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Methotrexate combined with betamethasone is a combination drug used primarily for inflammatory and autoimmune conditions such as psoriasis and rheumatoid arthritis. Methotrexate is an antineoplastic and immunosuppressant agent that inhibits dihydrofolate reductase, leading to reduced DNA synthesis in rapidly dividing cells, thereby reducing inflammation and immune activity. Betamethasone is a potent corticosteroid that acts as a glucocorticoid receptor agonist, reducing inflammation by suppressing the immune response and inhibiting pro-inflammatory cytokines. The combination has been shown to clear psoriatic lesions faster and prolong remission compared to methotrexate alone. It can be administered orally or via injection depending on the clinical context. This combination leverages the immunosuppressive effects of both drugs for enhanced efficacy in controlling disease activity.[1][3][6][8]
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