MTX 50 mg/2 ml (IV Injection or Infusion)

50 mg vial: ৳ 130.00

Medicine Details

Category Details
Generic Methotrexate
Company Choongwae pharma corporation
Also available as

Indications

  • Treatment of gestational choriocarcinoma
  • Chorioadenoma destruens
  • Hydatidiform mole
  • Acute lymphoblastic leukemia
  • Non-Hodgkin’s lymphomas
  • Rheumatoid Arthritis
  • Polyarticular-Course Juvenile Rheumatoid Arthritis
  • Psoriasis

Pharmacology

Inhibition of dihydrofolic acid reductase

Dosage

  • Oral or intramuscular administration
  • Different dosage for different diseases
  • Maintenance dose
  • IV administration for breast and head & neck cancer

Administration

Should be taken on an empty stomach

Interaction

  • Avoid high doses with NSAIDs
  • Increased toxicity with certain drugs
  • Hepatotoxicity risk with sulfasalazine
  • Exercise caution with cisplatin

Contraindications

  • Alcoholism or alcoholic liver disease
  • Immunodeficiency syndromes
  • Pre-existing blood dyscrasias
  • Hypersensitivity to methotrexate
  • Pregnant women with psoriasis or rheumatoid arthritis
  • Nursing mothers

Side Effects

  • Ulcerative stomatitis
  • Leukopenia
  • Nausea
  • Malaise
  • Fatigue
  • Dizziness

Pregnancy & Lactation

FDA Pregnancy Category X. Contraindicated in nursing mothers

Precautions & Warnings

  • Avoid use of MTX formulations with preservatives for intrathecal or high dose therapy
  • Close monitoring for toxic effects
  • Consider leucovorin calcium for adverse reactions

Use in Special Populations

  • Consider benefits against risks in pediatric patients
  • Close monitoring for elderly patients

Overdose Effects

Leucovorin is an antidote for MTX overdosages

Therapeutic Class

Antidote preparations, Immunosuppressant

Storage Conditions

Store at temperature not exceeding 30°C, protect from light & moisture

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