Folitrax 7.5 Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Fever, sore throat, or other signs of infection
- Easy bruising or bleeding
- Yellowing of skin or eyes (jaundice)
- Dark urine or pale stools
- Shortness of breath or new cough
- Severe mouth sores or ulcers
- Decreased urine output or swelling
- Severe abdominal pain or vomiting blood
- Blood in stool or black tarry stools
- Sudden vision changes or seizures
If experiencing severe symptoms, call emergency services immediately.
What is auratrex 7.5mg tablet used for?
This medicine contains methotrexate, a disease-modifying antirheumatic drug (DMARD) used to treat rheumatoid arthritis, psoriasis, and certain cancers. It works by inhibiting dihydrofolate reductase, slowing cell growth and reducing inflammation. It is taken orally once weekly, with regular blood tests to monitor for side effects. It must not be used during pregnancy or breastfeeding.
- Generic Name: Methotrexate (7.5mg)
- Manufacturer: Abbott
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 auratrex 7.5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा मेथोट्रेक्सेट नामक सक्रिय तत्व से बनी है और मुख्य रूप से रूमेटॉयड आर्थराइटिस, सोरायसिस और कुछ प्रकार के कैंसर के इलाज में उपयोग की जाती है। यह शरीर में सूजन को कम करने और रोग प्रतिरोधक प्रणाली को नियंत्रित करने में मदद करती है। यह दवा धीरे-धीरे काम करती है और इसे डॉक्टर की सलाह के अनुसार ही लेना चाहिए। गर्भवती महिलाओं और स्तनपान कराने वाली महिलाओं को यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में परेशानी, भूख न लगना, मुंह में छाले और थकान शामिल हैं। गंभीर दुष्प्रभावों में रक्त कोशिकाओं का कम बनना, लीवर की क्षति, गुर्दे की समस्या, फेफड़ों में सूजन और गंभीर त्वचा प्रतिक्रियाएं हो सकती हैं। इनके लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे भोजन के साथ लेने से पेट की परेशानी कम हो सकती है। शराब का सेवन पूरी तरह बंद कर दें क्योंकि इससे लीवर को नुकसान हो सकता है। गर्भावस्था के दौरान इस दवा का उपयोग न करें। नियमित रूप से खून की जांच कराते रहें। बिना डॉक्टर की सलाह के कोई अन्य दर्द निवारक दवा न लें।
💊 auratrex 7.5mg tablet Uses & Benefits
[{"condition":"Rheumatoid arthritis","description":"Used as a first-line disease-modifying antirheumatic drug to reduce joint inflammation, pain, and prevent joint damage.","evidence":"Well-established"},{"condition":"Psoriasis","description":"Used for severe plaque psoriasis that has not responded to topical treatments or phototherapy.","evidence":"Well-established"},{"condition":"Acute lymphoblastic leukemia","description":"Used in combination chemotherapy regimens for induction and maintenance of remission.","evidence":"Well-established"},{"condition":"Breast cancer","description":"Used as part of adjuvant or palliative chemotherapy for breast cancer.","evidence":"Well-established"},{"condition":"Head and neck cancer","description":"Used in combination with other chemotherapy agents for advanced head and neck cancers.","evidence":"Well-established"},{"condition":"Non-Hodgkin lymphoma","description":"Used in some chemotherapy regimens for certain types of non-Hodgkin lymphoma.","evidence":"Established"},{"condition":"Osteosarcoma","description":"Used as part of combination chemotherapy for osteosarcoma.","evidence":"Established"},{"condition":"Ectopic pregnancy","description":"Used as a medical treatment to terminate an early ectopic pregnancy in selected cases.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Systemic lupus erythematosus","description":"Sometimes used as a steroid-sparing agent in mild to moderate lupus.","evidence":"Limited"},{"condition":"Inflammatory bowel disease","description":"Occasionally used to maintain remission in Crohn's disease or ulcerative colitis.","evidence":"Limited"},{"condition":"Sarcoidosis","description":"Used in some cases to reduce steroid requirements.","evidence":"Limited"},{"condition":"Myasthenia gravis","description":"Rarely used as an immunosuppressant in refractory cases.","evidence":"Limited"}]
Primary treatment for: Rheumatoid arthritis
Also treats: Psoriasis, Acute lymphoblastic leukemia, Breast cancer, Head and neck cancer, Non-Hodgkin lymphoma, Osteosarcoma, Ectopic pregnancy
📋 Drug Information
| Generic Name(s) | Methotrexate (7.5mg) |
| Brand Name | auratrex 7.5mg tablet |
| Manufacturer | Abbott |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Antimetabolite- Methotrexate |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep the tablets in their original container, tightly closed. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Methotrexate works by inhibiting the enzyme dihydrofolate reductase (DHFR), which is needed to convert folic acid into its active form, tetrahydrofolate. Tetrahydrofolate is essential for the synthesis of thymidylate and purines, which are building blocks of DNA and RNA. By blocking this pathway, methotrexate slows down the growth of rapidly dividing cells, such as cancer cells and immune cells. In autoimmune diseases like rheumatoid arthritis and psoriasis, this reduction in immune cell activity helps to decrease inflammation and tissue damage. Additionally, methotrexate increases the release of adenosine, a molecule that has anti-inflammatory effects, which contributes to its benefit in rheumatic conditions.
Mechanism Steps
💡 How to Take auratrex 7.5mg tablet
Strength: This medicine is available as a 7.5 mg immediate-release tablet for oral administration.
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and response to treatment. For rheumatoid arthritis, a common starting dose is 7.5 mg once weekly, which may be adjusted up to 20 mg weekly. For psoriasis, similar weekly dosing is used. For cancer, doses are much higher and are given as part of a chemotherapy regimen, often with leucovorin rescue. This medicine is usually taken as a single weekly dose, not daily. Never adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially bone marrow suppression and liver toxicity. Dose reduction may be necessary based on renal function and overall health. Close monitoring is recommended. |
| Renal Impairment | In patients with renal impairment, the dose of this medicine should be reduced or the interval between doses increased. For mild renal impairment (creatinine clearance 60-89 mL/min), no adjustment may be needed, but monitoring is advised. For moderate impairment (30-59 mL/min), dose reduction is recommended. For severe impairment (less than 30 mL/min), this medicine is contraindicated. Consult a nephrologist or clinical pharmacist for specific dosing. |
| Hepatic Impairment | In patients with hepatic impairment, this medicine should be used with caution. Dose reduction may be necessary. In severe hepatic impairment, it is contraindicated. Regular monitoring of liver function tests is essential. |
| Maximum Daily Dose | The maximum dose varies by indication. For rheumatoid arthritis, the maximum recommended weekly dose is 20-25 mg. For cancer, higher doses are used under strict supervision. This medicine is not taken daily for rheumatic conditions. Always follow your prescribed regimen. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of auratrex 7.5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| NSAIDs | Major | |
| Aspirin | Major | |
| Probenecid | Major | |
| Trimethoprim-sulfamethoxazole | Major | |
| Live vaccines | Major | |
| Corticosteroids | Moderate | |
| Phenytoin | Moderate | |
| Theophylline | Moderate | |
| Penicillins | Moderate | |
| Folic acid | Minor |
🚨 Major Interactions
- NSAIDs (e.g., ibuprofen, naproxen)
- Aspirin
- Probenecid
- Trimethoprim-sulfamethoxazole
- Live vaccines
⚡ Moderate Interactions
- Corticosteroids
- Phenytoin
- Theophylline
- Penicillins
🍷 Alcohol Interaction
Alcohol should be completely avoided while taking this medicine. Alcohol increases the risk of liver damage and can worsen methotrexate-induced liver toxicity. It may also increase the risk of stomach bleeding and ulcers.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy or planning to become pregnant","Breastfeeding","Severe renal impairment","Severe hepatic impairment","Pre-existing blood dyscrasias (e.g., bone marrow hypoplasia, leukopenia, thrombocytopenia, anemia)","Active infection","Immunodeficiency syndromes","Hypersensitivity to methotrexate","Concurrent use of live vaccines"]
⚠️ Warnings & Precautions
["This medicine should only be used under the supervision of a qualified healthcare professional experienced in its use.","Regular blood tests are required to monitor for bone marrow suppression, liver toxicity, and kidney toxicity.","Avoid alcohol completely during treatment.","Use effective contraception during treatment and for a specified period after stopping.","Do not receive live vaccines while on this medicine.","Avoid close contact with people who have infections.","Report any signs of infection, bleeding, or unusual tiredness immediately.","This medicine may cause dizziness or fatigue; avoid driving or operating machinery until you know how it affects you.","Do not take NSAIDs or aspirin without consulting your doctor.","Folic acid supplements may be prescribed to reduce side effects; take them as directed."]
🤱 Lactation Safety
Methotrexate is excreted in breast milk and may cause serious adverse effects in the nursing infant. Breastfeeding is contraindicated during treatment with this medicine.
💊 Overdose Management
Overdose of methotrexate can cause severe bone marrow suppression, liver toxicity, kidney toxicity, and mucositis. If overdose is suspected, seek emergency medical attention immediately. Treatment may include administration of leucovorin (folinic acid) to rescue normal cells, hydration, and supportive care. Hemodialysis may be considered in severe cases with renal failure.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is within a few hours of the scheduled time. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not take more or less than the recommended dose. Swallow the tablet whole with a glass of water, with or without food, but taking it with food may reduce stomach upset. Avoid alcohol completely while on this medicine as it increases the risk of liver damage. Do not take over-the-counter pain relievers like ibuprofen or aspirin without consulting your doctor, as they can increase the toxicity of this medicine. Use effective contraception during treatment and for at least 6 months after stopping if you are a woman, and for 3 months if you are a man, as this medicine can harm an unborn baby. Inform your doctor immediately if you become pregnant or suspect you might be pregnant. Keep all scheduled blood tests to monitor your blood counts, liver, and kidney function. Avoid close contact with people who have infections, and practice good hand hygiene. Do not receive any live vaccines while on this medicine. Store this medicine at room temperature away from moisture and heat, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of bone marrow suppression, liver toxicity, and kidney toxicity. Dose reduction may be necessary based on renal function. Close monitoring of blood counts and organ function is recommended. Falls and infections should be monitored carefully.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated in pregnancy and can cause birth defects. Women should use effective contraception during treatment and for at least 6 months after stopping. Men should use contraception for at least 3 months after treatment. If you are planning pregnancy, consult your doctor to discuss alternative treatments and a washout period.
🏥 Post-Surgery Considerations
This medicine may impair wound healing and increase infection risk after surgery. Inform your surgeon that you are taking this medicine. Your doctor may advise temporarily stopping it before surgery. Do not stop without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it can increase the risk of bleeding and infection. Your dentist may recommend postponing elective dental procedures until your blood counts are stable. Maintain good oral hygiene to prevent mouth sores.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can exercise, but listen to your body. Avoid high-impact activities that stress your joints, especially during flare-ups. If you have fatigue or anemia, take rest breaks. Consult your doctor before starting a new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause fatigue, dizziness, or nausea, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Most patients can continue their normal work life with adjustments. If your job involves heavy physical labor, discuss with your doctor about modifications during flare-ups.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Stopping suddenly can cause your condition to flare. Your doctor may stop the medicine if you develop serious side effects, become pregnant, or if your disease is in remission. Always follow your doctor's guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to liver fibrosis or cirrhosis, especially with alcohol use or pre-existing liver disease. It can also cause bone marrow suppression, increased risk of infections, and kidney problems. Regular monitoring of blood counts, liver and kidney function is essential. Some patients may develop lung toxicity. The benefits of long-term use in rheumatoid arthritis and psoriasis often outweigh the risks when monitored appropriately.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain and improve joint function.
Evidence: Well-establishedAnti-inflammatory diet may help reduce symptoms in rheumatoid arthritis.
Evidence: LimitedMay help with pain relief in some patients.
Evidence: LimitedAlternative for patients who cannot tolerate or do not respond to methotrexate.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should not be administered while taking this medicine due to the risk of vaccine-related infections. Inactivated vaccines are generally safe, but the immune response may be reduced. Consult your doctor before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C) in a dry place
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. Store at room temperature and protect from moisture. If crossing time zones, maintain your weekly dosing schedule; consult your doctor if unsure. Carry a list of your medications and emergency contact information. Check local regulations regarding controlled substances, though methotrexate is generally not a controlled drug.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may take 3 to 6 weeks to show initial effects and up to 3 to 6 months for full benefit in rheumatoid arthritis. In cancer, effects depend on the regimen.
A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.
A: Avoid alcohol, live vaccines, and NSAIDs without consulting your doctor. Also avoid becoming pregnant or fathering a child while on this medicine.
A: For rheumatic conditions, it is usually taken once weekly. For cancer, the schedule is determined by your oncologist. Never take it daily unless prescribed.
A: Watch for fever, sore throat, easy bruising or bleeding, yellowing of skin or eyes, shortness of breath, severe mouth sores, and decreased urine output. Report these immediately.
🤔 Common Patient Concerns
🔄 Substitutes for auratrex 7.5mg tablet
View AllAlternative brands with exact same active ingredient:
-
mexate 7.5 mg injectionZydus Cadila ₹30.00 36.4% CHEAPER
-
davaindia methotrexate 7.5mg tabletDavaindia Generic Pharmacy ₹35.00 25.8% CHEAPER
-
folitrax 7.5mg injectionIpca Laboratories Ltd ₹56.10 18.9% COSTLIER
-
ethitrex 7.5 tabletEthicare Remedies ₹85.00 80.1% COSTLIER
-
imutaj 7.5mg tabletTaj Pharma India Ltd ₹87.00 84.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Methotrexate is a painkiller and works immediately.
Fact: Methotrexate is not a painkiller; it works slowly over weeks to months to control the underlying disease. - Myth: Methotrexate is safe to take during pregnancy.
Fact: Methotrexate is contraindicated in pregnancy as it can cause birth defects and miscarriage. - Myth: You can drink alcohol while on methotrexate.
Fact: Alcohol should be avoided as it increases the risk of liver damage. - Myth: Methotrexate can be taken daily like other medicines.
Fact: Methotrexate for rheumatic conditions is usually taken once weekly, not daily.
🔄 Alternative Options
Generic Alternatives
- Methotrexate 7.5 mg tablet (various manufacturers)
Brand Alternatives
- Folitrax 7.5 Tablet