix, consider the following precautions:

  • Patient selection: ensure the patient has confirmed actinic keratosis and no contraindicating skin conditions.
  • Light protection: advise avoidance of direct sunlight and artificial UV sources for at least 48 hours after treatment.
  • Application area: apply only to intact skin lesions; avoid mucous membranes and open wounds.
  • Concomitant photosensitizers: discontinue systemic photosensitizing drugs (e.g., tetracyclines) before therapy.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk, as safety data are limited.
  • Store at room temperature: keep the cream in the original container, protect from light and moisture.

Avoid Interactions

Metvix may interact with other agents that affect photosensitivity or skin healing.

Major Interactions (Avoid)

  • Systemic photosensitizing drugs such as tetracyclines, sulfonamides, or retinoids.
  • Recent exposure to strong UV light or phototherapy.
  • Use of other topical photosensitizers on the same area.

Moderate Interactions (Monitor Closely)

  • Topical corticosteroids applied before or after treatment may reduce efficacy.
  • Concurrent use of wound‑healing agents that could alter skin response.
  • Herbal supplements with photosensitizing potential (e.g., St. John’s wort).

Frequently Asked Questions

Metvix is a prescription‑only topical cream used in dermatology for photodynamic therapy of actinic keratosis, a precancerous skin lesion caused by chronic ultraviolet exposure. The cream is applied to the affected area and activated with a specific light source to selectively destroy abnormal cells.

Methyl Aminolevulinate is a prodrug that is taken up by skin cells and converted intracellularly into protoporphyrin IX. When the treated area is exposed to a defined wavelength of light, protoporphyrin IX generates reactive oxygen species that cause localized oxidative damage, leading to the selective removal of dysplastic keratinocytes.

The prescribed amount of Metvix is determined by the treating physician based on the size, number and location of the actinic keratosis lesions. The prescriber decides the exact quantity of cream to apply, the incubation time before illumination, and the light‑dose parameters for each patient.

Safety data for Metvix in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used if the potential benefit outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To request Metvix, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After the enquiry, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details and any necessary import documentation.

Metvix offers a photodynamic approach that selectively destroys abnormal cells while sparing surrounding healthy tissue, which differs from topical agents such as 5‑fluorouracil or imiquimod that act through cytotoxic or immune‑modulating mechanisms. Photodynamic therapy can be advantageous for field‑directed treatment of multiple lesions and may result in faster cosmetic recovery.

Metvix should be stored at room temperature, below 25 °C, in its original packaging. The container must be kept closed, protected from light, and stored away from moisture. Do not freeze the product, and discard any cream that appears discolored or contaminated.

Metvix is applied topically to the cleaned, dry lesion(s) by a healthcare professional. After a defined incubation period (usually a few hours), the treated area is illuminated with a specific wavelength of light for a set duration. The procedure is performed in a clinical setting under controlled lighting conditions.

The most serious risks include severe photosensitivity reactions that can extend beyond the treated area, secondary infection of the treated skin, persistent scarring or ulceration, and rare systemic hypersensitivity responses. Patients should be monitored closely for any signs of these complications and advised to avoid additional UV exposure.

Metvix is contraindicated in patients with known hypersensitivity to methyl aminolevulinate or any component of the cream, those with porphyria or other photosensitivity disorders, and individuals with extensive open wounds or active infections at the intended treatment site. Caution is also advised for patients taking systemic photosensitizing medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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