Methotrexate Lederle 2,5 mg Tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of various cancers, severe psoriasis, and rheumatoid arthritis.
Dosage (summary)
Weekly doses of 10-25 mg for psoriasis and 2.5-20 mg for rheumatoid arthritis.
Onset of Action / Duration
Onset: 1-2 hours, Duration: 3-10 hours.
Special Populations
- Renal impairment
- Hepatic impairment
- Elderly patients
Pregnancy & Breastfeeding
Contraindicated in pregnancy and breastfeeding due to risks of fetal harm.
Key Drug Interactions
- NSAIDs
- Leflunomide
- Probenecid
- Penicillins
- Sulphonamides
Contraindications
- Pregnancy
- Breastfeeding
- Severe liver disease
- Immunodeficiency
- Blood dyscrasias
Common side effects
- Ulcerative stomatitis
- Leukopenia
- Nausea
- Fatigue
- Diarrhea
Counselling Points
- Take weekly, not daily
- Discuss reproductive risks
- Monitor for signs of toxicity
- Avoid alcohol
Serious warnings
- Serious toxicity risk
- Potential for fatal infections
- Hepatotoxicity
- Bone marrow suppression
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