Ein Paarvergleich findet Originalpassagen, die den anderen Wirkstoff wörtlich nennen. Aussagen gelten für das jeweilige Präparat und seine Formulierung. Klassenbegriffe und abweichende Synonyme können fehlen. Kein Treffer bedeutet nicht, dass keine Wechselwirkung besteht.
RxNorm 05-Oct-2026 · geprüft 2026-10-27 · 1381 Präparate · 72104 Quellenpassagen · 204 strukturierte Aussagen. Automatisch aktualisiert, ohne menschliche Freigabe.
Gegenanzeigen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.3 · PDF-Seite 5
HOS-222425 · Präparat HOS-217016
- Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.
- Severe hepatic impairment if serum if bilirubin is > 5 mg/dl (85.5 µmol/l) (see section 4.2).
- Alcohol abuse.
- Severe renal impairment (creatinine clearance less than 30 ml/min) (see sections 4.2 and 4.4).
- Pre-existing blood dyscrasias, such as bone marrow hypoplasia, leukopenia,
thrombocytopenia or significant anaemia.
- Immunodeficiency.
- Serious, acute or chronic infections such as tuberculosis and HIV.
- Stomatitis, ulcers of the oral cavity and known active gastrointestinal ulcer disease.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): creatinine (HOS-086273)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 347d6ac5e645995987112815470967db05c34fe9e8cd7f3297be0aae174fb36b · Zeichen 0–664 im Abschnitt
Gegenanzeigen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.3 · PDF-Seite 5–6
HOS-222426 · Präparat HOS-217016
5
- Pregnancy and breast-feeding (see section 4.6).
- Concurrent vaccination with live vaccines.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage c010a45c2508f7974e8cd59390d3fae436c0adce84b22db0d69149138bc662a5 · Zeichen 719–824 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 9
HOS-222427 · Präparat HOS-217016
NSAIDs including salicylic acid
In animal experiments NSAIDs including salicylic acid caused reduction of tubular methotrexate
secretion and consequently increased its toxic effects. However, in clinical studies, where NSAIDs
and salicylic acid were given as concomitant medicinal products to patients with rheumatoid
arthritis, no increase of adverse reactions was observed. Treatment of rheumatoid arthritis with such
medicinal products can be continued during low-dose methotrexate therapy but only under close
medical supervision.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): salicylic acid (HOS-088803)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 739e07faecdf27863328f2d26163839be333279280bb9106185e1119aa8c1afb · Zeichen 0–534 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 9
HOS-222428 · Präparat HOS-217016
Hepatotoxicity
Regular alcohol consumption and administration of additional hepatotoxic medicinal products
increase the probability of hepatotoxic effects of methotrexate. Alcohol consumption must be
avoided during treatment with methotrexate.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage d060b9740f568dc971f0b97b8e9e77552ccbb94a70a907a4d7db61d8849fe77f · Zeichen 536–779 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 9
HOS-222429 · Präparat HOS-217016
Patients taking potentially hepatotoxic and haematoxic medicinal products during methotrexate
therapy (e.g. leflunomide, azathioprine, sulphasalazine, and retinoids) should be closely monitored
for possibly increased hepatotoxicity.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): leflunomide (HOS-089630) azathioprine (HOS-089001)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage d72dd1130b617ce6c229405ea6d762577ac605126fa2324b1cee6f444cc0f961 · Zeichen 781–1013 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 9
HOS-222430 · Präparat HOS-217016
Haematotoxic medicinal products
Administration of additional haematotoxic medicinal products increases the likelihood of severe
haematoxic adverse reactions to methotrexate. Concurrent administration of metamizole and
methotrexate can increase the haematotoxic effect of methotrexate, especially in elderly patients.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 00de14f7f7dcdcffd3517dd831897e82be8f7c7745ae0b07b0938f4ee9fbf3bb · Zeichen 1015–1331 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 9–10
HOS-222431 · Präparat HOS-217016
9
Therefore, coadministration should be avoided.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage ff1b43fe5d21e533f4b0b918006b1fd416ee339fb714603c75c3e2f23011883c · Zeichen 1385–1434 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222432 · Präparat HOS-217016
Pharmacokinetic interactions
One should be aware of pharmacokinetic interactions between methotrexate, anticonvulsant
medicinal products (reduced methotrexate blood levels), and 5-fluorouracil (increased t½ of
5--fluorouracil).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): fluorouracil (HOS-086023)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 9246f469348b773addb1691ba7b59d20e7d42f7f4ce97a76468ce18369ba164d · Zeichen 1436–1663 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222433 · Präparat HOS-217016
Alterations in bioavailability of methotrexate
Salicylates, phenylbutazone, phenytoin, barbiturates, tranquillisers, oral contraceptives,
tetracyclines, amidopyrine derivatives, sulfonamides and p-aminobenzoic acid displace
methotrexate from serum albumin binding and thus increase bioavailability (indirect dose increase).
Probenecid and mild organic acids may also reduce tubular methotrexate secretion, and thus cause
indirect dose elevations, too.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): probenecid (HOS-085208) phenylbutazone (HOS-110030) phenytoin (HOS-084531)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 8fc12b122928df9454256ca42b8c9f13d528f6a3a593630698380e43a35ddfe5 · Zeichen 1665–2116 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222434 · Präparat HOS-217016
Antibiotics, like penicillin, glycopeptides, sulfonamides, ciprofloxacin and cefalotin can, in
individual cases, reduce the renal clearance of methotrexate, so that increased serum concentrations
of methotrexate with simultaneous haematological and gastro-intestinal toxicity may occur.
Oral antibiotics such as tetracyclines, chloramphenicol and non-absorbable broad-spectrum
antibiotics may reduce intestinal methotrexate absorption or interfere with the enterohepatic
circulation, due to inhibition of the intestinal flora or suppression of bacterial metabolism.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): ciprofloxacin (HOS-085177) chloramphenicol (HOS-115623)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage eaa719ac40eb27d665e4ddb88b4f27228ec96f18ccfa121fc3d8ba4a97ea705c · Zeichen 2118–2683 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222435 · Präparat HOS-217016
Colestyramine can increase the non-renal elimination of methotrexate by interrupting the
enterohepatic circulation. Delayed methotrexate clearance should be considered in combination
with other cytostatic medicinal products.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 585a73e130d090c2222a88ae27268ec61f0b50cf6ba9c6cfb53983dbd3ff6fa3 · Zeichen 2685–2909 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222436 · Präparat HOS-217016
Co-administration of proton-pump inhibitors such as omeprazole or pantoprazole can lead to
interactions: concomitant administration of methotrexate and omeprazole has led to a delay in the
renal elimination of methotrexate. In combination with pantoprazole, inhibited renal elimination of
the 7-hydroxymethotrexate metabolite, with myalgia and shivering, was reported in one case.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): pantoprazole (HOS-085167) lead (HOS-085592) omeprazole (HOS-085912)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage e7000f1d5b001502bf8fb83838918032fa2daf4114fe12fc1e8ef5111bb56401 · Zeichen 2911–3291 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222437 · Präparat HOS-217016
Substances that may have adverse effects on the bone marrow
Under (pre-)treatment with substances that may have adverse effects on the bone marrow (e.g.
sulphonamides, trimethoprim-sulphamethoxazole, chloramphenicol, pyrimethamine), the possibility
of marked haematopoietic disorders should be considered.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): chloramphenicol (HOS-115623) pyrimethamine (HOS-088523)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage ba00dec4c45beda40158b9ff61084d6148cbc4cf61aa329c3d05bf5d08c7f2c3 · Zeichen 3293–3598 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222438 · Präparat HOS-217016
Folate metabolism
Co-administration of medicinal products which cause folate deficiency (e.g. sulphonamides,
trimethoprim-sulphamethoxazole) can lead to increased methotrexate toxicity. Particular caution
should therefore also be exercised in the presence of existing folic acid deficiency.
On the other hand, concomitant administration of folinic acid containing drugs or of vitamin
preparations, which contain folic acid or derivatives, may impair methotrexate efficacy.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): lead (HOS-085592) folic acid (HOS-091424) folate (HOS-091426)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage a2c7a1f0e1a2cef17cd4f57fd37a15c481ae2b08e656674d822f5cdb37cfce79 · Zeichen 3600–4072 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222439 · Präparat HOS-217016
The use of nitrous oxide potentiates the effect of methotrexate on folate metabolism, yielding
increased toxicity such as severe unpredictable myelosuppression and stomatitis. Whilst this effect
can be reduced by administering calcium folinate, the concomitant use of nitrous oxide and
methotrexate should be avoided.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): calcium (HOS-085615) nitrous oxide (HOS-109377) folate (HOS-091426)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 8c44a7bfd5b019211cf770bb22ac7ab30d52c1eb21854e66d91a435a74131ad7 · Zeichen 4074–4391 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222440 · Präparat HOS-217016
Though the combination of methotrexate and sulfasalazine may enhance methotrexate efficacy by
sulfasalazine related inhibition of folic acid synthesis, and thus may lead to an increased risk of
adverse reactions, these were only observed in single patients within several trials.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): sulfasalazine (HOS-089673) lead (HOS-085592) folic acid (HOS-091424)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage 2b5f4418c08fb163a39bdc89458a6a1faec7888941877808923d0a73c878e33f · Zeichen 4393–4672 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222441 · Präparat HOS-217016
Other antirheumatic agents
A rise in the toxicity of methotrexate is generally not anticipated when methotrexate is used
concomitantly with other antirheumatic agents (e.g. gold compounds, penicillamine,
hydroxychloroquine, sulfasalazine, azathioprine).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): hydroxychloroquine (HOS-116019) gold (HOS-222442) penicillamine (HOS-086112) sulfasalazine (HOS-089673) azathioprine (HOS-089001)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage be1d2fe30e66f340341d6f5e3539db56d19423f5754c0fbec23c02dfd182948c · Zeichen 4674–4927 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10
HOS-222445 · Präparat HOS-217016
Cyclosporine
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): cyclosporine (HOS-084512)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage e58d88d2a6f30e25f6e6d1b221d44055480ab5ef6d82ca174568db6d82815d98 · Zeichen 4929–4941 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 10–11
HOS-222446 · Präparat HOS-217016
10
Cyclosporine may potentiate methotrexate efficacy and toxicity. There is an increased risk of renal
dysfunction. In addition, there is a biological plausibility of excessive immunosuppression and its
associated complications.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): cyclosporine (HOS-084512)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage f3aec1157c2a0d7bac91e9fa81108f0fac764a2b3bdbfaeb1b11b9264656cca6 · Zeichen 4994–5223 im Abschnitt
Wechselwirkungen · Nordimet
Nordimet 7.5 mg solution for injection in pre-filled pen Nordimet 10 mg solution for injection in pre-filled pen Nordimet 12.5 mg solution for injection in pre-filled pen Nordimet 15 mg solution for injection in pre-filled pen Nordimet 17.5 mg solution for injection in pre-filled pen Nordimet 20 mg solution for injection in pre-filled pen Nordimet 22.5 mg solution for injection in pre-filled pen Nordimet 25 mg solution for injection in pre-filled pen Nordimet 7.5 mg solution for injection in pre-filled syringe Nordimet 10 mg solution for injection in pre-filled syringe Nordimet 12.5 mg solution for injection in pre-filled syringe Nordimet 15 mg solution for injection in pre-filled syringe Nordimet 17.5 mg solution for injection in pre-filled syringe Nordimet 20 mg solution for injection in pre-filled syringe Nordimet 22.5 mg solution for injection in pre-filled syringe Nordimet 25 mg solution for injection in pre-filled syringe · Abschnitt 4.5 · PDF-Seite 11
HOS-222447 · Präparat HOS-217016
Theophylline and caffeine
Methotrexate may reduce theophylline clearance. Therefore, theophylline blood levels should be
monitored under concomitant methotrexate administration.
Excessive consumption of beverages containing caffeine or theophylline (coffee, soft drinks
containing caffeine, black tea) should be avoided during methotrexate therapy since the efficacy of
methotrexate may be reduced due to possible interaction between methotrexate and
methylxanthines at adenosine receptors.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): caffeine (HOS-085902) theophylline (HOS-085910) adenosine (HOS-112292)
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Version 2026-10-20T10:24:00Z · SHA-256 6f7875845a49325713bebb34ff4c8141f36bbb1aa170f6bdcf4fad013abaf80e · Passage edc8cb929a6e9af53676469fcb033303e3aca844b880471c34230634f0b8712a · Zeichen 5225–5715 im Abschnitt
This product uses publicly available data from the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product.