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 7

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 U.S. Food and Drug Administration ⓘ

How these facts were elicited

Referenced by (7)

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

Remicade → isOftenUsedWith → methotrexate ⓘ
Actemra → oftenUsedWith → methotrexate ⓘ
Daypro → mayInteractWith → methotrexate ⓘ
folinic acid → antidoteFor → methotrexate ⓘ
subject linked to: folinic acid (leucovorin)
ABCG2 → transportSubstrate → methotrexate ⓘ
subject linked to: ABCG2 gene