Key information summary
Efficacy & effects
This medicinal product is used in tablet form for the relief of subjective and objective symptoms associated with leukemia, rheumatoid arthritis, refractory severe psoriasis, and gestational trophoblastic disease. In injectable form, it is utilized for the treatment of various solid tumors such as acute leukemia, non-Hodgkin lymphoma, sarcoma, breast cancer, lung cancer, head and neck cancer, and bladder cancer, as well as for gestational trophoblastic disease. Additionally, both formulations are used in the treatment of severe refractory psoriasis when other therapeutic methods have been ineffective. This drug is effective for the treatment of various cancers and inflammatory diseases and helps improve symptoms.
Dosage
1. Leukemia Adults administer methotrexate at 5 to 10 mg once daily for 3 to 6 days a week orally. 2. Gestational trophoblastic disease Administer 10 to 30 mg orally per day for 5 days as one cycle, followed by a 7 to 12 day rest before repeating. 3. Rheumatoid arthritis Prior to treatment, a test dose of 5 to 10 mg should be administered orally one time during the week before treatment to assess for hypersensitivity reactions. Once a week dose of 7.5 to 20 mg.
Precautions
This medication is used to treat rheumatoid arthritis or psoriasis and is to be taken only once a week. If the dosage instructions are not followed correctly, serious side effects may occur, so caution is advised. Combination therapy with this drug and other anticancer agents is risky and should be conducted under a physician's supervision. Adequate medical facilities and experienced physicians are also necessary. Patients with allergies to the components of this drug, poor kidney or liver function, patients with pleural effusion or ascites, those with certain blood disorders, patients with immunodeficiency, alcohol-dependent individuals, women who are pregnant or may become pregnant, nursing mothers, and individuals with specific genetic diseases should not use this medication. Patients with diarrhea, stomatitis, gastric ulcers, blood abnormalities, bone marrow suppression, chickenpox infections, infections, mental disorders, children, and the elderly should use this medication with caution. This drug may rarely cause serious allergic reactions such as shock or anaphylaxis, so if abnormal symptoms occur during usage, it should be discontinued immediately and medical assistance sought. Gastrointestinal side effects may include hemorrhagic enteritis, nausea, vomiting, stomatitis, abdominal pain, and diarrhea, and pancreatitis should also be monitored. Respiratory side effects may present as pneumonia and pulmonary fibrosis, requiring immediate examination and treatment if fever, cough, or breathing difficulties occur. Neurological side effects might include headache, drowsiness, blurred vision, and seizures, while reproductive system side effects may involve infertility, menstrual irregularities, and fetal malformations. Hematological effects can manifest as anemia, leukopenia, and thrombocytopenia, necessitating regular blood tests. This drug can impact liver and kidney function, making regular check-ups and monitoring of the condition important, and use should be discontinued if abnormalities are detected. Skin reactions may include severe rashes, skin peeling, and photosensitivity, necessitating careful observation. The risk of infections may increase, so if infection symptoms occur, immediate treatment should be sought. Bone health issues such as osteoporosis may also arise, requiring periodic checks during long-term use. This drug may interact with various medications, so if other drugs are being taken, consultation with a physician or pharmacist is essential. Women who are pregnant or may become pregnant risk serious dangers to the fetus from taking this medication, so contraception is essential, and it should not be administered during breastfeeding. Children and the elderly may be more susceptible to side effects, so caution should be exercised during use. In case of overdose, immediate medical attention should be sought for appropriate detoxification treatment, and this medication should be stored out of reach of children.
Side effects
Urticaria, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe allergic reactions, severe rashes accompanied by high fever, blisters, skin shedding, pain of mucous membranes of the mouth/eyes, severe skin adverse reactions, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities accompanied by cough and fever, interstitial pneumonia, pulmonary fibrosis, alveolar hemorrhage, liver abnormalities (jaundice), jaundice, profound general lethargy, sudden and severe reactions.
