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

50 mg vial: ৳ 150.00

Medicine Details

Indications

  • Neoplastic Diseases
  • Rheumatoid Arthritis
  • Psoriasis

Pharmacology

  • Inhibits dihydrofolic acid reductase
  • Interferes with DNA synthesis and cellular replication

Dosage

  • Dosage varies for different diseases
  • Oral or intramuscular administration
  • Different doses for neoplastic diseases, leukemia, lymphoma, breast cancer, rheumatoid arthritis, and psoriasis

Administration

  • Should be taken on an empty stomach
  • Avoid taking with milk-rich products

Interaction

  • Interacts with NSAIDs, salicylates, phenylbutazone, phenytoin, sulfonamides, penicillin, theophylline, and more

Contraindications

  • Alcoholism, chronic liver disease, immunodeficiency syndromes
  • Hypersensitivity to methotrexate
  • Pregnancy and lactation

Side Effects

  • Ulcerative stomatitis
  • Leukopenia
  • Nausea and abdominal distress
  • Malaise and fatigue

Pregnancy & Lactation

  • US FDA Pregnancy Category X
  • Contradicted in nursing mothers

Precautions & Warnings

  • Formulations and diluents containing preservatives must not be used for intrathecal or high dose therapy
  • Close monitoring for toxic effects
  • Use of leucovorin calcium if adverse reactions occur

Use in Special Populations

  • Benefits and risks must be weighed for pediatric and geriatric patients

Overdose Effects

  • Leucovorin is indicated to counteract the effect of overdosages

Therapeutic Class

  • Antidote preparations
  • Immunosuppressant

Storage Conditions

  • Store at a temperature not exceeding 30°C
  • Protect from light and moisture

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