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Trexall
| Methotrexate (Generic) Methotrexate Sodium | ||||||
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Shipped from Canada | ||||||
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| Methotrexate (Generic) Methotrexate Sodium | ||||||
Shipped from United Kingdom | ||||||
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| Select product strength & quantity:
Who is the product for? YouOtherAdd Family Member/PetYou must be logged in to add additional members to the order. Don't have an account? or Add Family Member/PetSign inTo continue, please enter your email address and password that you use for your account. | ||||||
General Medication Fact Sheet for Trexall
| Field | Information |
|---|---|
| Medication Name | Trexall |
| Generic Name | Methotrexate |
| Boxed/Label Warning | Yes. Trexall carries boxed warnings for hepatotoxicity, myelosuppression, gastrointestinal toxicity, pneumonitis, opportunistic infections, dermatologic reactions, malignancy, and embryo-fetal toxicity. |
| Purpose | Disease-modifying antirheumatic drug (DMARD) used to treat rheumatoid arthritis, psoriasis, and certain types of cancer. |
| Mechanism of Action | Inhibits dihydrofolate reductase, an enzyme involved in DNA synthesis, repair, and cellular replication. |
| Dosage Forms | Oral tablets |
| Available Strengths | 2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg |
| Dosage Frequency | Typically once weekly for rheumatoid arthritis and psoriasis; dosage varies for cancer treatment. |
| Common Side Effects | Nausea, vomiting, diarrhea, mouth sores, fatigue, hair loss. |
| Serious Side Effects | Liver damage, bone marrow suppression, lung problems, infections, kidney problems, severe skin reactions. |
| Drug Interactions | NSAIDs, certain antibiotics (e.g., trimethoprim/sulfamethoxazole), proton pump inhibitors (PPIs), aspirin, live vaccines. |
| Important Notes | Use effective contraception during treatment and for a period after stopping. Regular monitoring of blood counts and liver function is necessary. |
| Storage | Store at room temperature away from moisture and light. |
| Missed Dose | Contact your healthcare provider immediately for instructions. Do not double the dose. |
| Alternatives | Otrexup (methotrexate), Rasuvo (methotrexate), Azathioprine, Leflunomide, Sulfasalazine |
Trexall Alternatives
| Medication | Mechanism of Action | Notes |
|---|---|---|
| Otrexup (methotrexate) | Inhibits dihydrofolate reductase | Subcutaneous auto-injector form of methotrexate. |
| Rasuvo (methotrexate) | Inhibits dihydrofolate reductase | Subcutaneous auto-injector form of methotrexate. |
| Azathioprine (Imuran) | Purine analog; inhibits DNA and RNA synthesis | Immunosuppressant used in autoimmune conditions. |
| Leflunomide (Arava) | Inhibits pyrimidine synthesis | DMARD for rheumatoid arthritis. |
| Sulfasalazine (Azulfidine) | Mechanism not fully understood; anti-inflammatory properties | Used for rheumatoid arthritis and ulcerative colitis. |
Trexall Side Effects
| Common Side Effects | Serious Side Effects |
|---|---|
| Nausea | Liver damage |
| Vomiting | Bone marrow suppression |
| Diarrhea | Lung problems (pneumonitis, pulmonary fibrosis) |
| Mouth sores | Infections |
| Fatigue | Kidney problems |
| Hair loss | Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) |
Trexall Dosage Guide
| Condition | Starting Dose | Maintenance Dose | Administration Notes |
|---|---|---|---|
| Rheumatoid Arthritis | 7.5 mg once weekly | 7.5-25 mg once weekly | Administer orally; folic acid supplementation is often recommended. |
| Psoriasis | 10-25 mg once weekly | Individualized based on response and tolerance | Administer orally; folic acid supplementation is often recommended. |
Trexall Price With And Without Insurance
| Purchase Context | Estimated Price |
|---|---|
| With Insurance | $25 |
| Without Insurance (U.S.) | $1200 |
| From Canada | $500 |
