methotrexate

E242406

Methotrexate is a disease-modifying antirheumatic drug (DMARD) commonly used to treat autoimmune conditions such as rheumatoid arthritis, psoriasis, and certain cancers by inhibiting folate-dependent cell proliferation.

All labels observed (1)

Label Occurrences
methotrexate canonical 4

How this entity was disambiguated

Statements (64)

Predicate Object
instanceOf antifolate
antimetabolite drug
chemotherapy agent
disease-modifying antirheumatic drug
immunosuppressive agent
small molecule
actsOn dihydrofolate reductase
coTherapyRecommended folic acid supplementation
hasAntidote leucovorin (folinic acid)
hasATCCode L01BA01
L04AX03
hasBioavailability approximately 60–70% (oral, low doses)
hasBlackBoxWarning risk of serious toxicity including bone marrow, liver, lung, and kidney damage
hasCASNumber 59-05-2
hasDrugBankID DB00563
hasEliminationHalfLife 3–10 hours (low dose)
8–15 hours (high dose)
hasFirstFDAApprovalYear 1953 (oncology indications, historical)
hasIUPACName (2S)-2-[[4-[(2,4-diaminopteridin-6-yl)methyl-methylamino]benzoyl]amino]pentanedioic acid
hasMolecularFormula C20H22N8O5
hasProteinBinding about 50%
hasPubChemCID 126941
hasRouteOfAdministration intramuscular
intrathecal
intravenous
oral
subcutaneous
hasUNII YL5FZ2Y5U1
interactsWith nonsteroidal anti-inflammatory drugs
penicillins
probenecid
trimethoprim-sulfamethoxazole
isClassifiedAs conventional synthetic DMARD
isContraindicatedIn breastfeeding
pregnancy
severe hepatic impairment
severe renal impairment
isEliminatedBy renal excretion
majorAdverseEffect bone marrow suppression
gastrointestinal toxicity
hepatotoxicity
mucositis
pulmonary toxicity
teratogenicity
mechanismOfAction exerts immunosuppressive and anti-inflammatory effects
inhibits DNA synthesis, repair, and cellular replication
inhibits dihydrofolate reductase and other folate-dependent enzymes
requiresMonitoringOf complete blood count
liver function tests
renal function
usedFor Crohn's disease (off-label in some regions)
acute lymphoblastic leukemia
choriocarcinoma
ectopic pregnancy
juvenile idiopathic arthritis
non-Hodgkin lymphoma
osteosarcoma
psoriasis
psoriatic arthritis
rheumatoid arthritis
severe rheumatoid arthritis unresponsive to other therapies
severe, recalcitrant psoriasis
ulcerative colitis (off-label in some regions)
wasApprovedBy Food and Drug Administration
surface form: U.S. Food and Drug Administration

How these facts were elicited

Referenced by (4)

Full triples — surface form annotated when it differs from this entity's canonical label.

Remicade isOftenUsedWith methotrexate
Actemra oftenUsedWith methotrexate
Daypro mayInteractWith methotrexate