Reditrex
RediTrex (methotrexate) is considered a disease-modifying antirheumatic drug (DMARD). It's used to treat rheumatoid arthritis (RA), polyarticular juvenile idiopathic arthritis (pJIA), and severe psoriasis when other treatment options haven't worked well. RediTrex (methotrexate) comes as prefilled syringes, and it's injected under the skin once a week. Side effects include nausea, liver test changes, and skin sensitivity to the sun.
What is RediTrex (methotrexate)?
What is RediTrex (methotrexate) used for?
- Rheumatoid arthritis (RA) in adults
- Polyarticular juvenile idiopathic arthritis (pJIA) in children
- Psoriasis in adults
How RediTrex (methotrexate) works
RediTrex (methotrexate) is a medication that belongs under the drug class known as antimetabolites. It's also considered a disease-modifying antirheumatic drug (DMARD).
The way RediTrex (methotrexate) works to treat certain types of arthritis and psoriasis isn't completely clear. Research suggests that it helps lower the activity of the immune system to lessen inflammation. It might also help slow down the growth of skin cells.
Drug facts
| Common Brands | RediTrex |
|---|---|
| Drug Class | Antimetabolite |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | No lower-cost generic available |
| Availability | Prescription only |
Side effects of RediTrex (methotrexate)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Change in liver lab test results
- Nausea or vomiting
- Diarrhea
- Swelling or sores in the mouth
- Skin more sensitive to sunlight
- Low platelet levels
Less Common Side Effects
- Headache
- Dizziness
- Rash
- Itchy skin
- Hair loss
- Low white blood cells
Note: Side effects listed here were reported by people who took the oral or injectable version of methotrexate.
RediTrex (methotrexate) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Severe allergic reaction: rash, trouble breathing, swelling in the face or throat
- Severe skin reaction: blisters, peeling skin, sores in the mouth, fever
- Lung problems: trouble breathing, cough, fever
- Liver damage: stomach pain, nausea, yellowing of the skin or whites of the eyes, dark urine
- Kidney problems: urinating less often than usual, itchy skin, bloody or foamy urine
- Brain or nerve problems: seizures, headache, confusion, weakness on one side of the body, coordination problems, vision problems
- Low blood cell counts: tiredness, easy bruising, blood in urine or stool, pale skin
- Infection: fever, cough, pain while urinating, chills, muscle weakness, vomiting
- Cancerous tumors
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The following RediTrex (methotrexate) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Blood clot—pain, swelling, or warmth in the leg, shortness of breath, chest pain
- Dry cough, shortness of breath or trouble breathing
- Infection—fever, chills, cough, sore throat, wounds that don't heal, pain or trouble when passing urine, general feeling of discomfort or being unwell
- Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet
- Liver injury—right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing of the skin or eyes, unusual weakness or fatigue
- Low red blood cell count—unusual weakness or fatigue, dizziness, headache, trouble breathing
- Redness, blistering, peeling, or loosening of the skin, including inside the mouth
- Seizures
- Unusual bruising or bleeding
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
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Pros and cons of RediTrex (methotrexate)
Pros
- Only need to take once a week
- Good option for people who have trouble swallowing pills
- Can keep at room temperature
Cons
- Many potential risks that affect many different parts of the body (e.g., lungs, liver, kidney, skin)
- Might require some technique to use the prefilled syringe to inject the medication
- Can't use while pregnant or breastfeeding
Pharmacist tips for RediTrex (methotrexate)
- RediTrex (methotrexate) is injected under the skin once a week. Pick a day of the week to inject the medication that's easy for you to remember. You can put reminders on your calendar or use an app on your phone so you don't forget. This medication isn't meant to be used every day; otherwise, it could lead to serious and fatal side effects.
- During treatment, make sure you get all the lab tests and scans done that your provider ordered to help check that RediTrex (methotrexate) is safe for you. This medication can cause many side effects in different parts of your body that the tests and scans can help detect.
- RediTrex (methotrexate) can make you feel dizzy or tired. Be sure you know how the medication affects you before driving or operating machinery.
- RediTrex (methotrexate) can make your skin more sensitive to the sun, raise your risk for sunburns, and even make previous sunburns come back. Try to avoid direct sun exposure. When you go outside, wear sunscreen and clothes that protect your skin. Let your provider know if you get a sunburn or have painful skin during treatment with RediTrex (methotrexate).
- Before you get any vaccines, let your provider know that you're taking RediTrex (methotrexate). Some vaccines (e.g., live vaccines) might not work as well during treatment. Your providers can make sure the vaccine you're getting is safe for you.
Tips on how to use RediTrex (methotrexate):
- Don't try to inject RediTrex (methotrexate) until you've been trained by a healthcare provider. Make sure to review the Instructions for Use, and ask your provider if you have any questions.
- Before each time you use RediTrex (methotrexate), check to make sure that the solution in the prefilled syringe looks yellow and is free of particles. Air bubbles are normal. Otherwise, use another syringe.
- Carefully follow the instructions to inject RediTrex (methotrexate). Remove the needle cover only when you're ready to inject. Then, inject the medication under the skin of your stomach or thigh. Make sure to avoid injecting the medication within 2 inches of your belly button or into skin that's bruised, tender, scarred, scaly, red, or hard.
- Each RediTrex (methotrexate) prefilled syringe is meant for one-time use. After you've used a syringe, place it in a special sharps container for disposal. Don't throw it away in the trash. This helps prevent needle-stick injuries.
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Risks and warnings for RediTrex (methotrexate)
RediTrex (methotrexate) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Serious damage to different parts of the body
- Risk factors: Peptic ulcer disease | Ulcerative colitis | Heavy alcohol use | Kidney or liver problems| | Diabetes | Higher doses of RediTrex (methotrexate) | Taking RediTrex (methotrexate) for a long time | Taking NSAIDs | Considered obese | Fluid buildup in the body (e.g., stomach, lungs) | Older age
RediTrex (methotrexate) can cause many serious problems all over the body that can be fatal. It can put stress on your lungs, digestive tract, liver, kidneys, skin, and nervous system.
These problems can happen at any time during treatment, so your provider will follow up with you often. Your provider might also order various lab tests, tissue samples (biopsies), or scans to help check for these problems. Most symptoms can be treated if they're recognized early.
Get medical help right away if you have any of the following symptoms.
Lung problems: trouble breathing, cough
Digestive tract problems: diarrhea, vomiting, stomach pain, mouth pain or inflammation
Liver problems: yellowing of your skin or whites of the eyes, pain in the right side of your stomach, dark urine, vomiting
Kidney problems: swelling in your feet or ankles, little or no urine
Nerve problems: changes in vision, not able to move one side of your body, confusion, seizure
Severe allergic and skin reactions
Rarely, RediTrex (methotrexate) can cause life-threatening allergic reactions and skin reactions. Get medical help right away if you have trouble breathing, swelling in your face or throat, rash, blisters, peeling skin, red skin, mouth sores, muscle aches, or fever.
Risk of infections, bleeding, and anemia due to low blood cells
- Risk factors: Blood problems | Current infection | Weak immune system
RediTrex (methotrexate) can affect your bone marrow and cause your body to make fewer blood cells. This can cause many side effects. It can raise your chance of bleeding and make you more likely to have anemia and get infections. Your healthcare provider will probably ask to have your blood drawn periodically during treatment to check your blood cell counts. Talk to your provider right away if you suddenly have muscle weakness, unexplained bruising or bleeding, or develop a fever.
Harm to unborn babies
- Risk factors: Pregnancy
RediTrex (methotrexate) can cause life-threatening harm to an unborn baby if it's taken during pregnancy. For this reason, avoid taking this medication if you're pregnant. If you or your partner can become pregnant, it's important for you to use birth control whenever you have sex during treatment. Continue to avoid becoming pregnant for at least 6 months (for females) and for at least 3 months (for males) after the last dose. Talk to your provider about other options if you become or would like to become pregnant.
Possible infertility (not able to have children)
It's possible for RediTrex (methotrexate) to make it harder for you to have children (a loss of fertility, or infertility). This medication has been linked to low sperm count and menstrual problems. This might not be reversible, so it's important that you discuss the risks with your healthcare provider if you're considering having children in the future.
Risk of cancer
Some people who took low-dose methotrexate by mouth developed certain types of cancer and tumors, such as skin cancers and blood cancers. The risk for cancer with RediTrex (methotrexate) can't be ruled out. Tell your provider if you have an unexplained fever, feel very tired, have swollen lymph nodes in your neck or armpits, or spots or moles on your skin that seem unusual.
Tumor lysis syndrome
Taking methotrexate might cause a serious condition called tumor lysis syndrome (TLS) in people who have certain cancers or tumors. Typically, people who are prescribed RediTrex (methotrexate) for arthritis or psoriasis have a low chance of developing TLS unless they have a known or undiagnosed tumor. Call your provider right away if you have nausea, vomiting, low appetite, tiredness, side pain, muscle cramps, a pounding chest, dark urine, or less urination. These can be symptoms of TLS.
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RediTrex (methotrexate) dosage
Carton| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 4 syringes of 7.5mg/0.3ml | 1 carton | $1,006.25 | $1,006.25 |
| 4 syringes of 10mg/0.4ml | 1 carton | $756.25 | $756.25 |
| 4 syringes of 12.5mg/0.5ml | 1 carton | $606.25 | $606.25 |
| 4 syringes of 15mg/0.6ml | 1 carton | $506.25 | $506.25 |
| 4 syringes of 17.5mg/0.7ml | 1 carton | $434.82 | $434.82 |
| 4 syringes of 20mg/0.8ml | 1 carton | $381.25 | $381.25 |
| 4 syringes of 22.5mg/0.9ml | 1 carton | $339.58 | $339.58 |
| 4 syringes of 25mg/ml | 1 carton | $306.25 | $306.25 |
Syringe| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 7.5mg/0.3ml | 5 syringes | $1,210.64 | $242.13 |
| 10mg/0.4ml | 5 syringes | $910.64 | $182.13 |
| 12.5/0.5ml | 5 syringes | $730.64 | $146.13 |
| 15mg/0.6ml | 5 syringes | $610.64 | $122.13 |
| 17.5mg/0.7ml | 5 syringes | $524.93 | $104.99 |
| 20mg/0.8ml | 5 syringes | $460.64 | $92.13 |
| 22.5mg/0.9ml | 5 syringes | $410.64 | $82.13 |
| 25mg/ml | 5 syringes | $370.64 | $74.13 |
Typical dosage for RediTrex (methotrexate)
- Rheumatoid arthritis in adults: The typical starting dose is 7.5 mg injected under the skin once a week.
- Polyarticular juvenile idiopathic arthritis in children: The dose is based on body surface area (BSA), which takes into account weight and height. The typical starting dose is 10 mg/m2 injected under the skin once a week.
- Psoriasis in adults: The typical starting dose ranges from 10 mg to 25 mg injected under the skin once a week.
Your provider might slowly raise your dose based on how well the medication is working for you.
How much does RediTrex (methotrexate) cost?
$306.25
RediTrex (methotrexate) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because RediTrex (methotrexate) will not be safe for you to take.
- Currently pregnant
- Alcohol use disorder
- Liver problems
- Weak immune system
- Blood problems (e.g., low platelets, low white blood cells, anemia)
