REXTOP 1% Gel 10gm

Introduction About REXTOP 1% GEL

REXTOP 1% GEL contains Methotrexate which belongs to the group of medicines called Antimetabolites. It is used to manage psoriasis. REXTOP 1% GEL is also used to manage active rheumatoid arthritis in adults, which is a complex auto-immune disorder resulting in the inflammation of the bones leading to swelling and pain. This medicine may also be used for vitiligo.

Psoriasis is a skin condition characterized by itchy scales that is not responsive to conventional managements such as phototherapy and retinoids. Vitiligo is a skin condition characterized by a loss of pigmentation, resulting in the appearance of discoloured patches on the skin.

Before using REXTOP 1% GEL, it is recommended to inform the doctor about your medical and family history, including the list of medicines (prescription, non-prescription medicines, and herbal medicines) that are being used or taken.

REXTOP 1% GEL is not recommended to be used by children less than 3 years of age, pregnant women, nursing women, or women planning to get pregnant. Consult your doctor before using the medicine.

Uses Of REXTOP 1% GEL

It is used to manage:

• psoriasis
• active rheumatoid arthritis in adults (a complex auto-immune disorder resulting in the inflammation of the bones leading to swelling and pain)

How REXTOP 1% GEL Works

REXTOP 1% GEL contains methotrexate, which belongs to disease-modifying antirheumatic drugs (DMARDs). REXTOP 1% GEL decreases the undesired reactions of the body’s own immune-defense mechanism, thereby working as an effective immunosuppressant. It also exhibits anti-inflammatory effects, thereby reducing pain, swelling, and redness. As a result, REXTOP 1% GEL manages the symptoms associated with rheumatoid arthritis and psoriasis.

How to use REXTOP 1% GEL

Always apply REXTOP 1% GEL as directed by your physician. It is for external use only. Your doctor will decide your dose and duration of application according to your age and disease condition.

Warning & Precautions

Pregnancy

Contraindicated

REXTOP 1% GEL is not recommended for use if you are pregnant or are planning to become pregnant since it can be harmful to the fetus (growing baby) and lead to various malformations. Consult your doctor before applying REXTOP 1% GEL.

Breastfeeding

Contraindicated

REXTOP 1% GEL is not recommended for use if you are a nursing mother. Consult your doctor before applying REXTOP 1% GEL.

Liver

Use with Caution

It should be used with caution if you are diagnosed with a liver disorder while using REXTOP 1% GEL. Consult your doctor before using REXTOP 1% GEL.

Allergy

Contraindicated

REXTOP 1% GEL is not recommended if you are allergic to methotrexate and/or any other ingredients of this REXTOP 1% GEL. Consult your doctor before applying REXTOP 1% GEL.

Use In Pediatrics

Contraindicated

It is recommended not to be used by children under the age of 3 years. Consult your doctor before giving REXTOP 1% GEL to your child.

Interactions

A. Drug-Drug Interactions:

Inform your doctor if you are using or taking any prescription, non-prescription medicines, ayurvedic, or herbal supplements.

Overdosage:

If you use too much of this medicine, consult your doctor immediately and visit any nearby hospital.

Synopsis

More Information

• Keep REXTOP 1% GEL out of the reach and sight of children
• Store REXTOP 1% GEL at room temperature

FAQs About REXTOP 1% GEL

Q: What is REXTOP 1% GEL used for?

A: REXTOP 1% GEL is used to manage psoriasis. It is a skin condition characterized by itchy scales that is not responsive to conventional managements such as phototherapy and retinoids. It is also used to manage active rheumatoid arthritis in adults, which is a complex auto-immune disorder resulting in the inflammation of the bones, leading to swelling and pain.

Q: Can I use REXTOP 1% GEL in pregnancy?

A: REXTOP 1% GEL is not recommended for use in pregnant women and/or in women who are planning pregnancy because it can be harmful for the fetus (growing baby in the womb). Consult your doctor before using it.

Q: Can I use REXTOP 1% GEL if I am breastfeeding a baby?

A: REXTOP 1% GEL is not recommended for use during breastfeeding due to a lack of safety data. Consult your doctor before applying it.

Q: Can REXTOP 1% GEL be used by children?

A: REXTOP 1% GEL is not recommended for children less than 3 years of age. For children above the age of 3, it is recommended to closely monitor for side effects. It is recommended to consult a doctor before giving REXTOP 1% GEL to your child.

References

1. KD. Tripathi. Antirheumatoid and Antigout Drugs, Anticancer Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page-210, 857.

2. Eskicirak, B., Zemheri, E. and Cerkezoglu, A., 2006. The treatment of psoriasis vulgaris: 1% topical methotrexate gel. International journal of dermatology. [Published in August 2006] [Accessed on 3rd February 2024] https://pubmed.ncbi.nlm.nih.gov/16911386/

3. Abdelmaksoud, A., Dave, D.D., Lotti, T. and Vestita, M., 2019. Topical methotrexate 1% gel for treatment of vitiligo: A case report and review of the literature. Dermatologic Therapy. [Published on 1st September 2019] [Accessed on 3rd February 2024] https://www.semanticscholar.org/paper/Topical-methotrexate-1-gel-for-treatment-of-A-case-Abdelmaksoud-Dave/0e38f07bfca67bdba9d7cbfe927122d0f136e134

4. DAS, S., Sharadha, M., Venkatesh, M.P., SAHOO, S., TRIPATHY, J. and Gowda, D.V., 2021. Formulation and evaluation of topical nanoemulgel of methotrexate for rheumatoid arthritis. International Journal of Applied Pharmaceutics. [Revised on 22nd June 2021] [Accessed on 3rd February 2024] https://innovareacademics.in/journals/index.php/ijap/article/view/41026/25364

5. Liver Tox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012-. Methotrexate. [Updated on 19th February 2020] [Accessed on 3rd February 2024] https://www.ncbi.nlm.nih.gov/books/NBK548219/#:~:text=Methotrexate%20can%20lead%20to%20serious,regimens%20and%20in%20higher%20doses.

6. Drugs.com Methotrexate Pregnancy and Breastfeeding Warnings. [Updated on 8th June 2022] [Accessed on 3rd February 2024] https://www.drugs.com/pregnancy/methotrexate.html

7. Journal of the Turkish Academy of dermatology. Methotrexate in Psoriasis: From A to Z. Abdulla Saleh, Mohn’d Abuhilal, Bernard Cheung, MBChB, MRCP (UK), MSc Derm. [Published in 2010] [Accessed on 3rd February 2024] https://cms.galenos.com.tr/Uploads/Article_32345/jtad-4-0-En.pdf

8. Meth Gel. West Coast Pharmaceutical Works Ltd. [Accessed on 3rd February 2024] https://westcoastin.com/cosmetic/meth-gel/1642

Useful Diagnostic Tests

• Rheumatoid Factor (RF)/RA Test Rheumatoid Arthritis Factor, Qualitative
• Ra Test Rheumatoid Arthritis Factor, Quantitative
• Complete Blood Count (CBC)/ Hemogram
• Arthiritis Profile
• Basic Arthritis Care
• Extended Arthritis Care
• Comprehensive Arthritis Care
• Bone Strength
• Anti Nuclear Antibody (Ana)-Titres
• Comprehensive Bone Care
• Esr Automated
• Autoimmune Arthiritis Panel
• Arthritis Profile-Basic
• Arthritis Profile-Advanced

Author Details

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed For Accuracy By Dr. Rajnikant - MBBS, MD (Physiology)

Last updated on 05 Feb 2024 | 04:24 PM(IST)