HomeMethotrexateMethotrexate + Rituximab Abbs

Does Methotrexate Interact with Rituximab Abbs?

Methotrexate and Rituximab Abbs have a minor drug interaction according to U.S. FDA drug labeling data. Concomitant administration of methotrexate did not alter the pharmacokinetics of rituximab in clinical trials of RA patients. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.

Severity
Minor
Methotrexate Class
Folate Analog Metabolic Inhibitor
Rituximab Abbs Class
CD20-directed Cytolytic Antibody
Management
Generally manageable
Data Source
U.S. FDA via OpenFDA

What To Tell Your Doctor or Pharmacist

If you are taking Methotrexate and your doctor is considering prescribing Rituximab Abbs (or vice versa), make sure to:

  • Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
  • Ask whether the benefits of combining these medications outweigh the risks for your specific situation
  • Ask what symptoms to watch for that would indicate the interaction is causing problems
  • Never stop or change either medication without first consulting your healthcare provider
💊 Methotrexate(Otrexup)+💊 Rituximab Abbs(Truxima)

Severity & Interaction Details

minor
Generally safe — minor interaction
Low clinical significance. Routine awareness is usually sufficient.
Severity scale
MinorContra
On record
Yes
Drug A class
Folate Analog Metabolic Inhibitor
Drug B class
CD20-directed Cytolytic Antibody
Source
NLP:rituximab-abbs

What this means in plain English

Concomitant administration of methotrexate did not alter the pharmacokinetics of rituximab in clinical trials of RA patients.

About Methotrexate and Rituximab Abbs

Methotrexate is a Folate Analog Metabolic Inhibitor, while Rituximab Abbs is a CD20-directed Cytolytic Antibody. You may recognize them by the brand names Otrexup and Truxima. Methotrexate is given by intramuscular injection, whereas Rituximab Abbs is given by intravenous (IV) infusion. Both Methotrexate and Rituximab Abbs carry an FDA boxed warning — the agency's most serious safety designation.

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Data integrity: Every interaction shown is extracted directly from official U.S. FDA drug labeling via openFDA and the U.S. National Library of Medicine (NIH) — no interactions are invented, inferred, or manually edited. Maintained by CheckDrugInteractions.com. See our methodology or report a correction at support@checkdruginteractions.com.

Data sourced from U.S. FDA drug labeling via openFDA and the NIH National Library of Medicine, supplemented with a small number of well-established interactions from curated clinical references. For informational purposes only. Always consult your pharmacist or physician.