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Drug Safety-related Labeling Changes (SrLC)

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METHOTREXATE (NDA-214121)

(METHOTREXATE)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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03/13/2026 (SUPPL-5)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.10 Dermatologic Reactions

Additions and/or revisions underlined:

. . .

Methotrexate can cause radiation recall, photodermatitis (sunburn) reactivation, photosensitivity, and severe sunburn reactions. Advise patients to limit sun exposure while taking Methotrexate Injection. Advise patients when outdoors to wear a hat and protective clothing and use a broad-spectrum Ultraviolet A (UVA)/Ultraviolet B (UVB) sunscreen and lip balm (SPF ?30) to help protect against sunburn.

. . .

7 Drug Interactions

Additions and/or revisions underlined:

7.1 Effects of Other Drugs on Methotrexate

Drugs that Increase Methotrexate Exposure

Coadministration of methotrexate with the following products may increase methotrexate plasma concentrations, which may increase the risk of severe adverse reactions to methotrexate.

. . .

  • Hematotoxic agents

. . .

09/12/2024 (SUPPL-3)

Approved Drug Label (PDF)

6 Adverse Reactions

Additions and/or revisions underlined:

The following adverse reactions associated with the use of methotrexate were identified in clinical studies or postmarketing reports. Because some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

General disorders and administration site conditions: Injection site necrosis, injection site reaction

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT INFORMATION

Additions and/or revisions, please refer to label for complete information.