Picato and Methotrexate drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Picato (ingenol mebutate) and Methotrexate (methotrexate sodium). Common drug interactions include application site erythema among females and application site erythema among males.

The phase IV clinical study analyzes what interactions people have when they take Picato and Methotrexate. It is created by eHealthMe based on reports of 13 people who take the same drugs from the FDA, and is updated regularly.

What is Picato?

Picato has active ingredients of ingenol mebutate. eHealthMe is studying from 5,498 Picato users. Check the latest studies of Picato.

What is Methotrexate?

Methotrexate has active ingredients of methotrexate sodium. It is often used in rheumatoid arthritis. eHealthMe is studying from 604,313 Methotrexate users. Check the latest studies of Methotrexate.



On Aug, 07, 2026

13 people who take Picato and Methotrexate together, and have interactions are studied.

Picato and Methotrexate drug interactions.

What are the common drug interactions of Picato and Methotrexate, by gender? *:

female:

  1. Application site erythema (redness of the skin at application site)
  2. Application site discharge
  3. Application site exfoliation (application site removal of the oldest dead skin cells on the skin's outermost surface)
  4. Application site irritation
  5. Application site pain
  6. Application site scab (hard coating on the skin formed at application site)
  7. Application site swelling
  8. Blister (small pocket of fluid within the upper layers of the skin caused by forceful rubbing (friction), burning, freezing, chemical exposure)
  9. Dermatitis (inflammation of the skin resulting from direct irritation by an external agent or an allergic reaction to it)
  10. Erythema (redness of the skin)

male:

  1. Application site erythema (redness of the skin at application site)

What are the common drug interactions of Picato and Methotrexate, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

n/a

40-49:

n/a

50-59:

  1. Application site erythema (redness of the skin at application site)
  2. Application site vesicles (small bubble within a cell at application site)
  3. Drug administration error

60+:

  1. Application site erythema (redness of the skin at application site)
  2. Actinic keratosis (skin disease due to sun exposure)
  3. Application site irritation
  4. Application site pain
  5. Application site scab (hard coating on the skin formed at application site)
  6. Application site swelling
  7. Blister (small pocket of fluid within the upper layers of the skin caused by forceful rubbing (friction), burning, freezing, chemical exposure)
  8. Dermatitis (inflammation of the skin resulting from direct irritation by an external agent or an allergic reaction to it)
  9. Erythema (redness of the skin)
  10. Hyperkeratosis (thickening of the outer layer of the skin)

What are the existing conditions these people have? *

  1. Actinic Keratosis (skin disease due to sun exposure): 7 people, 53.85%
  2. Psoriasis (immune-mediated disease that affects the skin): 4 people, 30.77%
  3. Squamous Cell Carcinoma (a cancer of a kind of epithelial cell): 1 person, 7.69%
  4. Precancerous Skin Lesion: 1 person, 7.69%
  5. Basal Cell Carcinoma (a skin cancer, it rarely metastasizes or kills): 1 person, 7.69%
  6. Allergic Granulomatous Angiitis (allergic inflammation of a blood vessel or lymph duct): 1 person, 7.69%

* Approximation only. Some reports may have incomplete information.

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Picato and Methotrexate:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Picato:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Methotrexate:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Picato and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Methotrexate and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Related publications that referenced our studies


How the study uses the data?

The study uses data from the FDA. It is based on ingenol mebutate and methotrexate sodium (the active ingredients of Picato and Methotrexate, respectively), and Picato and Methotrexate (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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