Product image of Namaxir (Methotrexate) supplied by GNH India

Namaxir

Active Ingredient:
Methotrexate
Origin:
EU

Namaxir (Methotrexate)

Methotrexate, the active ingredient in Namaxir, is an antimetabolite (folate antagonist) presented as a parenteral formulation for epidural, intra‑articular or intramuscular use. It is employed to treat rheumatoid arthritis, psoriasis, certain cancers and ectopic pregnancy in appropriate patients.

GNH India supplies Namaxir as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Methotrexate acts on rapidly dividing cells and modulates immune pathways, making it useful across several disease families.

  • Rheumatoid arthritis: reduces joint inflammation and disease activity.
  • Psoriasis: improves skin lesions and decreases plaque formation.
  • Certain cancers (e.g., leukemia, lymphoma): inhibits tumor cell proliferation.
  • Ectopic pregnancy: terminates trophoblastic tissue and prevents further growth.

How It Works

  • Methotrexate inhibits dihydrofolate reductase, blocking tetrahydrofolate synthesis and thereby reducing purine and pyrimidine production. This limits DNA synthesis and cell replication in rapidly dividing tissues, while also suppressing inflammatory cytokine production, contributing to its immunosuppressive and antineoplastic effects.

Side Effects

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

Common Side Effects

  • Nausea and vomiting.
  • Fatigue or general weakness.
  • Oral mucosal ulceration (mouth sores).
  • Transient elevation of liver enzymes.
  • Decreased white blood cell count.
  • Hair thinning or temporary alopecia.

Serious or Rare Side Effects

  • Severe hepatic toxicity or fibrosis.
  • Pulmonary fibrosis or interstitial pneumonitis.
  • Life‑threatening bone marrow suppression.
  • Acute kidney injury.
  • Severe infections due to immunosuppression.
  • Anaphylactic or severe hypersensitivity reactions.

Precautions & Warnings

Methotrexate requires careful monitoring and specific safety measures.

  • Pregnancy contraindication: avoid use in pregnancy (Category X).
  • Renal function: assess creatinine clearance before and during therapy.
  • Hepatic monitoring: perform regular liver function tests.
  • Hematologic surveillance: monitor complete blood counts frequently.
  • Alcohol avoidance: limit or abstain to reduce liver risk.
  • Contraception: use effective methods during treatment and for several weeks after.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

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

Major Interactions (Avoid)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): increase toxicity.
  • Trimethoprim‑sulfamethoxazole: potentiate bone marrow suppression.
  • Live vaccines: risk of severe infection.
  • Proton‑pump inhibitors (omeprazole): may reduce renal clearance.
  • High‑dose aspirin: heighten hepatotoxic risk.

Moderate Interactions (Monitor Closely)

  • Azathioprine or other immunosuppressants: additive myelosuppression.
  • Cyclosporine: increased nephrotoxicity.
  • Phenytoin: may lower methotrexate levels.
  • Sulfonamide antibiotics: enhance hematologic effects.
  • Alcohol: exacerbates liver injury.

Frequently Asked Questions

Namaxir contains methotrexate, which is prescribed for rheumatoid arthritis, moderate to severe plaque psoriasis, certain hematologic cancers such as leukemia and lymphoma, and for medical management of ectopic pregnancy. The drug works by reducing abnormal cell growth and modulating immune responses.

Methotrexate blocks the enzyme dihydrofolate reductase, preventing the formation of tetrahydrofolate needed for DNA synthesis. This limits the proliferation of rapidly dividing cells, including immune cells and cancer cells, and also reduces inflammatory cytokine production, providing both antineoplastic and immunosuppressive effects.

The specific dose of Namaxir is determined by the prescribing clinician based on the patient’s condition, weight, renal and hepatic function, and treatment goals. Dosage regimens vary widely across indications and must be individualized by a qualified healthcare professional.

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 not recommended while breastfeeding because it can be excreted in breast milk and may harm the infant.

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 necessary import documentation.

Methotrexate is a folate antagonist, distinct from biologic agents such as TNF‑α inhibitors. It is generally less expensive, can be administered via injection, and has a well‑established efficacy profile for rheumatoid arthritis and psoriasis. However, biologics may be preferred when patients do not respond adequately to methotrexate or have contraindications.

Namaxir should be stored at 2‑8 °C in a refrigerator, protected from light and moisture. Do not freeze the product. If temporary storage at room temperature is unavoidable, keep the duration short and avoid exposure to heat.

Namaxir is supplied for parenteral use and can be given by epidural, intra‑articular or intramuscular injection, depending on the clinical indication. Administration technique and site are determined by the treating physician and should follow aseptic procedures.

Serious risks include severe liver toxicity, pulmonary fibrosis, profound bone‑marrow suppression leading to pancytopenia, acute kidney injury, and life‑threatening infections. Patients should be monitored regularly for liver enzymes, renal function, blood counts, and respiratory symptoms.

Namaxir is contraindicated in pregnant or breastfeeding women, patients with severe renal or hepatic impairment, those with known hypersensitivity to methotrexate, and individuals receiving live vaccines. Caution is also advised for patients with pre‑existing blood disorders or uncontrolled infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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