Methotrax 15 mg (Tablet)

Unit Price: ৳ 20.00 (1 x 10: ৳ 200.00)
Strip Price: ৳ 200.00

Medicine Details

Indications

  • Treatment of gestational choriocarcinoma, chorioadenoma destruens and hydatidiform mole
  • Acute lymphoblastic leukemia
  • Advanced stage non-Hodgkin's lymphomas
  • Breast cancer
  • Rheumatoid arthritis
  • Polyarticular-course juvenile rheumatoid arthritis
  • Psoriasis

Pharmacology

  • Inhibition of dihydrofolic acid reductase
  • Interference with DNA synthesis and cellular replication

Dosage

  • Oral or intramuscular administration
  • Different doses for different diseases
  • Doses for neoplastic diseases, acute lymphoblastic leukemia, lymphoma, mycosis fungoides, breast cancer, head and neck cancer, rheumatoid arthritis, polyarticular-course juvenile rheumatoid arthritis, and psoriasis

Administration

  • Best taken on an empty stomach
  • May be taken with meals to reduce GI discomfort
  • Avoid taking with milk-rich products

Interaction

  • Interactions with NSAIDs, salicylates, phenylbutazone, phenytoin, sulfonamides, penicillin, theophylline, probenecid, azathioprine, retinoids, sulfasalazine, cisplatin, mercaptopurine, tetracycline, chloramphenicol, nonabsorbable broad spectrum antibiotics, vitamin preparations containing folic acid or its derivatives, and trimethoprim/sulfamethoxazole

Contraindications

  • Alcoholism or other chronic liver disease
  • Immunodeficiency syndromes
  • Pre-existing blood dyscrasias
  • Hypersensitivity to methotrexate
  • Pregnancy, lactation, and women of childbearing potential

Side Effects

  • Ulcerative stomatitis
  • Leukopenia
  • Nausea and abdominal distress
  • Malaise
  • Fatigue
  • Chills and fever
  • Dizziness
  • Impairment of fertility, oligospermia, and menstrual dysfunction

Pregnancy & Lactation

  • US FDA Pregnancy Category X
  • Contraindicated in nursing mothers

Precautions & Warnings

  • Avoid intrathecal or high dose Methotrex therapy
  • Close monitoring for toxic effects
  • Potential correction with leucovorin calcium
  • Liver function test abnormalities
  • Folate deficiency

Use in Special Populations

  • Special considerations for pediatric and geriatric patients

Overdose Effects

  • Indicated use of leucovorin to diminish toxicity

Therapeutic Class

  • Antidote preparations
  • Immunosuppressant

Storage Conditions

  • Temperature not exceeding 30°C
  • Dry place
  • Protection from light and moisture

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