methotrexate: meaning, definition, pronunciation and examples

C1
UK/ˌmɛθəʊˈtrɛkseɪt/US/ˌmɛθoʊˈtrɛkˌseɪt/

Technical / Medical / Formal

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Quick answer

What does “methotrexate” mean?

A potent antimetabolite and antifolate drug, primarily used to treat certain cancers (such as leukemia and lymphoma) and severe autoimmune conditions (like rheumatoid arthritis and psoriasis).

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Pronunciation

Definition

Meaning and Definition

A potent antimetabolite and antifolate drug, primarily used to treat certain cancers (such as leukemia and lymphoma) and severe autoimmune conditions (like rheumatoid arthritis and psoriasis).

A chemotherapeutic and immunosuppressive agent that works by inhibiting the metabolism of folic acid, thereby interfering with DNA synthesis and slowing the growth of rapidly dividing cells, including cancer cells and overactive immune system cells.

Dialectal Variation

British vs American Usage

Differences

No significant differences in meaning or use. Spelling is identical. Potential minor differences in brand name availability or formulation standards (e.g., UK 'Metoject' vs US 'Rheumatrex'), but the generic name is universal.

Connotations

Purely clinical and neutral in both variants. Connotes serious medical treatment.

Frequency

Low frequency in general discourse but standard within oncology, rheumatology, and dermatology in both regions.

Grammar

How to Use “methotrexate” in a Sentence

Patient + be on + methotrexateDoctor + prescribe/administer + methotrexate (to patient) + for + conditionMethotrexate + cause/induce + side effect

Vocabulary

Collocations

strong
high-dose methotrexatemethotrexate therapyoral methotrexatemethotrexate injectionmethotrexate treatmentprescribe methotrexatetake methotrexatemethotrexate toxicity
medium
respond to methotrexatetrial of methotrexatediscontinue methotrexatemethotrexate levelsmethotrexate and folic acid
weak
methotrexate tabletweekly methotrexatesevere side effects of methotrexate

Examples

Examples of “methotrexate” in a Sentence

verb

British English

  • The consultant decided to methotrexate the patient (highly informal/technical slang, very rare).

adjective

British English

  • She is on a methotrexate regimen.

American English

  • The protocol includes methotrexate rescue.

Usage

Meaning in Context

Business

Rare, except in pharmaceutical industry reports, investor briefings, or drug patent discussions.

Academic

Common in medical, pharmacological, and biomedical research papers, clinical trial reports, and textbooks.

Everyday

Very rare. Used only by patients, caregivers, or in general health discussions about specific conditions.

Technical

The primary register. Used constantly in clinical notes, prescriptions, oncology/rheumatology consultations, and pharmacy practice.

Vocabulary

Synonyms of “methotrexate”

Neutral

MTX (abbreviation)

Weak

antimetaboliteantifolateDMARD (Disease-Modifying Antirheumatic Drug, in rheumatology context)

Vocabulary

Antonyms of “methotrexate”

folic acid supplementleucovorin rescue (antidote)

Watch out

Common Mistakes When Using “methotrexate”

  • Misspelling as 'methatrexate', 'methotraxate', or 'methotrextate'. Using it as a countable noun (e.g., 'a methotrexate'). Confusing it with other 'meth-' drugs like methadone.

FAQ

Frequently Asked Questions

Yes, it is a chemotherapeutic drug when used in cancer treatment (e.g., leukaemia). When used for autoimmune diseases, it is considered an immunosuppressant at much lower doses.

Folic acid (or folinic acid) is supplemented to reduce certain side effects like mouth sores and nausea, without interfering with methotrexate's primary therapeutic effect on immune cells.

Alcohol consumption is generally strongly discouraged or prohibited, as both methotrexate and alcohol can stress the liver, increasing the risk of hepatotoxicity.

No, methotrexate is contraindicated in pregnancy due to a high risk of severe birth defects and pregnancy loss. Women of childbearing potential must use effective contraception during and for a period after treatment.

A potent antimetabolite and antifolate drug, primarily used to treat certain cancers (such as leukemia and lymphoma) and severe autoimmune conditions (like rheumatoid arthritis and psoriasis).

Methotrexate is usually technical / medical / formal in register.

Methotrexate: in British English it is pronounced /ˌmɛθəʊˈtrɛkseɪt/, and in American English it is pronounced /ˌmɛθoʊˈtrɛkˌseɪt/. Tap the audio buttons above to hear it.

Learning

Memory Aids

Mnemonic

Think: METHOd to TREAT EXcessive cell ACTIVITY. It's a 'method' to 'treat' over-'active' cells in cancer or autoimmune disease.

Conceptual Metaphor

A CELL DIVISION BLOCKER. Often conceptualized as a 'key' that jams the 'lock' (the enzyme dihydrofolate reductase) needed for cell growth.

Practice

Quiz

Fill in the gap
Patients with severe rheumatoid arthritis are often prescribed as a first-line disease-modifying agent.
Multiple Choice

What is the primary pharmacological action of methotrexate?