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 employed in the field‑directed photodynamic treatment of actinic keratosis on sun‑exposed skin in adult patients.
GNH India supplies Metvix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Galderma Nordic Ab

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Indications & Clinical Uses

Metvix is a topical photosensitizer used in the management of actinic keratosis through photodynamic therapy.

  • Actinic keratosis (field‑directed): clears visible and subclinical dysplastic lesions across a treated skin area.
  • Precancerous skin lesions: reduces the number of lesions and lowers progression risk.
  • Sun‑damaged skin areas: provides comprehensive treatment of multiple lesions within a single illumination field.

How It Works

  • Methyl aminolevulinate is a prodrug that penetrates keratinocytes and is metabolized to protoporphyrin IX, a photosensitizing molecule. When the treated area is exposed to visible light, protoporphyrin IX generates reactive oxygen species that selectively destroy dysplastic cells while sparing normal tissue, achieving lesion clearance.

Side Effects

Adverse reactions are primarily localized to the treated skin area.

Common Side Effects

  • Erythema: redness of the skin after illumination.
  • Pain or burning sensation during and after light exposure.
  • Edema: swelling of the treated region.
  • Itching or pruritus.
  • Crusting or scaling of the skin.

Serious or Rare Side Effects

  • Severe photosensitivity reactions extending beyond the treatment field.
  • Secondary infection of the treated skin.
  • Allergic contact dermatitis.
  • Persistent hyperpigmentation or hypopigmentation.
  • Scarring or ulceration of the treated area.

Precautions & Warnings

Before using Metvix, consider the following safety measures.

  • Avoid sunlight exposure: keep the treated area protected from bright light for at least 48 hours.
  • Use protective clothing: wear gloves and goggles during illumination to prevent accidental exposure.
  • Assess skin integrity: do not apply on broken, inflamed, or infected skin.
  • Pregnancy and lactation: safety is unknown; avoid use unless the potential benefit justifies the risk.
  • Store at below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Systemic photosensitizers (e.g., porfimer sodium): increased risk of severe photosensitivity.
  • Tetracycline antibiotics: may enhance photosensitivity reactions.

Moderate Interactions (Monitor Closely)

  • Oral retinoids (e.g., isotretinoin): may increase skin irritation.
  • Topical steroids: could reduce the efficacy of photodynamic therapy.
  • Vitamin A supplements: monitor for heightened photosensitivity.

Frequently Asked Questions

Metvix is a prescription topical cream containing methyl aminolevulinate that is used in photodynamic therapy to treat actinic keratosis, a precancerous skin condition caused by sun damage. The treatment targets both visible and subclinical lesions within a defined skin area.

Methyl aminolevulinate penetrates skin cells and is converted into protoporphyrin IX, a photosensitizer. When the area is illuminated with a specific wavelength of visible light, protoporphyrin IX generates reactive oxygen species that selectively destroy dysplastic cells while sparing normal tissue, leading to lesion clearance.

The prescribed amount of Metvix is determined by the treating physician based on the size of the treatment field, lesion severity, and patient characteristics. The clinician decides the exact quantity to apply and the illumination protocol, ensuring safe and effective therapy.

The safety of Metvix in pregnancy and lactation has not been established. It is classified as having an unknown pregnancy category, so it should be avoided unless the potential therapeutic benefit justifies the potential risk to the fetus or infant.

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 worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Metvix offers a field‑directed photodynamic approach that can treat multiple lesions simultaneously, unlike lesion‑focused procedures such as cryotherapy or topical 5‑fluorouracil, which target individual spots. Photodynamic therapy may provide better cosmetic outcomes and lower recurrence rates for extensive sun‑damaged areas.

Metvix should be stored at temperatures below 25 °C in its original packaging. Keep the cream away from moisture, direct sunlight and excessive heat. Ensure the container is tightly closed to maintain product stability.

Metvix is applied topically to the affected skin area by a healthcare professional. After a specified incubation period, the treated skin is illuminated with a calibrated visible‑light source. The entire procedure is performed under controlled clinical conditions.

Serious risks include severe photosensitivity reactions that may extend beyond the treated field, secondary skin infections, allergic contact dermatitis, and persistent hyper‑ or hypopigmentation. Patients should be monitored closely for any signs of these complications.

Metvix should not be used on patients with known hypersensitivity to methyl aminolevulinate or any cream excipients, on broken or infected skin, and in individuals where the safety during pregnancy or lactation cannot be assured. It is also contraindicated in patients taking systemic photosensitizing agents.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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