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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Veda Maddala , M Pharmacy
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Composition :

METHOTREXATE-50MG

Consume Type :

PARENTERAL

Return Policy :

Not Returnable

Expires on or after :

About Biotrexate 500 mg Injection 5 ml

Biotrexate 500 mg Injection 5 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. Biotrexate 500 mg Injection 5 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).

Biotrexate 500 mg Injection 5 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, Biotrexate 500 mg Injection 5 ml prevents and stops the growth of cancer cells, thereby helps treat cancer. Biotrexate 500 mg Injection 5 ml treats psoriasis by suppressing the overactive immune system that is responsible for causing psoriasis.

Biotrexate 500 mg Injection 5 ml will be administered by a qualified healthcare professional; do not self-administer. In some cases, Biotrexate 500 mg Injection 5 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 Biotrexate 500 mg Injection 5 ml if you are pregnant or breastfeeding. Biotrexate 500 mg Injection 5 ml may cause dizziness and fatigue, so avoid driving or operating machinery. Avoid consuming alcohol whilst on treatment with Biotrexate 500 mg Injection 5 ml. If you are due to undergo any surgery, including dental surgery, inform the doctor that you are receiving Biotrexate 500 mg Injection 5 ml. Do not have any vaccinations during treatment with Biotrexate 500 mg Injection 5 ml without consulting your doctor. Inform your doctor about your medications and health condition to rule out any unpleasant side effects.

Uses of Biotrexate 500 mg Injection 5 ml

Rheumatoid arthritis, Psoriasis, Cancer

Directions for Use

Biotrexate 500 mg Injection 5 ml will be administered by a qualified healthcare professional; do not self-administer.

Medicinal Benefits

Biotrexate 500 mg Injection 5 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. Biotrexate 500 mg Injection 5 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. Biotrexate 500 mg Injection 5 ml treats psoriasis by suppressing the overactive immune system that is responsible for causing psoriasis. Biotrexate 500 mg Injection 5 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). Biotrexate 500 mg Injection 5 ml prevents and stops the growth of cancer cells by interfering with DNA production.

Storage

Store in a cool and dry place away from sunlight
Side effects of Biotrexate 500 mg Injection 5 ml
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.
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.
  • 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.

Drug Warnings

Do not take Biotrexate 500 mg Injection 5 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. Biotrexate 500 mg Injection 5 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 Biotrexate 500 mg Injection 5 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 Biotrexate 500 mg Injection 5 ml:
Co-administration of Etretinate with Biotrexate 500 mg Injection 5 ml may increase the risk or severity of liver problems.

How to manage the interaction:
Taking Etretinate with Biotrexate 500 mg Injection 5 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 Biotrexate 500 mg Injection 5 ml:
Co-administration of Biotrexate 500 mg Injection 5 ml with cloxacillin can increase the risk or severity of developing serious infections.

How to manage the interaction:
Although there is a possible interaction between cloxacillin and Biotrexate 500 mg Injection 5 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, Consult a doctor. Do not stop using any medications without consulting to a doctor.
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Co-administration of Biotrexate 500 mg Injection 5 ml with dicloxacillin can increase the levels and effects of Biotrexate 500 mg Injection 5 ml. This can increase the risk or severity of serious infections.

How to manage the interaction:
Although there is a possible interaction between Biotrexate 500 mg Injection 5 ml and dicloxacillin, 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. Consult a doctor immediately. Do not stop using medications without a doctor's advice.
MethotrexateNitrous oxide
Severe
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Combine use of nitrous oxide with Biotrexate 500 mg Injection 5 ml may increase the levels and side effects of nitrous oxide.

How to manage the interaction:
Although there is a possible interaction between nitrous oxide and Biotrexate 500 mg Injection 5 ml, you can take these medicines together if prescribed by your doctor. However, if you experience any symptoms such as nausea, vomiting, pale skin, easy bruising or bleeding, unusual weakness, mouth sores, black or bloody stools, and decreased urine output, consult the doctor. Do not discontinue any medications without doctors advice.
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Coadministration of Biotrexate 500 mg Injection 5 ml with ibuprofen can increase the effect and side effects of Biotrexate 500 mg Injection 5 ml.

How to manage the interaction:
Although there is a possible interaction between Biotrexate 500 mg Injection 5 ml and ibuprofen, 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.
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Co-administration of Biotrexate 500 mg Injection 5 ml with Lansoprazole can increase the blood levels and side effects of Biotrexate 500 mg Injection 5 ml.

How to manage the interaction:
Although there is a possible interaction between Biotrexate 500 mg Injection 5 ml and Lansoprazole, you can take these medicines together if prescribed by a doctor. However, if you notice any symptoms of headaches, irritation, confusion, decreased hunger, fatigue, heart palpitations, or diarrhea, you should contact a doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Coadministration of leflunomide with Biotrexate 500 mg Injection 5 ml may increase the risk or severity of liver problems.

How to manage the interaction:
Although there is an interaction between leflunomide and Biotrexate 500 mg Injection 5 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 Biotrexate 500 mg Injection 5 ml:
Co-administration of Biotrexate 500 mg Injection 5 ml with amoxicillin can increase the levels and side effects of Biotrexate 500 mg Injection 5 ml.

How to manage the interaction:
Although there is a possible interaction between Biotrexate 500 mg Injection 5 ml and amoxicillin, 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.
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Co-administration of Benzylpenicillin with Biotrexate 500 mg Injection 5 ml may increase the risk or severity of side effects.

How to manage the interaction:
Although there is an interaction, Biotrexate 500 mg Injection 5 ml can be taken with Benzylpenicillin if prescribed by the doctor. Consult the prescriber if you experience any symptoms such as fatigue, dizziness, fainting, unusual bleeding or bruising, fever, chills, sore throat, or body aches. Contact a doctor immediately. Do not stop using any medications without consulting to a doctor.
How does the drug interact with Biotrexate 500 mg Injection 5 ml:
Combine use of entecavir with Biotrexate 500 mg Injection 5 ml may increase the effectiveness of everolimus.

How to manage the interaction:
Although there is a possible interaction between everolimus and Biotrexate 500 mg Injection 5 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.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

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 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

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Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Biotrexate 500 mg Injection 5 ml acts as an immunosuppressant, which helps in reducing inflammation and prevents joint stiffness, thereby providing relief from rheumatoid arthritis.

Biotrexate 500 mg Injection 5 ml works by suppressing the overactive immune system that is responsible for causing psoriasis. Biotrexate 500 mg Injection 5 ml interferes with the synthesis of genetic material (DNA) and the growth of cells that multiply faster than usual, thereby helping in treating psoriasis.

Biotrexate 500 mg Injection 5 ml may affect fertility in men and women. Consult your doctor if you have any concerns regarding this.

Biotrexate 500 mg Injection 5 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.

Biotrexate 500 mg Injection 5 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.

Drug-Drug Interactions Checker List

  • CISPLATIN
  • MERCAPTOPURINE
  • AZATHIOPRINE
  • TETRACYCLINE
  • CHLORAMPHENICOL
  • SULFASALAZINE

Special Advise

  • Women of child-bearing potential must use effective contraception whilst on treatment with Biotrexate 500 mg Injection 5 ml and for at least 6 months after the last dose.
  • If you are a male, you and your partner should use reliable contraception during treatment with Biotrexate 500 mg Injection 5 ml and for at least 3 months after the last dose.
  • Biotrexate 500 mg Injection 5 ml 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.
  • Your doctor may advise regular blood tests, kidney and liver tests to monitor your condition.

Disease/Condition Glossary

Rheumatoid arthritis: It is an autoimmune disease (the body's immune system attacks its tissue) that leads to joint pain and damage. Symptoms of rheumatoid arthritis include pain, inflammation of joints, difficulty moving, and swelling.

Psoriasis: It is a chronic autoimmune skin condition that causes the skin to multiply ten times faster than normal. This leads to a rapid build-up of skin cells, causing scaling on the skin surface. Symptoms include inflamed, red, raised patches of skin, soreness around the patches, itching, burning sensations, painful, swollen joints, and dry skin.

Cancer: It is a genetic change in which the cells divide uncontrollably and spread into surrounding tissues. There are two types of cancer, namely benign (localized) and metastatic (spread to the whole body). Cancer growth can be prevented by chemotherapy (by strong antibiotics), radiation, and stem cell therapy. 

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