Polarbearmeds - Home
Methotrexate - Image 1

Methotrexate

No packages found
price-match-guarantee

Price Match Guarantee

We offer competitive pricing on all our medications. Find a lower price? We'll match it from any verified Canadian online pharmacy! Know More

How to Order

Ordering your medication online is simple and convenient.

STEP 01

Select the prescribed dosage and quantity, then proceed to checkout.

STEP 02

Sign in or create a new account.

STEP 03

Upload your prescription.

STEP 04

Complete your purchase by processing the payment.

Shipping takes approximately 3-5 business days.

5 Star Excellence award from Shopper Approved

Product Details

What Is Methotrexate?

What Is Methotrexate?

Methotrexate is a prescription medicine used to treat autoimmune diseases and certain types of cancer. At low doses, it helps control conditions like rheumatoid arthritis, psoriasis, and juvenile idiopathic arthritis. It calms an overactive immune system and reduces inflammation. At higher doses, Methotrexate is used as a chemotherapy drug to slow or stop the growth of cancer cells in diseases such as leukemia, lymphoma, and breast cancer. Methotrexate interferes with the body’s use of folic acid, which cells need to grow and repair. This makes it effective for both immune-related conditions and cancer when used under careful medical supervision.

Quick Facts About Methotrexate

Quick Facts About Methotrexate

Product NameMethotrexate
Drug ClassAntimetabolite, Immunosuppressant, Antineoplastic
FDA Approval StatusFDA-approved for cancer, rheumatoid arthritis, severe psoriasis, and juvenile idiopathic arthritis
Available FormsOral tablets
Strengths Available10 mg
Routes of AdministrationOrally (by mouth)
Administration FrequencyOnce weekly for RA, psoriasis, and JIA. Variable schedules for cancer therapy
Methotrexate UsesRheumatoid arthritis, psoriasis, juvenile idiopathic arthritis, cancers (ALL, lymphoma, osteosarcoma, breast, head/neck, uterus)
Methotrexate ContraindicationsPregnancy, breastfeeding, severe liver disease, alcoholism, blood disorders, active infections
Methotrexate StorageStore at room temperature (20°C-25°C)
Prescription RequiredRx only
Elimination Half-Life3-10 hours (low-dose)
8-15 hours (high-dose)

← Swipe to see more →

What Is the Drug Methotrexate Used For?

What Is the Drug Methotrexate Used For?

Methotrexate is FDA-approved for:

  • Rheumatoid arthritis
  • Polyarticular juvenile idiopathic arthritis
  • Severe psoriasis
  • Various cancers
What Is the Proper Way to Take Methotrexate?

What Is the Proper Way to Take Methotrexate?

If you are prescribed to use Methotrexate for psoriasis, rheumatoid arthritis, or cancer treatment, follow these administration guidelines:

  • Take Methotrexate once a week on the same day each week.
  • Swallow the Methotrexate tablet whole with water. Do not crush or chew it.
  • Always follow the exact Methotrexate dose prescribed by your doctor.
  • Take folic acid supplements as advised to reduce side effects.
  • Avoid alcohol completely to protect your liver while taking Methotrexate 10 mg tablets.
  • For cancer treatment, dosing may be higher or more frequent, and it must be closely supervised by a specialist.
Methotrexate Dosage Guide

Methotrexate Dosage Guide

Follow this Methotrexate 10 mg dosing schedule to treat your condition effectively:

ConditionStarting DoseUsual Dose RangeFrequencyImportant Notes
Methotrexate for Rheumatoid Arthritis (RA)7.5-10 mg orally10-25 mg/weekOnce weekly onlyMay be given as a single weekly dose or split into 2-3 doses over 24 hours. Folic acid supplementation is required.
Methotrexate for Psoriasis (severe)7.5-15 mg orally10-30 mg/weekOnce weekly onlyAdjust based on response and tolerance. Folic acid is required.
Methotrexate for Polyarticular Juvenile Idiopathic Arthritis (pJIA)10 mg/m² orally10-30 mg/m²/weekOnce weekly onlyDose calculated by body surface area. Specialist supervision required.
Methotrexate for Cancer RegimensHighly variableProtocol dependentWeekly or cyclicRequires oncology supervision, hydration, monitoring, and leucovorin rescue.

← Swipe to see more →


How Does Methotrexate Actually Work?

How Does Methotrexate Actually Work?

Methotrexate 10 mg tablets work by blocking the body’s use of folic acid, which is a vitamin needed for cells to make DNA and grow. However, Methotrexate looks very similar to folate because it tricks the enzymes that normally use folate and prevents them from working. This slows the growth of rapidly dividing cells (such as cancer cells, skin cells in psoriasis, or immune cells in rheumatoid arthritis). In simple terms, Methotrexate calms an overactive immune system, reduces inflammation, and stops abnormal cell growth. That’s why it’s used both for autoimmune diseases and certain cancers.

What Happens If I Miss My Methotrexate for a Week?

What Happens If I Miss My Methotrexate for a Week?

Missing one weekly dose of Methotrexate is usually not dangerous. However, you may notice your symptoms (like joint pain or skin flare-ups) creeping back. The important thing is not to double the Methotrexate dose next week. Just take your regular Methotrexate 10 mg dose on your usual day and continue as normal. If you missed a Methotrexate dose for more than one week, let your doctor know. However, there are various side effects of stopping Methotrexate suddenly.

What Happens If You Take Two Doses of Methotrexate?

What Happens If You Take Two Doses of Methotrexate?

Taking an extra dose can be serious because Methotrexate builds up in the body and can cause harmful side effects like mouth ulcers, nausea, liver problems, or low blood counts. If you suspect a Methotrexate overdose, contact the poison control center or your healthcare provider immediately. Do not wait for Methotrexate overdosing symptoms to appear.

Possible Methotrexate Side Effects

Possible Methotrexate Side Effects

Common Side Effects of MethotrexateRare or Serious Side Effects of Methotrexate
Gastrointestinal issues like diarrhea, nausea, vomiting, appetite loss, and abdominal painLiver damage
Mouth soresLung damage
FatigueBlood disorders
Skin issuesSigns of infection
Hair lossKidney damage
Sensitivity to sunlightConfusion, seizures, or neurological changes

← Swipe to see more →

What Are the Methotrexate Warnings?

What Are the Methotrexate Warnings?

  • Methotrexate can cause severe hypersensitivity reactions, including anaphylaxis, and must not be used in patients with a history of such reactions.
  • These tablets can lead to serious infections, and patients should be monitored closely for fever, sore throat, or other signs of infection.
  • Methotrexate can increase the risk of gastrointestinal problems. These include diarrhea, mouth ulcers, and intestinal perforation, which may require stopping treatment.
  • This medication can cause dizziness, fatigue, or confusion, which can significantly affect the ability to operate heavy machinery or drive safely.
  • Methotrexate should not be taken with live vaccines because it weakens the immune system.
  • This medication can cause hair thinning or skin changes, which may be distressing but should be reported to the doctor.
  • Methotrexate can increase risks when combined with radiotherapy, leading to tissue damage or bone problems.

What Is the Boxed Warning for Methotrexate?

Methotrexate Boxed Warning

Methotrexate carries a black box warning because it can cause very serious and sometimes life‑threatening side effects. The strongest warnings highlight that Methotrexate may lead to severe liver damage (including cirrhosis), serious lung problems, and dangerous infections. It can also cause embryo‑fetal toxicity (harm to an unborn baby), meaning it should never be used during pregnancy for non‑cancer conditions. It may result in miscarriage or birth defects. Methotrexate is contraindicated in patients with a history of serious hypersensitivity reactions, including anaphylaxis.

What Should I Know Before Taking Methotrexate?

What Should I Know Before Taking Methotrexate?

Follow these Methotrexate precautions if you are considering this medication for psoriasis, rheumatoid arthritis, and cancer treatment:

  • Methotrexate can increase risks when combined with radiation therapy, leading to tissue damage or bone problems.
  • Do not use Methotrexate if you are pregnant or planning pregnancy.
  • This medication can lower blood counts, which increases the risk of infections, bleeding, and anemia, so regular blood tests are required.
  • These tablets can cause lung problems such as cough, shortness of breath, or scarring, and you should report any breathing difficulty immediately.
  • Methotrexate 10 mg tablets can injure the kidneys, especially at high doses or in people with kidney disease. This is why kidney function must be monitored.
  • Methotrexate can increase sensitivity to sunlight, and patients should avoid excessive sun exposure.
What Are the Storage Conditions for Methotrexate?

What Are the Storage Conditions for Methotrexate?

  • Methotrexate tablets should be stored at room temperature, generally between 20°C-25°C.
  • These tablets should be kept away from moisture, heat, and direct light.
  • Methotrexate tablets should be stored in a locked cupboard or a safe place, out of reach of children, pets, and vulnerable adults.
  • Never store this medication in bathrooms or humid areas.
  • Any unused or expired Methotrexate must be disposed of safely in a cytotoxic waste bin, never in household trash.
What Medications Should You Avoid While Taking Methotrexate?

What Medications Should You Avoid While Taking Methotrexate?

Here are the Methotrexate interactions you should know before starting treatment. These are medications that should generally be avoided while taking Methotrexate:

  • Nonsteroidal anti‑inflammatory drugs (NSAIDs)
    • Ibuprofen
    • Naproxen
    • Aspirin
  • Certain antibiotics
    • Penicillins
    • Sulfonamides
    • Tetracyclines
    • Trimethoprim‑sulfamethoxazole
  • Proton pump inhibitors (PPIs)
    • Omeprazole
    • Esomeprazole
    • Pantoprazole
  • Antifungal medicines
    • Fluconazole
    • Ketoconazole
  • Other immunosuppressants
    • Azathioprine
    • Cyclosporine
  • Live vaccines
    • Measles
    • Mumps
    • Rubella
    • Varicella
What Are the Good Substitutes for Methotrexate?

What Are the Good Substitutes for Methotrexate?

Consider the following Methotrexate alternatives if this medication doesn’t suit your condition:

  • Leflunomide (Arava)
  • Sulfasalazine
  • Hydroxychloroquine (Plaquenil)
  • Azathioprine
  • Cyclophosphamide
  • Adalimumab (Humira)
  • Etanercept (Enbrel)
  • Infliximab (Remicade)
  • Golimumab (Simponi)
  • Tofacitinib (Xeljanz)
  • Upadacitinib (Rinvoq)
  • Risankizumab (Skyrizi)
  • Guselkumab (Tremfya)
Why Buy Methotrexate Online from Canada with Polar Bear Meds?

Why Buy Methotrexate Online from Canada with Polar Bear Meds?

A high Methotrexate cost makes the treatment difficult for many patients. That is why people choose Polar Bear Meds. When you buy Methotrexate online from Canada with us, you can save a lot compared to U.S. pharmacy prices. We offer Methotrexate 10 mg tablets at prices up to 80% lower, making treatment more affordable.

We source Methotrexate from licensed Canadian pharmacies. New customers can save more with our Methotrexate coupon code “WELCOMEPB10” to get 10% off. Methotrexate orders arrive within 3-5 business days through our Xpress Post. Get a Methotrexate prescription from your doctor today to buy with us.

Important Disclaimer

Important Disclaimer

This content is for general information only. It does not replace professional medical advice. Methotrexate is a strong prescription medicine. It must be used only under a doctor’s supervision. Do not start, stop, or change the Methotrexate dose without medical guidance. If you experience side effects, signs of infection, allergic reactions, or worsening symptoms, seek immediate medical attention. Always discuss your full medical history, current medications, and health concerns with your doctor or healthcare provider before using Methotrexate.

Common Questions About Methotrexate

Common Questions About Methotrexate

Dr. Jackson Miller

Medically Reviewed by Dr. Jackson Miller (M.D)

Dr. Jackson Miller is a board-certified medicine physician & hospitalist. He is a healthcare professional with a strong background in patient care. With years of experience and a patient-first approach, he believes the foundation of good health is a patient who feels informed and empowered. He contributes to medical content review, drawing on his background in clinical practice and patient education. He focuses on presenting health information in a clear, accurate, and accessible way to help readers make informed decisions. His work emphasizes clarity, evidence-based guidance, and understandable explanations of medical topics.

Find Dr. Jackson Miller on:LinkedIn

Learn more about Methotrexate and related topics