INTRODUCTION Methotrexate (MTX), an antimetabolite drug possess an indispensable place in the treatment of cancer, and many other common chronic inflammatory diseases such as rheumatoid arthritis and psoriasis. 1 In these diseases, MTX was used in low doses and described as having low profi le of toxicities, 2,3 however, at these doses, liver toxicity is still a major concern. 4 On the contrary, chronic use of MTX may result in serious toxic effects on many organs such as the gastrointestinal tract, liver, kidney, lung, and bone marrow. 5 Nigella sativa (NS) was found in many studies protective to the liver against many drugs such as INH 6 or chemicals as CCL 4. 7 NS, in addition has been used topically and orally and found benefi cial in ameliorating psoriatic lesions. 8,9 The study was, therefore, designed to investigate the protective effect of NS against MTX-induced hepatotoxicity in rabbits. METHODS Preparation of NS NS seeds were purchased from a local market for medicinal plants in Basrah, authenticated by an expert herbalist and a voucher specimen was kept in the Department of Pharmacology for future reference. Viability of the seeds was guaranteed by cultivating 100 seeds, implanted, a number of plants were counted and their growth was followed up. The seeds were crushed by electric grinder into a fi ne powder ABSTRACT Background: To evaluate the effectiveness of Nigella sativa (NS) in the prevention of hepatotoxicity of large doses of methotrexate (MTX) (IP) in rabbits. Methods: Three groups of male rabbits, six in each were used. Oral dosing was administered as a paste; formula 1 was prepared by mixing 2 g fl our with water; formula 2 contained fl our and NS and water. Group 1 was fed with formula 1 daily and injected with 2 ml/kg normal saline IP. Group 2 was given formula 1 daily with 20 mg/kg MTX IP. Group 3 was fed with formula 2 daily + MTX 20 mg/kg IP. Injections were given weekly for 5 weeks, and then the animals were sacrifi ced at day 39. Liver enzymes, malondialdehyde (MDA), glutathione (GSH), and histopathology of the liver were evaluated. Results: Liver enzymes, serum, and liver MDA were signifi cantly increased by MTX. MTX + NS treatment signifi cantly reduced the rise in liver enzymes, MDA in serum with little effect on liver MDA. Serum aspartate aminotransferase, alkaline phosphatase, and bilirubin were reduced from 82.8±18.04 U/L, 4.9±2.0 kind and king unit/100 ml and 0.74±0.1 mg/dl to 56.1±7.5, 2.0±0.6 and 0.27±0.1 respectively. Unexpectedly, serum and liver GSH were slightly increased by MTX. Treatment with MTX + NS further increased these levels. Histologically, portal and lobular sinusoidal dilatation, lymphocytic infi ltration, and hepatocyte hydropic degeneration were seen in all rabbits on MTX, which disappeared in three rabbits on NS + MTX. Conclusion: NS is hepatoprotective against MTX induced hepatotoxicity.