Merex 500 Injection 20 ml
MRP ₹1224.5
(Inclusive of all Taxes)
₹183.7 Cashback (15%)
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About Merex 500 Injection
Merex 500 Injection belongs to the class of medicines called 'anti-metabolites and immunosuppressants' used to treat active rheumatoid arthritis, including polyarticular juvenile rheumatoid arthritis and severe psoriasis.
Merex 500 Injection is also used to treat cancer, such as breast cancer, cervical cancer, bladder cancer, ovarian cancer, testicular cancer, lung cancer, head and neck cancer, mycosis fungoides (a type of blood cancer), bone cancer, and advanced-stage non-Hodgkin's lymphomas (cancer that starts in the lymphatic system).
Merex 500 Injection contains 'Methotrexate' that works by interrupting the processes of the immune system that cause inflammation in the joint tissues. It reduces pain and inflammation and delays joint damage and disease progression over time.
Merex 500 Injection prevents and stops the growth of cancer cells, thereby helping treat cancer. Merex 500 Injection treats psoriasis by suppressing the overactive immune system that is responsible for causing psoriasis.
In some cases, Merex 500 Injection may cause side effects such as nausea, vomiting, diarrhoea, unusual fatigue, dizziness, headache, loss of appetite, lowered resistance to infections, and tingling sensation. Talk to your doctor if you experience any of the side effects persistently.
Do not take Merex 500 Injection if you are pregnant or breastfeeding. Inform your doctor about your medications and health condition to rule out any unpleasant side effects.
Uses of Merex 500 Injection
Merex 500 Injection is used to treat autoimmune diseases and certain types of cancer. The detailed uses of Merex 500 Injection are as follows:
- Treatment of rheumatoid arthritis: Merex 500 Injection helps reduce joint pain, swelling, and stiffness by suppressing the overactive immune system that causes joint inflammation.
- Management of psoriasis: Merex 500 Injection slows down the rapid growth of skin cells and reduces skin inflammation, helping to control severe psoriasis.
- Treatment of cancer: Merex 500 Injection is used as a chemotherapy agent in certain cancers like leukaemia, lymphoma, and breast cancer by interfering with the growth of cancer cells.
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Directions for Use
- Follow your doctor’s instructions on the dosage and timing of this medication to ensure safe and effective use.
- Merex 500 Injection will be administered by the doctor.
- Do not self-administer.
Key Benefits
- Merex 500 Injection is used to treat rheumatoid arthritis and psoriatic arthritis. It reduces inflammation and pain in joints. It slows or prevents joint damage and disease progression.
- It helps treat psoriasis by suppressing the overactive immune response that causes skin cell overgrowth. It reduces scaling, redness, and thickness of psoriatic plaques.
- Merex 500 Injection is used in the management of breast cancer, lung cancer, head and neck cancer, mycosis fungoides (a type of blood cancer), and advanced-stage non-Hodgkin lymphomas.
- It works by interfering with DNA synthesis, thereby stopping or slowing the growth of cancer cells.
- It helps manage inflammation in the digestive tract.
- Provides disease control by modulating the immune system.
- Offers long-term relief from autoimmune and inflammatory conditions.
- Improves treatment outcomes in certain cancers by preventing abnormal cell growth.
How Merex 500 Injection Works
Storage
- Report the itching to your doctor immediately; they may need to change your medication or dosage.
- Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
- Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
- Try not to scratch, as this can worsen the itching and irritate your skin.
- If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
- Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
- Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
- Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
- Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
- Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
- Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
- Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
- Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
- Boost your immunity by including immune rich foods in your diet and always remember to stay hydrated.
- Get sufficient sleep and manage stress which helps in improving white blood cell count.
- Consult your doctor for an effective treatment to improve the blood cell count and get regular body check up to monitor changes in the count.
- Try to prevent the factors that cause a decrease in white blood cells which may lead to impaired immunity.
- Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
- Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
- Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
- Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
- Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
- Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
What if I have taken an overdose of Merex 500 Injection
Drug Warnings
- Do not take Merex 500 Injection if you are allergic to any of its contents; if you are pregnant or breastfeeding.
- Inform your doctor if you have immunodeficiency conditions, bone marrow problems, low white blood cell count, low platelet count, serious anaemia, liver problems due to alcohol abuse, liver, lung or kidney problems.
- Let your doctor know if you have ulceration in the stomach or bowels, poor general condition, received any vaccinations or if you are due to have any, diabetes, ascites (fluid in the stomach area), lung problems or fluid in the lungs.
- Merex 500 Injection may cause a serious, life-threatening reaction. If you experience symptoms such as rash, itching, hives, throat tightness, trouble swallowing, swelling of the face, throat, lips, or tongue, runny or stuffy nose, lightheadedness or dizziness, chest pain, difficulty breathing, wheezing, or feeling faint, consult your doctor immediately.
- Inform your doctor if you are undergoing radiation therapy; if you receive Merex 500 Injection while you are being treated with radiation therapy for cancer, it may cause damage to the skin, bones, or other parts of the body.
- Keep your doctor informed if you are taking any other medicines, including supplements and herbal products.
Drug-Drug Interactions
Drug-Drug Interactions
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Co-administration of Etretinate with Merex 500 Injection 20 ml may increase the risk or severity of liver problems.
How to manage the interaction:
Taking Etretinate with Merex 500 Injection 20 ml is generally avoided as it can possibly result in an interaction, it can be taken if a doctor has advised it. Do not stop using any medications without talking to a doctor.
Co-administration of Merex 500 Injection 20 ml with diclofenac can increase the levels and effects of Merex 500 Injection 20 ml. This can lead to increased risk of side effects.
How to manage the interaction:
Although there is a possible interaction between Merex 500 Injection 20 ml and diclofenac, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as mouth sores or ulcers, nausea, vomiting, diarrhea, rash, loss of hunger, joint pain or swelling, yellowing of the skin or eyes, dark urine, shortness of breath, a dry cough, paleness, dizziness or fainting, unusual bruising or bleeding, fits, infection, fever, chills, body aches, sore throat or muscle weakness, consult a doctor immediately. Do not stop using medications without a doctor's advice.
Co-administration of Merex 500 Injection 20 ml with aspirin can increase the levels and side effects of Merex 500 Injection 20 ml.
How to manage the interaction:
Although there is a possible interaction between aspirin and Merex 500 Injection 20 ml, you can take these medicines together if prescribed by a doctor. However, consult a doctor if you experience symptoms such as nausea, vomiting, diarrhea, sore throat, chills, fever, rash, unusual bruising or bleeding, pale skin, dark urine, swelling of the legs and hands, breathing difficulty. Do not stop using any medications without consulting a doctor.
Coadministration of Merex 500 Injection 20 ml with ketorolac can increase the blood levels and side effects of Merex 500 Injection 20 ml.
How to manage the interaction:
Although there is a interaction between Merex 500 Injection 20 ml and ketorolac, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as mouth sores or ulcers, nausea, vomiting, diarrhea, rash, appetite loss, joint pain or swelling, yellowing of the skin or eyes, dark urine, shortness of breath, a dry cough, pallor, dizziness or fainting, unusual bruising or bleeding, seizures, infection; as well as flu-like signs (fever, chills, body pains, sore throat, and weakening of the muscles), consult a doctor immediately. Do not stop using medications without a doctor's advice.
Combine use of hydroxychloroquine with Merex 500 Injection 20 ml may increase the effectiveness of everolimus.
How to manage the interaction:
Although there is a possible interaction between hydroxychloroquine and Merex 500 Injection 20 ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, fluid retention, swelling, shortness of breath, tiredness, weakness, dizziness. Consult your doctor. Do not stop using any medications without first consulting to your doctor.
Taking deferasirox with Merex 500 Injection 20 ml may increase the risk of kidney damage.
How to manage the interaction:
Although there is a possible interaction between deferasirox and Merex 500 Injection 20 ml, you can take these medicines together if prescribed by a doctor. However, if you experience nausea, vomiting, a decrease in hunger, increased or decreased urine, weight gain or loss that occurs suddenly, fluid retention, swelling, difficulty breathing, muscle pain, fatigue, weakness, dizziness, confusion, and irregular heartbeat, consult a doctor. Do not discontinue any medications without a doctor's advice.
Co-administration of Merex 500 Injection 20 ml with etanercept can increase the risk of developing serious infections.
How to manage the interaction:
Although there is a possible interaction between etanercept and Merex 500 Injection 20 ml, you can take these medicines together if prescribed by a doctor. However, if you experience any symptoms such as fever, chills, diarrhea, sore throat, muscle aches, shortness of breath, weight loss, red or inflamed skin, and pain or burning during urination, Consult a doctor. Do not stop using any medications without consulting a doctor.
Co-administration of Merex 500 Injection 20 ml with Ampicillin can increase the levels and side effects of Merex 500 Injection 20 ml.
How to manage the interaction:
Although there is a possible interaction between Merex 500 Injection 20 ml and ampicillin, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as tiredness, dizziness, fainting, unusual bleeding or bruising, chills, fever, sore throat, body pains. Consult a doctor immediately. Do not stop using medications without a doctor's advice.
Coadministration of phenylbutazone with Merex 500 Injection 20 ml may increase the levels and side effects of phenylbutazone.
How to manage the interaction:
Although there is a possible interaction between phenylbutazone and Merex 500 Injection 20 ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as mouth ulcers or sores, vomiting, fever, chills, body aches, sore throat, muscle weakness, diarrhea, rash, loss of appetite, joint pain or swelling, yellow discoloration of skin and eyes, dark urine, breathing difficulty, dry cough, paleness, dizziness or fainting, unusual bruising or bleeding, seizures(fits), Consult a doctor. Do not stop using any medications without consulting a doctor.
Coadministration of Merex 500 Injection 20 ml with procaine benzyl penicillin can increase the levels and side effects of Merex 500 Injection 20 ml.
How to manage the interaction:
Although there is a possible interaction between procaine benzyl penicillin and Merex 500 Injection 20 ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as nausea, vomiting, mouth ulcers, paleness, fatigue, dizziness, fainting, unusual bleeding or bruising, fever, chills, sore throat, body aches, or other flu-like symptoms, consult your doctor. Do not stop using any medications without consulting to a doctor.
Drug-Food Interactions
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Diet & Lifestyle Advise
Arthritis:
- Physical activity helps in strengthening muscles and relieves joint stiffness. Gentle exercises like 20-30minutes of walking or swimming would be helpful.
- Performing yoga may also help in improving joint flexibility and pain management.
- Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
- Get adequate sleep, as resting the muscles can help reduce inflammation and swelling.
- De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
- Acupuncture, massage and physical therapy may also be helpful.
- Eat food rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
- Foods containing flavonoids help in reducing inflammation. These include soy, berries, broccoli, grapes and green tea.
- Avoid smoking and alcohol consumption.
Psoriasis:
- Include foods such as cherries, berries, leafy vegetables, salmon, sardines, and fish rich in omega-3 fatty acids.
- Consume antioxidant-rich spices and herbs like cumin, ginger, sage and thyme.
- Avoid processed foods, refined sugars, and fatty foods.
- Limit intake of food that might trigger allergies, such as dairy products, soy, eggs, and nuts.
- Include fruits, vegetables, whole grains, healthy fats and fish in your diet.
- Reducing stress and maintaining a good sleep cycle would be helpful.
- Avoiding getting in contact with harsh soaps, detergents and rough fabrics.
Cancer:
- Consume a healthy diet and exercise regularly to maintain a proper weight.
- Avoid smoking and alcohol consumption.
- Include leafy vegetables, citrus fruits, fatty fish, berries, yoghurt, apples, peaches, cauliflower, cabbage, broccoli, beans, herbs, and spices in your diet.
- Avoid fast food, fried food, processed meats, refined carbs, and added sugar.
- Get optimal sleep; rest well.
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Alcohol
Safe if prescribed
You are recommended to avoid alcohol consumption while taking Merex 500 Injection.
Pregnancy
Consult your doctor
Merex 500 Injection may cause serious birth defects. It is not recommended to take Merex 500 Injection while you are pregnant.
Breast Feeding
Consult your doctor
Merex 500 Injection passes into breast milk. Avoid breastfeeding whilst on treatment with Merex 500 Injection and for at least 1 week after the last dose.
Driving
Safe if prescribed
Merex 500 Injection may cause dizziness and tiredness; do not drive or operate heavy machinery until you know how Merex 500 Injection affects you.
Liver
Consult your doctor
Please consult your doctor if you have liver impairment before receiving Merex 500 Injection.
Kidney
Consult your doctor
Please consult your doctor if you have kidney impairment before receiving Merex 500 Injection.
Children
Safe if prescribed
The efficacy and safety of Merex 500 Injection in children have been established in polyarticular-course juvenile rheumatoid arthritis and cancer chemotherapy. Please consult your doctor if you have any concerns regarding the usage of Merex 500 Injection in children.
Heart
Merex 500 Injection can be used in heart patients and may even provide cardiovascular benefits. However, it should be administered under medical supervision due to potential side effects and drug interactions.
Geriatrics
Consult your doctor
Merex 500 Injection can be used in geriatric patients, but with caution due to increased sensitivity to side effects like liver toxicity and bone marrow suppression. Regular monitoring and dose adjustments are essential to ensure safe use.
FAQs
Merex 500 Injection acts as an immunosuppressant, which helps in reducing inflammation and preventing joint stiffness, thereby providing relief from rheumatoid arthritis.
Merex 500 Injection works by suppressing the overactive immune system that is responsible for causing psoriasis. Merex 500 Injection interferes with the synthesis of genetic material (DNA) and the growth of cells that multiply faster than usual, thereby helping in treating psoriasis.
Merex 500 Injection may affect fertility in men and women. Consult your doctor if you have any concerns regarding this.
Merex 500 Injection causes leukopenia (decreased number of white blood cells) and hence may make you more susceptible to infections. Consult your doctor if you develop any signs of infection, such as fever, sore throat, breathlessness, jaundice, unexplained bleeding or bruising.
Merex 500 Injection may make your skin sensitive to sunlight. Therefore, avoid prolonged or unnecessary exposure to sunlight or ultraviolet light, such as tanning beds and sunlamps. Wear protective clothing, sunglasses, and sunscreen while going out.
Merex 500 Injection works by suppressing the overactive immune system that is responsible for causing psoriasis. Merex 500 Injection interferes with the synthesis of genetic material (DNA) and the growth of cells that multiply faster than usual, thereby helping in treating psoriasis and psoriatic arthritis.
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