Country: United States
Language: English
Source: NLM (National Library of Medicine)
METHOTREXATE (UNII: YL5FZ2Y5U1) (METHOTREXATE - UNII:YL5FZ2Y5U1)
Major Pharmaceuticals
ORAL
PRESCRIPTION DRUG
Methotrexate tablets are indicated for the: Methotrexate tablets are indicated for the treatment of adults with rheumatoid arthritis. Methotrexate tablets are indicated for the treatment of pediatric patients with polyarticular Juvenile Idiopathic Arthritis (pJIA). Methotrexate tablets are indicated for the treatment of adults with severe psoriasis. Methotrexate tablets are contraindicated in: Risk Summary Methotrexate tablets are contraindicated in pregnant women with non-neoplastic diseases [see Contraindications (4)] . Based on published reports and its mechanism of action [see Clinical Pharmacology (12.1)] , methotrexate can cause embryo-fetal toxicity and fetal death when administered to a pregnant woman. There are no animal data that meet current standards for nonclinical developmental toxicity studies. Advise pregnant women with neoplastic diseases of the potential risk to a fetus. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recogni
Methotrexate tablets, USP are yellow, round, uncoated tablets, with debossing "L2" on one side and scoring on other side. They are supplied as follows: Cartons of 20 tablets ( 10 tablets per blister pack x 2), NDC 0904-7141-10 Storage: Store at 20°C to 25°C (68°F to 77°F) [See USP Controlled Room Temperature]. Protect from light Methotrexate tablets are a cytotoxic drug. Follow applicable special handling and disposal procedures1 .
Abbreviated New Drug Application
METHOTREXATE- METHOTREXATE TABLET MAJOR PHARMACEUTICALS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE METHOTREXATE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR METHOTREXATE TABLETS. METHOTREXATE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 1953 WARNING: EMBRYO-FETAL TOXICITY, HYPERSENSITIVITY REACTIONS, AND SEVERE ADVERSE REACTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • • • RECENT MAJOR CHANGES Boxed Warning 5/2020 Indications and Usage (1) 5/2020 Dosage and Administration (2) 5/2020 Contraindications (4) 5/2020 Warnings and Precautions (5) 5/2020 INDICATIONS AND USAGE Methotrexate tablets are a dihydrofolate reductase inhibitor indicated for the: • • • • • • DOSAGE AND ADMINISTRATION • • • • • METHOTREXATE TABLETS CAN CAUSE EMBRYO-FETAL TOXICITY, INCLUDING FETAL DEATH. FOR NON-NEOPLASTIC DISEASES, METHOTREXATE TABLETS ARE CONTRAINDICATED IN PREGNANCY. FOR NEOPLASTIC DISEASES, ADVISE PATIENTS OF REPRODUCTIVE POTENTIAL OF THE POTENTIAL RISK TO A FETUS AND TO USE EFFECTIVE CONTRACEPTION (4, 5.1,8.1, 8.3). METHOTREXATE TABLETS ARE CONTRAINDICATED IN PATIENTS WITH A HISTORY OF SEVERE HYPERSENSITIVITY REACTIONS TO METHOTREXATE, INCLUDING ANAPHYLAXIS (4,5.2). SERIOUS ADVERSE REACTIONS, INCLUDING DEATH, HAVE BEEN REPORTED WITH METHOTREXATE. CLOSELY MONITOR FOR ADVERSE REACTIONS OF THE BONE MARROW, GASTROINTESTINAL TRACT, LIVER, LUNGS, SKIN, AND KIDNEYS. WITHHOLD OR DISCONTINUE METHOTREXATE TABLETS AS APPROPRIATE (5.3, 5.4,5.5, 5.6, 5.7,5.8). Treatment of adults and pediatric patients with acute lymphoblastic leukemia (ALL) as part of a combination chemotherapy maintenance regimen (1.1) Treatment of adults with mycosis fungoides (1.1) Treatment of adults with relapsed or refractory non-Hodgkin lymphoma as part of a metronomic combination regimen (1.1) Treatment of adults with rheumatoid arthritis (1.2) Treatment of pediatric patients with polyarticular juvenile idiopathic arth Read the complete document