Metoprolol succinate 25 mg (extended release): uses, price & cheaper substitutes
Prescription required (Schedule H)
Common uses: High blood pressure (hypertension), alone or with other BP tablets; Angina – chest pain on exertion.
Listed MRPs range from ₹1.03 to ₹4.57 per tablet across 7 listings. Use only on a doctor's prescription.
Price comparison
| Brand | Manufacturer | Pack | MRP | ₹ / tablet | As on |
|---|---|---|---|---|---|
| Metoprolol Succinate Prolonged release tablets IP 25mgJan Aushadhi | Jan Aushadhi (PMBJP) | 15 | ₹15.47 | ₹1.03 | 19 October 2026 |
| Met XL 25 | Ajanta Pharma Limited | 20 | ₹91.29 | ₹4.56 | 19 October 2026 |
| Starpress XL 25 | Lupin Ltd | 15 | ₹68.40 | ₹4.56 | 19 October 2026 |
| Metocard XL 25 | Torrent Pharmaceuticals Ltd | 15 | ₹68.44 | ₹4.56 | 19 October 2026 |
| Metapro XL 25 | Micro Labs Ltd | 15 | ₹68.44 | ₹4.56 | 19 October 2026 |
| Revelol XL 25 | Ipca Laboratories Ltd | 15 | ₹68.51 | ₹4.57 | 19 October 2026 |
| Embeta XR 25 | Intas Pharmaceuticals Ltd | 30 | ₹137.03 | ₹4.57 | 19 October 2026 |
MRPs as printed/listed on the date shown; actual price may vary.
Uses
- High blood pressure (hypertension), alone or with other BP tablets.
- Angina – chest pain on exertion.
- Irregular or fast heartbeat (arrhythmia), including palpitations.
- Protecting the heart after a heart attack and in heart failure.
- Preventing migraine attacks.
- Controlling a racing heart in overactive thyroid.
How to take it
Take one extended-release (XL/XR) tablet once a day at the same time, usually in the morning, with or without food. Swallow it whole with water; do not crush or chew, because the slow-release coating controls how the medicine is released over the day. Your doctor may start with 25 mg and increase slowly. Blood pressure and heart conditions usually need long-term treatment, so keep taking it even when you feel well, and never stop suddenly – stopping abruptly can bring on chest pain or a sharp rise in heart rate. See your doctor if you feel breathless, your ankles swell, or your pulse drops very low.
Side effects
Common
- Tiredness, dizziness or weakness, especially in the first weeks.
- Headache.
- Cold hands and feet.
- Nausea, stomach pain or diarrhoea.
- Slow heartbeat.
Serious
Stop and get medical help urgently if you notice any of these.
- Breathlessness, a worsening cough on exertion, swollen ankles or an irregular heartbeat – possible heart problem; see a doctor.
- Wheezing or chest tightness – stop and get help, especially if you have asthma.
- Unexplained bruising (low platelets).
- Serious allergic reaction – swelling of the lips, mouth or throat, difficulty breathing.
Safety information
Alcohol
Limit alcohol. It adds to the blood-pressure-lowering effect and can make you dizzy or faint.
Pregnancy
Tell your doctor if you are pregnant, planning pregnancy or breastfeeding. Metoprolol is used in pregnancy when needed, under supervision, and passes into breast milk in small amounts.
Kidney problems
No routine dose change, but tell your doctor about kidney disease so your BP and pulse can be monitored.
Liver problems
Metoprolol is broken down by the liver, so a lower dose may be needed if you have liver disease.
Children
Only on a specialist's advice; the dose is based on weight and age.
Missed dose
Take it as soon as you remember unless your next dose is nearly due – then skip it. Never take two doses together.
Interactions
- Other blood pressure medicines (amlodipine, telmisartan, diuretics) – blood pressure may drop too far; your doctor adjusts the doses.
- Verapamil and diltiazem – together with metoprolol the heart can slow dangerously; usually avoided.
- Painkillers like ibuprofen, diclofenac (NSAIDs) – can stop metoprolol working properly.
- Diabetes medicines and insulin – metoprolol can hide the warning signs of low blood sugar such as a fast heartbeat.
- Cold and allergy medicines containing ephedrine or similar stimulants, and adrenaline.
- Nitrates, tamsulosin, baclofen, some antidepressants – extra dizziness from low blood pressure.
Frequently asked questions
What is Met XL 25 used for?
Met XL 25 contains metoprolol succinate 25 mg in an extended-release tablet. It is used for high blood pressure, angina, irregular heartbeat, protecting the heart after a heart attack and in heart failure, and sometimes to prevent migraine.
Met XL 25 vs Met XL 50 – what is the difference?
Both are extended-release metoprolol succinate; only the strength differs. Doctors usually start with 25 mg and increase to 50 mg or more if blood pressure or heart rate is not controlled. Do not change strength on your own.
Can I take Met XL 25 with alcohol?
It is best to limit alcohol. Both alcohol and metoprolol lower blood pressure, so together they can make you dizzy or faint, especially when standing up.
Should Met XL 25 be taken in the morning or at night?
Usually once a day at the same time, most often in the morning. If it makes you dizzy, your doctor may suggest taking the first doses at bedtime. Stick to whatever time you choose.
Can I stop Starpress XL 25 once my BP is normal?
No. Your BP is normal because the tablet is working. Stopping metoprolol suddenly can cause rebound high blood pressure, a fast heart rate or chest pain. Any reduction must be done gradually under your doctor's supervision.
Can I break or crush Met XL 25 tablet?
Do not crush or chew it; this destroys the extended-release action. Some scored XL tablets can be halved – check the leaflet or ask your pharmacist before splitting.
Is Met XL 25 safe for asthma patients?
Beta blockers can tighten the airways. Metoprolol is more heart-selective than older beta blockers, but it is still used with caution in asthma or COPD. Tell your doctor if you have any breathing problem or use an inhaler.
Does metoprolol affect diabetes?
It does not raise sugar much, but it can mask the warning signs of a hypo such as a racing heart. If you take insulin or glimepiride, check your sugar more often and know the other hypo symptoms like sweating and confusion.
Is Met XL 25 safe in pregnancy?
Metoprolol is one of the beta blockers that doctors do use in pregnancy when treatment is needed. Tell your doctor if you are pregnant or planning to be so the choice and dose can be reviewed.
Sources
- NHS – Metoprolol (19 October 2026)
- NHS – How and when to take metoprolol (19 October 2026)
- NHS – Side effects of metoprolol (19 October 2026)
- NPPA Pharma Sahi Daam (ceiling prices) (19 October 2026)
- PMBI Jan Aushadhi Product & MRP List (19 October 2026)
Medyzen Editorial Team · Last updated
This page is general information, not medical advice. Do not start, stop or change a medicine without asking a doctor or pharmacist. Terms