Metoprolol

Beta blocker
PRESCRIPTION ONLY IN INDIA

Metoprolol is a beta blocker found in 12 medicines sold in India, such as Met XL 25, Prolomet XL 25, Seloken XL 25. Below: what it is for, how it works, how to take it, side effects, interactions and pregnancy advice.

Also called: metoprolol succinate, metoprolol tartrate

What it is used for

Lowers blood pressure and heart rate; used in angina and heart failure.

How it works

A beta blocker for high blood pressure, angina, heart failure, irregular heartbeat and migraine prevention.

How to take it

Usually 25 to 200 mg a day; slow-release (XL) tablets once a day, swallowed whole or halved if scored.

Common side effects

  • Tiredness
  • Cold hands and feet
  • Slow pulse
  • Dizziness
  • Vivid dreams

Get medical help straight away if

  • Breathlessness or wheeze
  • Very slow pulse or fainting
  • Swollen ankles or rapid weight gain

Be careful

Do not stop suddenly. Can cause tiredness or dizziness.

Other medicines and interactions

Do not stop suddenly (it can trigger chest pain or a heart attack); taper as advised. Verapamil and diltiazem together can slow the heart dangerously. Can hide low sugar warning signs in diabetes.

Pregnancy and breastfeeding

Some beta blockers (such as labetalol) are used in pregnancy; ask your doctor whether yours is suitable. Babies may need watching for slow heart rate or low sugar after birth.

Brands of Metoprolol (12)

Met XL 12.5Met XL 25Met XL 50Metomac 25Metozaar XL-25Moreprol 25Prolomet XL 25Prolomet XL 50Seloken XL 25Seloken XL 50Tamepro 25XM-Beta 25

Common questions

What is Metoprolol used for?

Lowers blood pressure and heart rate; used in angina and heart failure.

How does Metoprolol work?

A beta blocker for high blood pressure, angina, heart failure, irregular heartbeat and migraine prevention.

How should I take Metoprolol?

Usually 25 to 200 mg a day; slow-release (XL) tablets once a day, swallowed whole or halved if scored.

What are the side effects of Metoprolol?

Common: Tiredness, cold hands and feet, slow pulse, dizziness, vivid dreams. Get help straight away for: Breathlessness or wheeze, very slow pulse or fainting, swollen ankles or rapid weight gain.

Does Metoprolol interact with other medicines?

Do not stop suddenly (it can trigger chest pain or a heart attack); taper as advised. Verapamil and diltiazem together can slow the heart dangerously. Can hide low sugar warning signs in diabetes.

Is Metoprolol safe in pregnancy and breastfeeding?

Some beta blockers (such as labetalol) are used in pregnancy; ask your doctor whether yours is suitable. Babies may need watching for slow heart rate or low sugar after birth.

Does Metoprolol need a prescription in India?

Yes. In India it is a prescription (Schedule H) medicine, so a pharmacist should sell it only with a doctor's prescription.

Which brands contain Metoprolol?

Met XL 12.5, Met XL 25, Met XL 50, Metomac 25, Metozaar XL-25, Moreprol 25, Prolomet XL 25, Prolomet XL 50, Seloken XL 25, Seloken XL 50, Tamepro 25, XM-Beta 25.

Sources and further reading

NHS (UK National Health Service) and MedlinePlus (US National Library of Medicine) are free, reviewed medicine guides. Brand names and doses there may differ from India.

Last reviewed 31 October 2026. Written by Satya Babu from standard prescribing information.

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For information only, not medical advice. This page is a plain-language summary written from standard prescribing information and the public guides linked below. Brands sometimes change their formula, so always check the composition printed on the pack. Doses here are typical adult doses; yours may differ. Do not start, stop or change a medicine without your doctor or pharmacist, and keep all medicines away from children. In an emergency, call 112 (India) or your local emergency number.