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Metoprolol succinate 50 mg (extended release): uses, price & cheaper substitutes

Prescription required (Schedule H)

Common uses: High blood pressure (hypertension), alone or with other medicines; Angina – chest pain from narrowed heart arteries.

Listed MRPs range from ₹0.93 to ₹20.66 per tablet across 7 listings. Use only on a doctor's prescription.

Price comparison

BrandManufacturerPackMRP₹ / tabletAs on
Metoprolol Extended release Tablets IP 50mgJan AushadhiJan Aushadhi (PMBJP)10₹9.29₹0.9319 October 2026
Metapro-XL 50Micro Labs Ltd15₹93.50₹6.2319 October 2026
Revelol XL 50Ipca Laboratories Ltd15₹93.55₹6.2419 October 2026
Met XL 50Ajanta Pharma Limited20₹125.53₹6.2819 October 2026
Metocard XL 50Torrent Pharmaceuticals Ltd15₹94.15₹6.2819 October 2026
Embeta XR 50Intas Pharmaceuticals Ltd30₹188.37₹6.2819 October 2026
Metpure-XL 50Emcure Pharmaceuticals Ltd10₹206.65₹20.6619 October 2026

MRPs as printed/listed on the date shown; actual price may vary.

Uses

  • High blood pressure (hypertension), alone or with other medicines.
  • Angina – chest pain from narrowed heart arteries.
  • Heart failure, where it helps the heart work more efficiently over time.
  • After a heart attack, to improve survival and prevent another one.
  • Controlling a fast or irregular heartbeat, and preventing migraine.

How to take it

Take one extended-release (XL/XR) tablet once a day at the same time, with or without food, swallowed whole with water – do not crush or chew it, though scored tablets can be halved if your brand's leaflet allows. Your doctor may suggest the first dose at bedtime because it can cause dizziness. This is usually a long-term medicine; never stop it suddenly, because that can bring on severe chest pain, a racing heart or a heart attack – your doctor will taper it. Check your pulse and blood pressure as advised and tell your doctor if your pulse is very slow or you feel faint.

Side effects

Common

  • Tiredness, dizziness or weakness, especially at first.
  • Cold hands and feet.
  • Headache.
  • Nausea, stomach pain or diarrhoea.
  • Slow heartbeat.

Serious

Stop and get medical help urgently if you notice any of these.

  • Breathlessness, a cough that is worse on exertion, swollen ankles or an irregular heartbeat – possible worsening heart failure; see a doctor.
  • Fainting or a very slow pulse.
  • Wheezing or tight chest – metoprolol can tighten the airways in people with asthma.
  • Severe allergic reaction – swelling of the face or throat, difficulty breathing.

Safety information

Alcohol

Alcohol adds to the dizziness and blood-pressure drop; avoid it, especially in the first weeks.

Pregnancy

Tell your doctor if you are pregnant, planning a pregnancy or breastfeeding – it is used in pregnancy only when needed and the baby may need monitoring.

Kidney problems

No routine dose change, but tell your doctor about kidney disease so your blood pressure and pulse can be watched.

Liver problems

Metoprolol is broken down by the liver; your doctor may use a lower dose if you have liver disease.

Children

Not routinely used in children; a paediatric cardiologist decides the dose by weight.

Missed dose

Take it as soon as you remember unless the next dose is nearly due – then skip it. Do not take two doses together.

Interactions

  • Other blood-pressure or heart-rate medicines – amlodipine, diltiazem, verapamil, clonidine, digoxin – can slow the heart or drop blood pressure too much.
  • Diabetes medicines (insulin, glimepiride) – metoprolol can hide the warning signs of low sugar such as a fast heartbeat.
  • Asthma inhalers such as salbutamol work less well; tell your doctor if you have asthma or COPD.
  • Painkillers like ibuprofen and diclofenac can reduce its blood-pressure effect.
  • Some antidepressants (fluoxetine, paroxetine) and antifungals raise metoprolol levels.

Frequently asked questions

What is Met XL 50 used for?

Met XL 50 contains metoprolol succinate 50 mg in an extended-release form. It is used for high blood pressure, angina, heart failure, after a heart attack, and for fast or irregular heartbeats.

Met XL 50 vs Metolar 50 – are they the same?

Both contain metoprolol, but Met XL and Metocard XL are once-a-day extended-release metoprolol succinate, while plain Metolar is metoprolol tartrate that is usually taken twice a day. Do not swap between them without asking your doctor.

Should I take Met XL in the morning or at night?

Either is fine as long as it is the same time every day. Doctors often suggest bedtime for the first dose because it can cause dizziness, and morning after that.

Can I stop Met XL 50 if my BP is normal?

No. Your blood pressure is normal because of the medicine. Stopping metoprolol suddenly can cause rebound chest pain, a racing heart or even a heart attack. Only your doctor should reduce or stop it.

Can I take Met XL 50 with amlodipine or telmisartan?

Yes, these combinations are common in India, but they are prescribed together by a doctor who checks that your blood pressure and pulse do not fall too low.

Is Met XL safe for people with asthma?

Metoprolol is more heart-selective than older beta blockers but can still tighten the airways. Tell your doctor if you have asthma or COPD – they may choose a different medicine or watch you closely.

Can I take Met XL with alcohol?

It is best avoided. Alcohol increases dizziness and can drop your blood pressure further, especially when you are starting treatment.

Does Metocard XL cause tiredness?

Tiredness and cold hands are common in the first weeks and usually improve. If you are very weak, breathless or your pulse is very slow, speak to your doctor.

Is Met XL 50 a prescription medicine?

Yes. Metoprolol is a Schedule H medicine in India and chemists need a valid prescription. It also needs regular blood pressure and pulse checks.

Sources

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