{"id":17746,"date":"2022-01-24T07:19:04","date_gmt":"2022-01-24T07:19:04","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17746"},"modified":"2022-01-24T10:57:45","modified_gmt":"2022-01-24T10:57:45","slug":"methotrexate-orion-pharma","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/methotrexate-orion-pharma\/","title":{"rendered":"Methotrexate Orion Pharma &#8211; Methotrexate uses, dose and side effects"},"content":{"rendered":"\n<p>2.5 mg and 10 mg&nbsp;methotrexate&nbsp;tablets<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Methotrexate Orion Pharma is and what it is used for<\/h2>\n\n\n\n<p>Methotrexate Orion Pharma is a medicine with the following properties:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>it interferes with the growth of certain cells in the body that are newly formed quickly, and thus slows down the growth of tumor cells<\/li><li>it reduces the activity of the immune system (the body&#8217;s own defense system)<\/li><li>it has anti-inflammatory effects<\/li><\/ul>\n\n\n\n<p>Methotrexate Orion Pharma is used to treat:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>active&nbsp;rheumatoid arthritis&nbsp;in adult patients<\/li><li>Difficult-to-treat, debilitating&nbsp;psoriasis&nbsp;that does not respond adequately to other therapies such as light therapy, PUVA and&nbsp;retinoids<\/li><li>severe psoriatic arthritis in adult patients<\/li><li>acute&nbsp;lymphocytic&nbsp;leukemia&nbsp;as maintenance treatment.<\/li><\/ul>\n\n\n\n<p>Your doctor will be able to explain how Methotrexate Orion Pharma can help with your condition.<\/p>\n\n\n\n<p>Methotrexate which is the active substance in Methotrexate Orion Pharma may also be approved for the treatment of other diseases not mentioned in this product information.&nbsp;Ask your doctor, pharmacist or other healthcare professional if you have any further questions and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Methotrexate Orion Pharma<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Methotrexate Orion Pharma<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic (hypersensitive) to methotrexate or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you are breast-feeding (see section &#8220;Pregnancy, breast-feeding and fertility&#8221;)<\/li><li>if you are pregnant and being treated for a disease other than cancer (see section &#8220;Pregnancy, breast-feeding and fertility&#8221;)<\/li><li>if you have severe liver or kidney disease (your doctor will determine the severity of your illness)<\/li><li>if you have or have had a bone marrow disease or severe blood disorders<\/li><li>if you have severe acute or&nbsp;chronic&nbsp;infection&nbsp;and a weakened immune system<\/li><li>if you have inflamed mucous membranes in the oral cavity or cold sores<\/li><li>if you have ulcers in your stomach or intestines<\/li><li>if you suffer from alcoholism<\/li><li>if you have recently been vaccinated or are about to be vaccinated with a live vaccine.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20150711000012#\" rel=\"noopener\">Show larger<\/a><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Important warning about&nbsp;dosing&nbsp;one of Methotrexate Orion Pharma (methotrexate)<\/strong>Take Methotrexate Orion Pharma&nbsp;<strong>only once a week<\/strong>&nbsp;for the treatment of&nbsp;rheumatoid arthritis&nbsp;,&nbsp;psoriasis&nbsp;or psoriatic arthritis.&nbsp;Taking too much Methotrexate Orion Pharma can be fatal.&nbsp;Read section 3 of this leaflet very carefully.&nbsp;If you have any further questions, ask your doctor or pharmacist before taking this medicine.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Tell your doctor, pharmacist or nurse before taking Methotrexate Orion Pharma:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have had any liver or kidney disease<\/li><li>if you have inactive,&nbsp;chronic&nbsp;infections&nbsp;(eg&nbsp;tuberculosis&nbsp;,&nbsp;hepatitis&nbsp;B or C,&nbsp;shingles&nbsp;[herpes zoster]), as these can flare up<\/li><li>if you have deteriorated general condition<\/li><li>if you have problems with lung function<\/li><li>if you have abnormal accumulations of fluid in the abdomen (ascites) or around the lungs (pleural effusion) if you have&nbsp;diabetes mellitus&nbsp;treated with&nbsp;insulin<\/li><li>if you are dehydrated or suffer from any ailment that leads to dehydration (vomiting, diarrhea, constipation,&nbsp;inflammation&nbsp;of the oral mucosa).<\/li><\/ul>\n\n\n\n<p>Acute&nbsp;haemorrhage from the lungs of patients with underlying rheumatic disease has been reported with methotrexate.&nbsp;If you experience symptoms such as blood in the saliva or bloody cough, contact your doctor immediately.<\/p>\n\n\n\n<p>Diarrhea can be a&nbsp;side effect&nbsp;of Methotrexate Orion Pharma and means that treatment must be stopped.&nbsp;Talk to your doctor if you have diarrhea.<\/p>\n\n\n\n<p>Methotrexate temporarily affects sperm and egg production.&nbsp;Methotrexate can cause miscarriage and severe congenital malformations.&nbsp;You and your partner should avoid having children while you are receiving methotrexate and for at least 6 months after stopping treatment with methotrexate.&nbsp;See also section &#8220;Pregnancy, breast-feeding and fertility&#8221;.<\/p>\n\n\n\n<p>Radiation therapy using Methotrexate Orion Pharma may increase the risk of soft tissue or skeletal necrosis (tissue death).&nbsp;If you have had skin problems after radiation therapy (radiation dermatitis) or received sun damage, these reactions may recur when you are treated with methotrexate (&#8220;recall&#8221; reaction).&nbsp;Skin changes due to&nbsp;psoriasis&nbsp;may be exacerbated during treatment with methotrexate if you are treated with UV light.<\/p>\n\n\n\n<p>Enlarged&nbsp;lymph nodes&nbsp;(&nbsp;lymphoma&nbsp;) can occur in patients receiving methotrexate in low&nbsp;doses&nbsp;and if this occurs, treatment must be stopped.<\/p>\n\n\n\n<p>Certain diseases of the brain (encephalopathy \/ leukoencephalopathy) have been reported in cancer patients receiving methotrexate.&nbsp;Such&nbsp;side effects&nbsp;can not be ruled out when methotrexate is used to treat other diseases.<\/p>\n\n\n\n<p><em>Before starting treatment<\/em><\/p>\n\n\n\n<p>Before starting treatment, your doctor may take blood samples and also check how well your kidneys and liver are working.&nbsp;You may also have a chest X-ray.&nbsp;Additional tests can be done during and after treatment.&nbsp;Do not miss any opportunities for blood sampling.<\/p>\n\n\n\n<p><em>Recommended follow-up and precautionary measures<\/em><\/p>\n\n\n\n<p>Serious&nbsp;side effects&nbsp;may occur even if methotrexate is given in low&nbsp;doses&nbsp;.&nbsp;To detect&nbsp;side effects&nbsp;as early as possible, your doctor will take blood and urine samples.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children, adolescents and the elderly<\/h2>\n\n\n\n<p>Children, adolescents and the elderly should be kept under special close medical supervision during treatment with Methotrexate Orion Pharma, in order to detect any possible&nbsp;side effects&nbsp;as early as possible.&nbsp;Use in children under 3 years of age is not recommended due to insufficient experience in this age group.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Methotrexate Orion Pharma<\/h2>\n\n\n\n<p>Other concomitant medications may affect the efficacy and safety of this medicine.&nbsp;Methotrexate Orion Pharma may also affect the efficacy and safety of other medicines.<\/p>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.&nbsp;Remember to talk to your doctor about your treatment with Methotrexate Orion Pharma if you are prescribed another medication while the treatment is still in progress.&nbsp;It is especially important that you tell your doctor if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>antibiotics&nbsp;(medicines to prevent \/ treat certain&nbsp;infections&nbsp;) such as&nbsp;penicillins&nbsp;,&nbsp;sulfonamides&nbsp;,&nbsp;ciprofloxacin&nbsp;, cephalotin, trimethoprim \/ sulfamethoxazole,&nbsp;tetracycline&nbsp;and chloramphenicol<\/li><li>other drugs used to treat&nbsp;rheumatoid arthritis&nbsp;such as leflunomide, sulfasalazine and azatriopine<\/li><li>certain medicines for pain and \/ or&nbsp;inflammation&nbsp;so-called non-steroidal anti-inflammatory medicines (eg&nbsp;ibuprofen&nbsp;,&nbsp;diclofenac&nbsp;, salicylates such as&nbsp;acetylsalicylic acid&nbsp;and pyrazoles such as metamizole)<\/li><li>pyrimethamine (to prevent and treat&nbsp;malaria&nbsp;)<\/li><li>cancer treatments (eg mercaptopurine, 5-fluorouracil, doxorubicin and procarbazine)<\/li><li>antiepileptic drugs (to prevent seizures)<\/li><li>omeprazole or pantoprazole (medicines used to&nbsp;inhibit&nbsp;the production of acid in the stomach)<\/li><li>diuretics&nbsp;(diuretics)<\/li><li>drugs to lower blood sugar levels such as&nbsp;metformin<\/li><li>cholestyramine (a drug that binds bile acids and can be used, for example, to lower cholesterol levels)<\/li><li>ciclosporin (medicines that can suppress or&nbsp;inhibit&nbsp;the immune system)<\/li><li>retinoids&nbsp;(for the treatment of&nbsp;psoriasis&nbsp;and other skin diseases)<\/li><li>birth control pills<\/li><li>barbiturates&nbsp;(sleeping pills)<\/li><li>sedatives<\/li><li>nitrous oxide (used under anesthesia)<\/li><li>probenecid (medicine used to treat&nbsp;gout&nbsp;)<\/li><li>theophylline (drug used to treat lung disease)<\/li><li>vitamin preparations or other products containing&nbsp;folic acid<\/li><li>live vaccines.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Methotrexate Orion Pharma with food, drink and alcohol<\/h2>\n\n\n\n<p>Alcohol as well as large amounts of coffee, caffeinated soft drinks and black tea should be avoided during treatment with Methotrexate Orion Pharma.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>If you are pregnant, breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p><em>Pregnancy&nbsp;<\/em><\/p>\n\n\n\n<p>Do&nbsp;<strong>not<\/strong>&nbsp;use Methotrexate Orion Pharma during pregnancy unless your doctor prescribes it for cancer treatment.<\/p>\n\n\n\n<p>Methotrexate can cause congenital malformations, birth defects and miscarriages.&nbsp;It is associated with malformations of the skull, face, heart and blood vessels, brain and arms and legs.&nbsp;It is therefore very important that methotrexate is not given to pregnant women or to women planning to become pregnant unless used for cancer treatment.<\/p>\n\n\n\n<p>For indications other than cancer, a possible pregnancy in fertile women must be ruled out, e.g.&nbsp;through pregnancy tests, before starting treatment.<\/p>\n\n\n\n<p>Do not use Methotrexate Orion Pharma if you are trying to get pregnant.&nbsp;You must avoid becoming pregnant during treatment with methotrexate and for at least 6 months after stopping treatment.&nbsp;Be sure to use effective contraception throughout this time (see also section \u201cWarnings and Precautions\u201d).<\/p>\n\n\n\n<p>If you become pregnant during treatment or suspect you may be pregnant, talk to your doctor as soon as possible.&nbsp;If you become pregnant during treatment, you should be offered medical advice on the risk of harmful effects on the baby due to the treatment.<\/p>\n\n\n\n<p>If you want to get pregnant, talk to your doctor, who can refer you to specialist advice before the planned start of treatment.<\/p>\n\n\n\n<p><em>Breast-feeding&nbsp;<\/em><\/p>\n\n\n\n<p>You should not breast-feed during treatment, as methotrexate passes into breast milk.&nbsp;If your doctor thinks that treatment with methotrexate is absolutely necessary during the breast-feeding period, you must stop breast-feeding.<\/p>\n\n\n\n<p><em>Fertility&nbsp;in men<\/em><\/p>\n\n\n\n<p>Available data do not indicate an increased risk of malformations or miscarriages if the father takes less methotrexate than 30 mg \/ week.&nbsp;However, a risk can not be completely ruled out and there is no information on higher&nbsp;doses&nbsp;of methotrexate.&nbsp;Methotrexate may have genotoxic effects.&nbsp;This means that the drug can cause gene mutations.&nbsp;Methotrexate can affect sperm production, which is associated with the risk of congenital malformations.<\/p>\n\n\n\n<p>You should avoid getting a woman pregnant and donating sperm during treatment with methotrexate and for at least 6 months after stopping treatment.&nbsp;Because treatment with methotrexate may cause&nbsp;infertility&nbsp;and gene mutations at higher&nbsp;doses&nbsp;that are common in cancer treatment, male patients treated with methotrexate at&nbsp;doses&nbsp;above 30 mg \/ week should consider sperm preservation before starting treatment (see also section \u201cWarnings and precautions\u201d).<\/p>\n\n\n\n<p>Talk to your doctor or pharmacist before taking any medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You may feel tired and dizzy while taking Methotrexate Orion Pharma.&nbsp;Do not drive or use machines if you experience such symptoms.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and or&nbsp;side effects&nbsp;.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Methotrexate Orion Pharma contains lactose<\/h2>\n\n\n\n<p>These tablets contain&nbsp;lactose&nbsp;.&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Methotrexate Orion Pharma<\/h2>\n\n\n\n<p>Always take Methotrexate Orion Pharma exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Patients with&nbsp;rheumatoid arthritis&nbsp;,&nbsp;psoriasis&nbsp;or psoriatic arthritis should take the tablets&nbsp;<strong>only once a week<\/strong>&nbsp;, on the same day each week.<\/li><li>Do not take the tablets more often than your doctor has told you to do.<\/li><li><strong>Daily&nbsp;administration&nbsp;can lead to serious toxic effects, including death<\/strong>&nbsp;<\/li><li>Take the tablets with a glass of water while sitting or standing up.<\/li><\/ul>\n\n\n\n<p><em>Dosage&nbsp;for&nbsp;rheumatoid arthritis&nbsp;,&nbsp;psoriasis&nbsp;and psoriatic arthritis:<\/em><\/p>\n\n\n\n<p>Take the tablets&nbsp;<strong>once a week<\/strong>&nbsp;on the same day each week.&nbsp;The usual&nbsp;dose&nbsp;is between 7.5 and 15 mg once a week.<\/p>\n\n\n\n<p><em>Dosage&nbsp;for maintenance treatment of&nbsp;acute&nbsp;lymphocytic&nbsp;leukemia<\/em><\/p>\n\n\n\n<p>Your doctor will calculate the&nbsp;dose&nbsp;required based on your body surface area.&nbsp;Your doctor will determine the right&nbsp;dose&nbsp;for you.&nbsp;Ask your doctor if you want more information.<\/p>\n\n\n\n<p><em>Special patient groups<\/em><\/p>\n\n\n\n<p>The dose&nbsp;is usually reduced&nbsp;according to the doctor&#8217;s prescription for elderly patients and for patients with renal or hepatic impairment.&nbsp;See also section 2. &#8220;Do not take Methotrexate Orion Pharma&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>For children and adolescents with&nbsp;acute&nbsp;lymphocytic&nbsp;leukemia&nbsp;who receive maintenance treatment, the doctor calculates the&nbsp;dose&nbsp;individually depending on the body surface area.<\/p>\n\n\n\n<p><strong>Safe handling of Methotrexate Orion Pharma tablets<\/strong><\/p>\n\n\n\n<p>Proper handling of cytotoxic drugs should be applied.&nbsp;Everyone taking methotrexate should wash their hands before and after a&nbsp;dose&nbsp;has been given.&nbsp;Disposable gloves should be used when handling methotrexate tablets.&nbsp;Women who are pregnant, planning to become pregnant or breast-feeding should, if possible, avoid taking methotrexate tablets.<\/p>\n\n\n\n<p>Contact with skin and mucous membranes must be avoided.&nbsp;If methotrexate comes into contact with skin or mucous membranes, wash the area immediately with soap and water.<\/p>\n\n\n\n<p>Parents, caregivers and patients should keep methotrexate out of the reach of children, preferably in a locked cupboard.<\/p>\n\n\n\n<p>Accidental ingestion can be fatal to children.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Methotrexate Orion Pharma than you should&nbsp;<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example, a child has ingested the medicine by mistake, contact a doctor, hospital or the Poison Information Center (tel. 112) for risk assessment and advice.<\/p>\n\n\n\n<p>An overdose of methotrexate can lead to serious toxic reactions, including death.&nbsp;Symptoms of overdose may include bruising or bleeding, abnormal weakness, cold sores, nausea, vomiting, black or bloody stools, bloody coughs or vomiting similar to coffee grounds and decreased urination.&nbsp;See also section 4 &#8220;Possible side effects&#8221;.<\/p>\n\n\n\n<p>Bring the medicine pack with you if you see a doctor or hospital.&nbsp;If you have used too much methotrexate, you will be given calcium folinate to reduce the&nbsp;side effects&nbsp;of methotrexate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Methotrexate Orion Pharma<\/h2>\n\n\n\n<p>Take the missed&nbsp;dose&nbsp;one as soon as possible when you remember if it is within two days.&nbsp;If you have missed a&nbsp;dose&nbsp;for more than two days, consult your doctor for advice.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose&nbsp;.<\/p>\n\n\n\n<p>Make sure you have enough medicine before your holiday or trip.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Methotrexate Orion Pharma<\/h2>\n\n\n\n<p>Do not stop taking Methotrexate Orion Pharma unless your doctor tells you to.&nbsp;Should you need to stop taking Methotrexate Orion Pharma, your doctor will decide which method is best for you.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects&nbsp;, although not everybody gets them.&nbsp;In general, the incidence and severity of methotrexate&nbsp;side effects are&nbsp;dose&nbsp;related&nbsp;and how often the tablets are taken.&nbsp;Most&nbsp;side effects&nbsp;are transient if they are detected early.<\/p>\n\n\n\n<p><strong>Tell your doctor immediately if<\/strong>&nbsp;you notice any of the following symptoms as they may indicate a serious, potentially life-threatening, side effect that requires special treatment:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>a dry cough and \/ or pain or difficulty breathing or shortness of breath, chest pain or fever<\/li><li>blood in saliva or cough *<\/li><li>unusual bleeding (including bloody vomiting), bruising or nosebleeds<\/li><li>nausea, vomiting, abdominal discomfort or severe diarrhea<\/li><li>sores in the mouth<\/li><li>black or tar-colored stools<\/li><li>hypersensitivity reaction&nbsp;that causes fever, rash, swelling and sometimes a drop in blood pressure<\/li><li>an extremely severe&nbsp;allergic reaction&nbsp;with skin rash usually in the form of blisters or sores in the oral cavity and eyes and other mucous membranes such as the genitals (Steven-Johnson syndrome,&nbsp;toxic epidermal necrolysis&nbsp;)<\/li><li>other symptoms of an&nbsp;infection&nbsp;such as fever or severe general deterioration or fever with local signs of&nbsp;infection&nbsp;such as sore throat \/ inflammation of the throat or mouth or difficulty urinating, seek medical attention immediately.&nbsp;Methotrexate can reduce the number of&nbsp;white blood cells&nbsp;and therefore weaken your immune system.&nbsp;Blood samples will be taken to examine a possible decrease in&nbsp;white blood cells&nbsp;(&nbsp;agranulocytosis&nbsp;).<\/li><li>yellowing of the skin (jaundice)<\/li><li>pain or difficulty urinating<\/li><li>thirst and \/ or frequent urination<\/li><li>blurred or impaired vision<\/li><\/ul>\n\n\n\n<p>Most of the effects listed below are seen only in patients receiving high-&nbsp;dose&nbsp;methotrexate to treat cancer.&nbsp;They are not seen as often and are not as severe at the&nbsp;doses&nbsp;used in the treatment of&nbsp;psoriasis&nbsp;or&nbsp;rheumatoid arthritis&nbsp;.<\/p>\n\n\n\n<p><strong>Very common<\/strong>&nbsp;(may affect more than 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>loss of appetite, nausea, vomiting,&nbsp;dyspepsia&nbsp;, abdominal pain,&nbsp;stomatitis&nbsp;(soreness in the mouth and lips)<\/li><li>increase in liver enzyme<\/li><\/ul>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people):&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>infection&nbsp;is<\/li><li>decreased blood cell formation with a decreased number of white and \/ or&nbsp;red blood cells&nbsp;and \/ or&nbsp;platelets&nbsp;(leukocytopenia,&nbsp;anemia&nbsp;, trobmocytopenia)<\/li><li>headache, dizziness, abnormal fatigue, drowsiness<\/li><li>lung infection&nbsp;(&nbsp;pneumonia&nbsp;), dry cough<\/li><li>diarrhea<\/li><li>rash, reddening of the skin,&nbsp;itching<\/li><li>hair loss.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people):&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cancer of the lymph nodes (or&nbsp;tissues&nbsp;)<\/li><li>diabetes mellitus<\/li><li>depression, confusion<\/li><li>seizures, fraud<\/li><li>ulcers and bleeding in the gastrointestinal tract<\/li><li>nosebleeds<\/li><li>the formation of excess connective tissue in an organ (&nbsp;fibrosis&nbsp;)<\/li><li>decreased levels of serum albumin<\/li><li>inflammation&nbsp;of blood vessels, often with skin rash (&nbsp;vasculitis&nbsp;), increased&nbsp;pigmentation&nbsp;of the skin, slow wound healing, increased rheumatic nodules<\/li><li>ulcers and&nbsp;inflammation&nbsp;of the bladder, disturbed urination<\/li><li>liver damage<\/li><li>renal impairment<\/li><li>pain in joints or muscles, a type of bone disease with reduced bone density (&nbsp;osteoporosis&nbsp;)<\/li><li>vaginal&nbsp;inflammation&nbsp;and ulcers<\/li><li>overindulge.<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>inflammation&nbsp;throughout the body that can be fatal (&nbsp;sepsis&nbsp;),&nbsp;herpes&nbsp;zoster (&nbsp;shingles&nbsp;)<\/li><li>a blood disease characterized by very large&nbsp;red blood cells&nbsp;(megaloblastic&nbsp;anemia&nbsp;)<\/li><li>Mood swings<\/li><li>impairment of mobility (may also be limited to the left or right side of the body only)<\/li><li>severe visual disturbances<\/li><li>fluid in the sac around the heart.&nbsp;May cause&nbsp;cardiac tamponade&nbsp;which is a life threatening condition where the heart cannot pump properly due to external pressure.&nbsp;May require surgery to&nbsp;drain&nbsp;fluid and remove pressure.<\/li><li>low&nbsp;blood pressure&nbsp;, blood clot<\/li><li>complete or severe weakness of the respiratory muscles, shortness of breath,&nbsp;inflammation&nbsp;of the throat,&nbsp;asthma<\/li><li>inflammation&nbsp;of the pancreas, inflamed gums<\/li><li>inflammation&nbsp;of the liver (&nbsp;acute&nbsp;hepatitis&nbsp;)<\/li><li>skin reactions (&nbsp;acne&nbsp;,&nbsp;depigmentation&nbsp;of the skin,&nbsp;hives&nbsp;, photosensitivity, erythema multiforme, burning sensation in psoriasis ulcers, skin ulcers, red or purple dots due to vascular bleeding), nail discharge, dark areas on the nails<\/li><li>stress fractures<\/li><li>decreased or no urine production, disturbances in the electrolyte balance<\/li><li>menstrual disorders,&nbsp;impotence<\/li><\/ul>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>immunodeficiency (&nbsp;hypogammaglobulinemia&nbsp;), increased susceptibility&nbsp;to&nbsp;infection<\/li><li>lymphoproliferative disorders (abnormal growth of&nbsp;white blood cells&nbsp;)<\/li><li>insomnia<\/li><li>brain swelling, speech difficulties (&nbsp;dysarthria&nbsp;), irritation, drowsiness, fatigue (&nbsp;lethargy&nbsp;), mild temporary problems with intellectual functions (&#8220;brain fog&#8221;), unusual sensations in the head, muscle weakness, feeling numb or crawling \/ lower sensitivity to stimulation than normal, altered sense of taste (metallic taste)<\/li><li>redness&nbsp;and irritation of the thin&nbsp;membrane&nbsp;covering the eye (&nbsp;conjunctivitis&nbsp;), visual impairment, damage to the retina of the eye<\/li><li>inflammation&nbsp;of blood vessels (&nbsp;vasculitis&nbsp;), bloody vomiting<\/li><li>reactivation of&nbsp;chronic&nbsp;hepatitis, liver failure<\/li><li>enlarged colon associated with inflammation \/ infection<\/li><li>infection&nbsp;around the fingernails, deep&nbsp;infection&nbsp;of hair follicles (&nbsp;furunculosis&nbsp;), bruising,&nbsp;acne<\/li><li>protein&nbsp;or blood in the urine, painful urination, bladder inflammation<\/li><li>low sperm count, breast augmentation in men, vaginal bleeding, lost sex drive<\/li><li>fever.<\/li><\/ul>\n\n\n\n<p><strong>The following&nbsp;side effects&nbsp;have been reported but occur in an unknown number of users:<\/strong><\/p>\n\n\n\n<p>Fatal&nbsp;sepsis&nbsp;, abnormally low number of blood cells, bleeding from the lungs *, bone damage in the jaw (due to abnormal growth of&nbsp;white blood cells&nbsp;) brain disease, pathological changes in the white brain substance (leukoencephalopathy),&nbsp;inflammation&nbsp;of the alveoli (alveolitis), physical weakness, increased risk for toxic reactions during radiation therapy, reddening of the skin and scaly skin, swelling.&nbsp;Flaking, red spots on the skin associated with&nbsp;psoriasis&nbsp;that can get worse if exposed to ultraviolet light, such as the sun, and by taking methotrexate.&nbsp;Skin problems after radiation therapy (radiation dermatitis) or sun damage can recur when taking methotrexate.<\/p>\n\n\n\n<p>* (has been reported when methotrexate has been used in patients with underlying rheumatic disease)<\/p>\n\n\n\n<p><strong>Reporting of&nbsp;side effects&nbsp;ar<\/strong><\/p>\n\n\n\n<p>If you get&nbsp;any side effects&nbsp;, talk to your doctor, pharmacist or nurse.&nbsp;This also applies to&nbsp;side effects&nbsp;that are not mentioned in this information.&nbsp;You can also report&nbsp;side effects&nbsp;directly (see details below).&nbsp;By reporting&nbsp;side effects&nbsp;, you can help increase the safety of medicines.<\/p>\n\n\n\n<p>The Medical Products Agency<\/p>\n\n\n\n<p>Box 26<\/p>\n\n\n\n<p>751 03 Uppsala<\/p>\n\n\n\n<p><a href=\"http:\/\/www.lakemedelsverket.se\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.lakemedelsverket.se<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Methotrexate Orion Pharma<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children, preferably in a locked cupboard.&nbsp;Accidental ingestion can be fatal to children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the can, blister and outer carton.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>This medicine does not require any special storage temperature.<\/p>\n\n\n\n<p>Store the tablet jar \/ blister in the outer carton.&nbsp;Sensitive to light.<\/p>\n\n\n\n<p>Proper handling of cytotoxic drugs should be applied.&nbsp;Everyone taking methotrexate should wash their hands before and after a&nbsp;dose&nbsp;has been given.&nbsp;Disposable gloves should be used when handling methotrexate tablets.&nbsp;Women who are pregnant, planning to become pregnant or breast-feeding should not take methotrexate tablets.<\/p>\n\n\n\n<p>Any unused product or waste material should be disposed of in accordance with&nbsp;local requirements&nbsp;.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is methotrexate, each tablet contains 2.5 mg or 10 mg methotrexate (as methotrexate disodium).<\/li><li>The other ingredients are&nbsp;lactose monohydrate&nbsp;, microcrystalline cellulose and magnesium stearate<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p><em>Methotrexate Orion Pharma 2.5 mg tablets:<\/em>&nbsp;Yellow, round, uncoated, flat tablet with a score line and marked with ORN 57 on one side, diameter 6 mm.&nbsp;The breaker is not there to divide the tablet into equal&nbsp;doses&nbsp;, but only to facilitate swallowing.&nbsp;<\/p>\n\n\n\n<p><em>Methotrexate Orion Pharma 10 mg tablets:<\/em>&nbsp;Yellow, capsule-shaped, convex, uncoated tablet, marked ORN 59 on one side and breaker on the other side, length 14 mm and width 6 mm.&nbsp;The tablet can be divided into two equal&nbsp;doses&nbsp;.<\/p>\n\n\n\n<p><em>Pack sizes:<\/em><\/p>\n\n\n\n<p><em>Jar with lid, with or without child protection mechanism.<\/em><\/p>\n\n\n\n<p>2.5 mg: 10, 12, 24, 28, 30, 50 and 100 tablets.<\/p>\n\n\n\n<p>10 mg: 10, 15, 25, 50 and 100 tablets.<\/p>\n\n\n\n<p><em>Blister pack<\/em><\/p>\n\n\n\n<p>2.5 mg: 24, 50 and 100 tablets.<\/p>\n\n\n\n<p>10 mg: 4 tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong>&nbsp;<\/p>\n\n\n\n<p>Orion Corporation<br>Orionintie 1<br>FI-02200 Espoo<br>Finland<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong>&nbsp;<\/p>\n\n\n\n<p>Orion Corporation Orion Pharma<br>Orionintie 1<br>FI-02200 Espoo<\/p>\n\n\n\n<p>Finland<\/p>\n\n\n\n<p>Orion Corporation Orion Pharma<\/p>\n\n\n\n<p>Connector current 8<\/p>\n\n\n\n<p>FI-20360 Turku<\/p>\n\n\n\n<p>Finland<\/p>\n\n\n\n<p>For further information on this medicine, please contact your local representative:<\/p>\n\n\n\n<p>Orion Pharma AB, Danderyd<\/p>\n\n\n\n<p>medinfo@orionpharma.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Methotrexate Orion Pharma is a medicine with the following properties:<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[12794,17255,4858,17250,17254,17253,4860,17249,4859,17251,12793,17252],"class_list":["post-17746","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-methotrexate","tag-benefits-of-methotrexate-orion-pharma","tag-methotrexate","tag-methotrexate-orion-pharma","tag-methotrexate-orion-pharma-side-effects","tag-methotrexate-orion-pharma-tablet","tag-methotrexate-side-effects","tag-methotrexate-tablet","tag-what-is-methotrexate","tag-what-is-methotrexate-orion-pharma","tag-what-methotrexate-is-used-for","tag-what-methotrexate-orion-pharma-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17746","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=17746"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17746\/revisions"}],"predecessor-version":[{"id":17781,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17746\/revisions\/17781"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}