Methotrexate and Theophylline interaction

Methotrexate and Theophylline: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Methotrexate (Xatmep) label · effective 2026-05-28

Moderate

Effect of XATMEP on Other Drugs Theophylline Methotrexate may decrease the clearance of theophylline.

Drug interactionsnames TheophyllineView label on DailyMed
Moderate

Monitor theophylline levels when coadministered with XATMEP.

Drug interactionsnames TheophyllineView label on DailyMed

From the Theophylline label · effective 2026-01-29

Moderate

Methotrexate (MTX) Decreases theophylline clearance.

Drug interactionsnames MethotrexateView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.