RT Book, Section A1 Gugelmann, Hallam A2 Olson, Kent R. A2 Anderson, Ilene B. A2 Benowitz, Neal L. A2 Blanc, Paul D. A2 Clark, Richard F. A2 Kearney, Thomas E. A2 Kim-Katz, Susan Y. A2 Wu, Alan H. B. SR Print(0) ID 1179991962 T1 METHOTREXATE T2 Poisoning & Drug Overdose, 7e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071839792 LK accessmedicine.mhmedical.com/content.aspx?aid=1179991962 RD 2024/04/25 AB Methotrexate, or N-(4-{[(2,4-diamino-6-pteridinyl)methyl]-methylamino}benzoyl)-L-glutamic acid, is an antimetabolite chemotherapeutic agent that is also used for psoriasis, rheumatoid arthritis, systemic sclerosis, placenta accreta, and ectopic pregnancy. Most toxicity is caused by chronic oral overmedication. Inadvertent high-dose intrathecal, intravenous, and intramuscular methotrexate administration and acute intentional overdose have been reported.