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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Veda Maddala , M Pharmacy
Methorapfs 20 Injection 0.4 ml belongs to the class of antimetabolite medications used in the treatment of polyarticular juvenile rheumatoid arthritis, psoriasis, breast cancer, cervical cancer, bladder cancer, ovarian cancer, testicular cancer, lung cancer, head and neck cancer, bone cancer, and advanced stage non-Hodgkin's lymphomas. This medicine works by interfering with the immune system process that causes inflammation and prevents the growth of cancer-causing cells.
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Whats That

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Composition :

METHOTREXATE-20MG

Manufacturer/Marketer :

Azista Industries Pvt Ltd

Consume Type :

PARENTERAL

Return Policy :

Not Returnable

Expires on or after :

About Methorapfs 20 Injection 0.4 ml

Methorapfs 20 Injection 0.4 ml 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. Methorapfs 20 Injection 0.4 ml 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 (type of blood cancer), bone cancer, and advanced stage non-Hodgkin's lymphomas (cancer that starts in the lymphatic system).

Methorapfs 20 Injection 0.4 ml 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. Besides this, Methorapfs 20 Injection 0.4 ml prevents and stops the growth of cancer cells, thereby helps treat cancer. Methorapfs 20 Injection 0.4 ml treats psoriasis by suppressing the overactive immune system that is responsible for causing psoriasis.

Methorapfs 20 Injection 0.4 ml will be administered by a qualified healthcare professional; do not self-administer. In some cases, Methorapfs 20 Injection 0.4 ml may cause side-effects such as nausea, vomiting, diarrhoea, unusual fatigue, dizziness, headache, loss of appetite, lowered resistance to infections, tingling sensation, leukopenia (decreased number of white blood cells), and soreness of mouth and lips. You are advised to talk to your doctor if you experience any of the side effects persistently.

Do not take Methorapfs 20 Injection 0.4 ml if you are pregnant or breastfeeding. Methorapfs 20 Injection 0.4 ml may cause dizziness and fatigue, so avoid driving or operating machinery. Avoid consuming alcohol whilst on treatment with Methorapfs 20 Injection 0.4 ml. If you are due to undergo any surgery, including dental surgery, inform the doctor that you are receiving Methorapfs 20 Injection 0.4 ml. Do not have any vaccinations during treatment with Methorapfs 20 Injection 0.4 ml without consulting your doctor. Inform your doctor about your medications and health condition to rule out any unpleasant side effects.

Uses of Methorapfs 20 Injection 0.4 ml

Treatment of Rheumatoid arthritis, Psoriasis and Cancer

Directions for Use

• Follow your doctor's instructions on the dosage and timing of this medication to ensure safe and effective use.• Methorapfs 20 Injection 0.4 ml will be administered by the doctor.• Do not self-administer.

Medicinal Benefits

Methorapfs 20 Injection 0.4 ml belongs to the class of medicines called 'anti-metabolites and immunosuppressants' used to treat active rheumatoid arthritis including polyarticular juvenile rheumatoid arthritis (arthritis in children) and severe psoriasis. Methorapfs 20 Injection 0.4 ml helps treat rheumatoid arthritis 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. Methorapfs 20 Injection 0.4 ml treats psoriasis by suppressing the overactive immune system that is responsible for causing psoriasis. Methorapfs 20 Injection 0.4 ml is used to treat breast cancer, lung cancer, head and neck cancer, mycosis fungoides (type of blood cancer), and advanced stage non-Hodgkin's lymphomas (cancer that starts in the lymphatic system). Methorapfs 20 Injection 0.4 ml prevents and stops the growth of cancer cells by interfering with DNA production.

How Methorapfs 20 Injection 0.4 ml Works

Methorapfs 20 Injection 0.4 ml 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. Besides this, Methorapfs 20 Injection 0.4 ml prevents and stops the growth of cancer cells, thereby helps treat cancer.

Storage

• Store in a cool and dry place away from sunlight.• Keep Methorapfs 20 Injection 0.4 ml out of reach and sight of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Methorapfs 20 Injection 0.4 ml
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • 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.
Managing Medication-Triggered Erythema (Redness of the Skin or Skin redness): A Step-by-Step Guide:
  • 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.
Here are the few steps for dealing with itching caused by drug use:
  • 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.
  • Eat protein-rich foods like fish, poultry, eggs, and legumes.
  • Include foods with minerals and vitamins essential for hair health.
  • Join a support group to connect with others experiencing hair loss.
  • Openly discuss your feelings about hair loss.
  • Consider covering up with wigs, hats, or scarves.
  • Be patient and avoid seeking miracle cures.

What if I have taken an overdose of Methorapfs 20 Injection 0.4 ml

Methorapfs 20 Injection 0.4 ml is administered by a health care professional in a hospital setting. Hence, the chances of overdose are less. Symptoms of overdose may include vomiting, diarrhoea and gastrointestinal bleeding, as well as severe bone marrow suppression and disturbance of liver function. Your doctor may take necessary measures if an overdose is suspected.

Drug Warnings

Do not take Methorapfs 20 Injection 0.4 ml 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, ulceration in the stomach or bowels, poor general condition, received any vaccinations or if are due to have any, diabetes, ascites (fluid in the stomach area), lung problems or fluid in the lungs. Methorapfs 20 Injection 0.4 ml 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 Methorapfs 20 Injection 0.4 ml while you are being treated with radiation therapy for cancer, it may cause damage to the skin, bones, or other parts of the body.

Drug-Drug Interactions

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MethotrexateEtretinate
Critical

Drug-Drug Interactions

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MethotrexateEtretinate
Critical
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Co-administration of Etretinate with Methorapfs 20 Injection 0.4 ml may increase the risk or severity of liver problems.

How to manage the interaction:
Taking Etretinate with Methorapfs 20 Injection 0.4 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.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Coadministration of omeprazole with Methorapfs 20 Injection 0.4 ml may increase the levels and side effects of omeprazole.

How to manage the interaction:
Although there is a possible interaction between omeprazole and Methorapfs 20 Injection 0.4 ml, you can take these medicines together if prescribed by a doctor. Do not stop using any medications without consulting to a doctor.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Using thalidomide together with Methorapfs 20 Injection 0.4 ml can increase the risk of developing blood clots.

How to manage the interaction:
Although there is a possible interaction between thalidoamide and Methorapfs 20 Injection 0.4 ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as chest pain, difficulty breathing, coughing up blood, sudden loss of vision, and/or pain, redness or swelling in an arm or leg, consult your doctor. Do not stop using any medications without consulting to a doctor.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Coadministration of Methorapfs 20 Injection 0.4 ml with tofacitinib can increase the risk of developing serious infections.

How to manage the interaction:
Although there is a possible interaction between tofacitinib and Methorapfs 20 Injection 0.4 ml, you can take these medicines together if prescribed by your 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 to a doctor.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Coadministration of Everolimus with Methorapfs 20 Injection 0.4 ml can increase the risk or severity of kidney disorders.

How to manage the interaction:
Taking Everolimus with Methorapfs 20 Injection 0.4 ml together can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or loss, fluid retention, swelling, shortness of breath, muscle cramps, tiredness, weakness, dizziness, confusion, or an irregular heart rhythm, consult a doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Coadministration of leflunomide with Methorapfs 20 Injection 0.4 ml may increase the risk or severity of liver problems.

How to manage the interaction:
Although there is an interaction between leflunomide and Methorapfs 20 Injection 0.4 ml, they can be taken together if prescribed by a doctor. However, if you experience fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, less desire to eat, fatigue, nausea, vomiting, abdominal pain, or yellowing of the skin or eyes, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Coadministration of trimethoprim with Methorapfs 20 Injection 0.4 ml can increase the risk or severity of blood disorders.

How to manage the interaction:
Although there is a possible interaction between trimethoprim and Methorapfs 20 Injection 0.4 ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as pale skin, fatigue, dizziness, fainting, unusual bruising or bleeding, fever, chills, diarrhea, sore throat, muscle pains, breathing difficulty, blood in phlegm, weight loss, red or inflamed skin, body sores, and pain or burning during urination, contact a doctor immediately. Do not stop using any medications without consulting to a doctor.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Co-administration of Methorapfs 20 Injection 0.4 ml with pantoprazole can increase the levels and side effects of Methorapfs 20 Injection 0.4 ml.

How to manage the interaction:
Although there is a possible interaction between pantoprazole and Methorapfs 20 Injection 0.4 ml, you can take these medicines together if prescribed by a 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, or dizziness, consult a doctor. Do not stop using any medications without consulting a doctor.
MethotrexatePhenylbutazone
Severe
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Coadministration of phenylbutazone with Methorapfs 20 Injection 0.4 ml may increase the levels and side effects of phenylbutazone.

How to manage the interaction:
Although there is a possible interaction between phenylbutazone and Methorapfs 20 Injection 0.4 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.
How does the drug interact with Methorapfs 20 Injection 0.4 ml:
Co-administration of Sirolimus with Methorapfs 20 Injection 0.4 ml can increase the risk or severity of kidney damage.

How to manage the interaction:
Although there is a possible interaction between sirolimus and Methorapfs 20 Injection 0.4 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.

Drug-Food Interactions

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METHOTREXATE-20MGCaffeine containing foods/drinks
Moderate

Drug-Food Interactions

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METHOTREXATE-20MGCaffeine containing foods/drinks
Moderate
Common Foods to Avoid:
Cocoa, Coffee, Dark Chocolate, Energy Drinks With Caffeine, Green Tea, Kola Nut, Tea, Tiramisu

How to manage the interaction:
Caffeine may reduce the effectiveness of Methorapfs 20 Injection 0.4 ml. Avoid taking caffeine while taking Methorapfs 20 Injection 0.4 ml. This can increase the risk or severity of side effects.

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 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.

Habit Forming

No

Therapeutic Class

ANTIMETABOLITES

Methorapfs 20 Injection 0.4 ml Substitute

Substitutes safety advice
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Alcohol

Unsafe

You are recommended to avoid alcohol consumption while taking Methorapfs 20 Injection 0.4 ml.

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Pregnancy

Unsafe

Methorapfs 20 Injection 0.4 ml may cause serious birth defects. It is not recommended to take Methorapfs 20 Injection 0.4 ml while you are pregnant.

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Breast Feeding

Unsafe

Methorapfs 20 Injection 0.4 ml passes into breast milk. Avoid breastfeeding whilst on treatment with Methorapfs 20 Injection 0.4 ml and for at least 1 week after the last dose.

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Driving

Caution

Methorapfs 20 Injection 0.4 ml may cause dizziness and tiredness; do not drive or operate heavy machinery until you know how Methorapfs 20 Injection 0.4 ml affects you.

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Liver

Caution

Please consult your doctor if you have liver impairment before taking Methorapfs 20 Injection 0.4 ml.

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Kidney

Caution

Please consult your doctor if you have kidney impairment before taking Methorapfs 20 Injection 0.4 ml.

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Children

Caution

The efficacy and safety of Methorapfs 20 Injection 0.4 ml 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 Methorapfs 20 Injection 0.4 ml in children.

Have a query?

FAQs

Methorapfs 20 Injection 0.4 ml acts as an immunosuppressant, which helps in reducing inflammation and prevents joint stiffness, thereby providing relief from rheumatoid arthritis.

Methorapfs 20 Injection 0.4 ml works by suppressing the overactive immune system that is responsible for causing psoriasis. Methorapfs 20 Injection 0.4 ml interferes with the synthesis of genetic material (DNA) and the growth of cells that multiply faster than usual, thereby helping in treating psoriasis.

Methorapfs 20 Injection 0.4 ml may affect fertility in men and women. Consult your doctor if you have any concerns regarding this.

Methorapfs 20 Injection 0.4 ml 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 infections such as fever, sore throat, breathlessness, jaundice, unexplained bleeding or bruising.

Methorapfs 20 Injection 0.4 ml 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.

Country of origin

India

Manufacturer/Marketer address

4th Floor, C Wing, Melange Tower, near Ratnadeep Super Market, HUDA Techno Enclave, Madhapur, Hyderabad, Telangana 500081
Other Info - MET2510

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