Is Methotrexate a Tumor Necrosis Factor (TNF) inhibitor?

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Last updated: February 19, 2025View editorial policy

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From the Guidelines

No, Methotrexate is not a Tumor Necrosis Factor (TNF) inhibitor.

Definition and Classification

Methotrexate is a medication used to treat various conditions, including psoriasis and psoriatic arthritis, but it belongs to a different class of drugs than TNF inhibitors 1.

  • Methotrexate is an immunosuppressive agent, often used as a first-line treatment for moderate to severe psoriasis and psoriatic arthritis 1.
  • TNF inhibitors, on the other hand, are a class of biologic medications that specifically target and inhibit the action of tumor necrosis factor, a substance in the body that causes inflammation and is involved in autoimmune diseases such as rheumatoid arthritis, psoriatic arthritis, and others 1.

Clinical Use

In clinical practice, methotrexate and TNF inhibitors are used for different purposes and have different mechanisms of action.

  • Methotrexate is recommended for the treatment of moderate to severe psoriasis in adults, with a recommended dosage typically ranging from 7.5 to 25 mg weekly 1.
  • TNF inhibitors, such as adalimumab and infliximab, are often used for the treatment of psoriatic arthritis and other autoimmune diseases, and have been shown to be effective in reducing inflammation and slowing disease progression 1.

Important Considerations

It's essential to note that while methotrexate is not a TNF inhibitor, it can be used in combination with other medications, including biologics, to enhance efficacy and lower cumulative doses of both treatments 1. However, the use of methotrexate and TNF inhibitors should be carefully considered and monitored, as both medications can have potential side effects and interactions 1.

From the Research

Methotrexate and TNF Inhibition

  • There is no direct evidence in the provided studies to suggest that Methotrexate is a Tumor Necrosis Factor (TNF) inhibitor.
  • The studies primarily focus on drug name confusion, medication errors, and the transfer of drugs across the human placenta, but do not discuss Methotrexate or its mechanism of action as a TNF inhibitor 2, 3, 4, 5, 6.
  • None of the studies provide information on the pharmacological properties of Methotrexate or its classification as a TNF inhibitor.

Related Studies

  • The provided studies investigate various aspects of medication safety, including drug name confusion and errors, but do not address the specific question of whether Methotrexate is a TNF inhibitor 2, 3, 4, 5, 6.
  • The studies suggest that drug name confusion can be reduced through the use of Tall Man lettering and other strategies, but do not provide information on the mechanism of action of specific drugs like Methotrexate 6.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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