FOLITRAX 50MG INJECTION

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Rs102.00 /2ML
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FOLITRAX 50MG INJECTION contains Methotrexate, which belongs to the group of medicines called Antimetabolites.


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INTRODUCTION

FOLITRAX 50MG INJECTION contains Methotrexate, which belongs to the group of medicines called Antimetabolites. FOLITRAX 50MG INJECTION is used to manage active rheumatoid arthritis in adults. It is also used to manage polyarthritic forms (characterized by the involvement of five or more joints), which are severe, active, and idiopathic in nature and affect young people (Juvenile Idiopathic Arthritis, or JIA). FOLITRAX 50MG INJECTION is also used to manage psoriasis.

In addition, FOLITRAX 50MG INJECTION is also used to manage Crohn’s disease and various cancers such as acute lymphocytic lymphoma, Non-Hodgkin’s Lymphoma, breast cancer, cervical cancer, bladder cancer, etc.

Rheumatoid arthritis is an autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation (painful swelling) in the affected parts of the body. Psoriasis is a skin condition characterized by itchy scales that is not responsive to conventional treatments such as phototherapy and retinoids. Crohn’s disease is an inflammatory disease affecting the intestine.

Before getting FOLITRAX 50MG INJECTION administered, it is recommended to inform the doctor about your medical and family history, including the list of medicines (prescription, non-prescription medicines, and herbal medicines) that are being taken, before receiving FOLITRAX 50MG INJECTION.

Also, FOLITRAX 50MG INJECTION is not recommended for children less than the age of 3, pregnant and nursing women, women planning pregnancy, those who drink huge amounts of alcohol, and patients suffering from liver and kidney impairment.

Caution must be exercised by patients suffering from lung disorders, blood disorders, and gastric disorders before receiving FOLITRAX 50MG INJECTION. Care must be taken to avoid taking products containing caffeine, such as black tea, coffee, and cold drinks, while receiving FOLITRAX 50MG INJECTION.

The common side effects that can be experienced after receiving FOLITRAX 50MG INJECTION are headache, nausea, vomiting, dizziness, and altered levels of blood cells. Consult a doctor if any of the above side effects worsen after receiving FOLITRAX 50MG INJECTION.

USES OF FOLITRAX 50MG INJECTION

It is used to manage:

  • Active rheumatoid arthritis (adults)
  • Severe arthritis occurring due to unknown reasons (idiopathic and juvenile, which is non-responsive to conventional painkillers)
  • Psoriasis
  • Crohn’s disease
  • Polyarthritic forms
  • Cancer (acute lymphocytic lymphoma, meningeal leukemia) (a type of cancer of white blood cells in the ovary, breast, cervix, lungs, bones, and bladder

HOW FOLITRAX 50MG INJECTION WORKS

FOLITRAX 50MG INJECTION contains Methotrexate, a disease-modifying antirheumatic drug (DMARDs) which interferes with the growth of those cells in the body that reproduce quickly. As a result, the growth of those cells gets retarded, thus serving as an anti-tumour agent. Also, FOLITRAX 50MG INJECTION decreases the undesired reactions of the body’s own immune-defense mechanism, thereby working as an effective immunosuppressant. In addition, it also exhibits anti-inflammatory effects, thereby reducing pain, swelling, and redness. As a result, FOLITRAX 50MG INJECTION manages the symptoms associated with diseases such as rheumatoid arthritis and psoriasis.

DIRECTIONS FOR USE

FOLITRAX 50MG INJECTION will be administered to you into a muscle (intramuscularly) only by a doctor or a nurse. Your doctor will administer the correct dose and duration for you depending on your age, body weight, and disease condition.

SIDE EFFECTS OF FOLITRAX 50MG INJECTION

COMMON

  • Loss of appetite
  • Nausea
  • Vomiting
  • Stomach pain
  • Inflammation and ulcers in the mouth and throat
  • Increase in the level of liver enzymes
  • Decreased count of white and red blood cells
  • Decreased count of platelets
  • Headache
  • Tiredness
  • Drowsiness
  • Inflammation of the lungs along with the production of a dry, non-productive cough and shortness of breath
  • Fever
  • Diarrhea (frequent loose stools)
  • Development of itching, rash, and reddening of the skin
  • Decreased resistance to infection

UNCOMMON

  • Confusion
  • Depression
  • Fits
  • Inflammation of blood vessels
  • Liver disorders
  • Diabetes
  • Sensitivity to light
  • Brown skin
  • Loss of hair
  • Increase in rheumatic nodules
  • Viral infection
  • Joint or muscle pain
  • Porous bones (osteoporosis)
  • Painful urination
  • Severe allergic reactions
  • Development of inflammation and ulcers (vagina)
  • Eating disorder resulting in high weight loss (anorexia)
  • Pain in the chest
  • Cough
  • Inability to pass urine (dysuria)
  • Nose bleeding
  • Development of fatty liver
  • Red eyes (conjunctivitis)
  • Disturbances in the level of electrolytes

RARE

  • Inflammation of the sac around the heart along with the accumulation of fluid in the sac around the heart
  • Severe vision disturbances
  • Mood fluctuations
  • Low blood pressure
  • Blood clots
  • Asthma (difficult breathing along with the production of wheezing sounds)
  • Changed colour of nails
  • Development of acne (pimples)
  • Development of red or purple spots due to vessel bleeding
  • Kidney problems
  • Defective formation of sperm
  • Menstruation disorders
  • Nodulosis (small tissue growth at the hands and elbows, on Achilles tendons)
  • Loss of libido or impotence
  • Chills and fever (without any detectable pathogen)
  • Immunosuppression
  • Decreased resistance to infection
  • Abnormal tissue cell changes
  • Metabolic disorders
  • Development of breasts in men
  • Tinnitus (ringing sensation in the ears)
  • Sweating
  • Inflammatory conditions of the heart
  • Thromboembolic complications
  • Plaque-like erosions on the skin
  • Inflammation of the pharynx and gingiva
  • Stress fracture

Stop receiving FOLITRAX 50MG INJECTION and consult your doctor immediately if you experience any of the following:

  • Sudden (acute) bleeding from the lungs characterized by spitting and/or coughing blood
  • General weakness of muscles, disturbance in the vision, changes in pattern of thinking, memory, and orientation that lead to confusion and changes in personality (progressive multifocal leukoencephalopathy)
  • General illness along with a dry, irritating cough and shortness of breath, breathlessness during rest, pain in the chest, or fever, indicative of lung problems
  • Severe peeling and/or blisters on the skin
  • Unusual bleeding and the formation of bruises
  • Severe, frequent, loose stools (diarrhea)
  • Presence of ulcers in the mouth
  • Black or tar-like stools
  • Presence of blood in urine and stools
  • Yellowing of the skin and eyes
  • Increased thirst
  • Fits (convulsions)
  • Blurred and/or decreased vision
  • Redness, swelling of the hands, ankles, feet, lips, mouth, and throat, leading to difficulty swallowing and/or breathing
  • Feeling of fainting
  • Symptoms of infection such as fever, body ache, and sore throat
  • Severe headache along with stiffness in the neck, fever, nausea, and vomiting, indicative of inflamed membranes of the brain (acute aseptic meningitis)
  • Severe skin rash such as blistering of skin indicative of Stevens Johnson syndrome or burned skin syndrome (toxic epidermal necrolysis/Lyell’s syndrome)

HOW TO MANAGE SIDE EFFECTS

Diarrhea

Stick to simple meals. Avoid eating heavily rich or spicy food. Drink an oral rehydration solution to compensate for the loss of water and minerals. Stay hydrated. Consult your doctor if it persists for a long time or worsens with time.

Dizziness Or Drowsiness

Take an adequate amount of rest and sleep. Stay hydrated and replenish yourself with electrolytes. Also, do not indulge in driving or using heavy machinery, as it may prove to be dangerous.

Headache

Stay hydrated and take as much rest as possible. Stay away from bright lights and loud sounds. Apply a pain-relieving balm to the forehead. If the headache persists or worsens, consult your doctor.

Nausea And Vomiting

Stick to simple meals. Avoid eating heavily rich or spicy food. Stay hydrated. Consult your doctor if it persists for a long time or worsens with time.

WARNING & PRECAUTIONS

PREGNANCY
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you are pregnant and/or are planning to become pregnant since it can be harmful to the foetus (growing baby) and lead to various malformations. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

BREASTFEEDING
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you are a nursing mother. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

DRIVING AND USING MACHINES
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you feel tired and/or dizzy after receiving the medicine. Consult your doctor prior to receiving FOLITRAX 50MG INJECTION.

ALCOHOL
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you consume large amounts of alcohol. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

KIDNEY
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you are diagnosed with a severe kidney disorder. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

LIVER
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you are diagnosed with a severe liver disorder. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

ALLERGY
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended if you are allergic to methotrexate and/or any other constituent of FOLITRAX 50MG INJECTION. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

LUNGS
USE WITH CAUTION

FOLITRAX 50MG INJECTION is recommended to be received with caution if you have issues with lung function and are diagnosed with ascites and pleural effusion. Consult your doctor before receiving FOLITRAX 50MG INJECTION.

USE IN PEDIATRICS
CONTRAINDICATED

FOLITRAX 50MG INJECTION is not recommended for children below the age of 3 years due to a lack of safety data. If needed, your doctor will administer the right dose depending on your child’s age, body weight, and disease condition. Consult the doctor before receiving FOLITRAX 50MG INJECTION.

USE IN GERIATRICS
USE WITH CAUTION

FOLITRAX 50MG INJECTION is recommended to be administered with caution and in a lower dosage to elders due to diminished function of the liver and kidneys and reduced folate levels in the blood in old age. Consult the doctor before receiving FOLITRAX 50MG INJECTION.

OTHERS

FOLITRAX 50MG INJECTION is not recommended for use if you:

  • Have blood disorders
  • Have an impaired immune system
  • Have a severe and/or existing infection (Ex. tuberculosis, HIV)
  • Have ulcers in the gastro-intestinal tract
  • Are receiving vaccinations containing live vaccines
  • Have bone marrow suppression
  • Have certain immunodeficiency syndromes
  • Have scheduled a surgery (which requires anesthesia)
  • Have ulcerative colitis characterized by bleeding from the bowel
  • Are malnourished

Before receiving FOLITRAX 50MG INJECTION, inform your doctor if you:

  • Have diabetes mellitus
  • Are overweight
  • Have a tooth infection, such as an abscess in a tooth
  • Have increased and/or unusual bleeding or bruising
  • Suffer folate deficiency of folate
  • Are receiving radiotherapy for various conditions, such as X-rays and UV-rays

INTERACTIONS

A. Drug-Drug Interactions:

Before receiving FOLITRAX 50MG INJECTION, inform your doctor if you are taking any of the following medicines:

  • Other medicines used to manage rheumatoid arthritis and psoriasis (Ex. leflunomide, phenylbutazone, or amidopyrine)
  • Medicines used in organ transplantation (Ex. azathioprine)
  • Medicines used to manage skin conditions (Ex. retinoids)
  • Medicines used to manage fits (Ex. phenytoin)
  • Medicines used in cancer
  • Medicines used to induce sleep (Ex. barbiturates such as phenobarbitone)
  • Medicines used to induce calmness and relieve anxiety (Ex. tranquilizers such as diazepam)
  • Medicines used for oral contraception (Ex. estrogen)
  • Medicines used to manage gout (Ex. probenecid)
  • Medicines used to manage bacterial infections (Ex. amoxicillin)
  • Medicines used to manage malaria (Ex. pyrimethamine)
  • Medicines used to manage severe heartburn or ulcers (Ex. omeprazole)
  • Medicines used to manage asthma (Ex. theophylline)
  • Medicines used to suppress hyperactive immune system (Ex. diphenylhydantoin, amidopyrine derivatives)
  • Medicines used to manage various infections (Ex. pyrimethamine and cotrimoxazole)
  • Medicines used to manage increased cholesterol levels (Ex. Cholestyramine)
  • Medicines used to manage heart problems (Ex. Amiodarone)
  • Medicines used to manage diabetes (Ex. Metformin)

B. Drug-food interactions:

It is recommended to avoid the consumption of drinks containing caffeine, such as black tea, coffee, and soft drinks, to prevent dehydration.

Overdosage:

FOLITRAX 50MG INJECTION will be administered only by a doctor or nurse in a hospital, and so it is unlikely to receive an overdose. Contact your doctor immediately. However, if you experience any unusual symptoms like an easy tendency to bruise or bleed, nausea, vomiting, or feeling unusual weakness, along with the development of mouth sores, black or bloody stools, coughing up blood and vomiting that looks like coffee grounds, or decreased urination.

SYNOPSIS

Drug:  Methotrexate
Pharmacological Category:  Anti-metabolites
Therapeutic Indication:  Rheumatoid Arthritis, Psoriasis, Cancer        
Dosage Forms:  Injection, Gel, Capsule, Tablet                            

MORE INFORMATION

  • Keep FOLITRAX 50MG INJECTION out of the reach and sight of children
  • Store FOLITRAX 50MG INJECTION at a temperature below 25°C
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