Metoprolol SR Tablets for Hypertension

This extended-release beta blocker is used for high blood pressure, angina, and certain heart conditions. Ships from Canada to US and helps you compare options without insurance. Metoprolol SR® details below cover uses, dosing, safety, and how to order.

What Metoprolol SR Is and How It Works

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This medicine belongs to the cardioselective beta blocker class. It reduces the effects of adrenaline on the heart, which can lower heart rate, decrease cardiac workload, and help control blood pressure. The treatment may also reduce chest pain episodes by lowering myocardial oxygen demand. In certain patients with stable heart failure, it can be part of guideline-directed care.

Extended-release metoprolol succinate delivers the drug slowly over 24 hours for steady plasma levels. This design supports once-daily use and may improve adherence compared with multiple daily doses.

Who It’s For

Clinicians prescribe this medicine to manage hypertension in adults. It is also used for chronic angina and to help reduce cardiovascular risk after a heart attack. In selected patients with stable, symptomatic heart failure, it may be used as part of combination therapy.

People with severe bradycardia, second- or third-degree heart block without a pacemaker, severe hypotension, or known hypersensitivity to the drug should avoid it. Asthma and other bronchospastic diseases require caution. Discuss your history of depression, diabetes, thyroid disease, or peripheral vascular disease before starting therapy. Learn about the conditions it treats in our resources on Hypertension, Angina, Arrhythmia, and Heart Failure.

Dosage and Usage

Metoprolol SR dosage is individualized and guided by the official label. It is usually taken once daily, preferably with or immediately following a meal to support consistent absorption. Swallow tablets whole. Do not crush, chew, or split, as this can release the medication too quickly.

Your clinician may adjust the dose based on response and tolerability. If switching from immediate-release metoprolol, the total daily dose is typically matched, then reassessed. For heart failure, therapy is often started at a low dose and titrated as tolerated within label parameters. Always follow your prescriber’s instructions and the patient information leaflet.

If you also take other heart medications, your prescriber may sequence changes carefully. Stand up slowly during initiation or dose changes, as dizziness can occur.

Strengths and Forms

This treatment is available as extended-release oral tablets. Availability may vary by pharmacy.

• Common strengths include 25 mg, 50 mg, 100 mg, and 200 mg.
• Tablet color, imprint, and shape may vary by manufacturer.

Some labels describe these tablets as metoprolol succinate SR, indicating the once-daily extended-release formulation.

Missed Dose and Timing

If you miss a dose, take it as soon as you remember unless it is close to your next dose. Skip the missed dose if it is almost time for the next one. Do not double up. Many patients use metoprolol sr once daily; set reminders to support regular use.

If you vomit soon after a dose and are unsure whether to re-dose, consult your clinician or pharmacist. Keep timing consistent from day to day.

Storage and Travel Basics

Store tablets at room temperature, typically 20 to 25°C (68 to 77°F), protected from moisture. Keep them in the original, tightly closed container, out of reach of children and pets. Do not store in a bathroom where humidity is high.

When traveling, carry your medication in hand luggage along with a copy of your prescription. Use a pill organizer only if you can keep the original labeled container available for verification. For longer trips, bring extra tablets and a list of your current medicines and doses.

Benefits

This treatment can reduce blood pressure, which may lower the risk of cardiovascular events when used as indicated. It can also decrease the frequency of angina episodes. Once-daily dosing supports routine and may improve adherence for some patients.

Cardioselective beta blockade targets beta-1 receptors, which may reduce bronchospasm risk compared with nonselective agents; however, selectivity is not absolute, and caution is still necessary in patients with reactive airway disease.

Side Effects and Safety

• Fatigue or low energy
• Dizziness or lightheadedness
• Slow heart rate
• Nausea or stomach upset
• Cold hands or feet
• Sleep changes or vivid dreams

Serious effects can include severe bradycardia, heart block, worsening heart failure, or severe hypotension. Rarely, allergic reactions can occur. Beta blockers may mask some signs of hypoglycemia in people with diabetes, such as fast heartbeat, so monitor glucose closely and watch for other symptoms like sweating and confusion. If you experience chest pain that worsens, fainting, or shortness of breath, seek medical care promptly.

Drug Interactions and Cautions

Use caution with other agents that slow heart rate or AV conduction, including certain calcium channel blockers (for example, verapamil and diltiazem), digoxin, and some antiarrhythmics. Additive effects with antihypertensives may increase the risk of low blood pressure. Some antidepressants and strong CYP2D6 inhibitors can affect levels of this medicine. Always share a complete medication list, including over-the-counter drugs and supplements.

Alcohol may enhance blood pressure-lowering effects. People with diabetes should watch for masked hypoglycemia symptoms and review best practices in our guide on Diabetes and Hypertension. For broader strategies, see Managing Hypertension 2025.

What to Expect Over Time

Blood pressure improvements may develop gradually with steady daily use. Many patients notice better exercise tolerance for angina once dosing is stabilized. Your clinician may adjust the regimen based on office or home blood pressure readings, symptom reports, and tolerability.

Adherence matters. Take tablets at the same time each day, ideally with a meal. Track heart-rate and blood-pressure readings if your clinician recommends it, and bring your log to appointments.

Compare With Alternatives

Other beta blockers may be considered if a different profile is needed. For once-daily control in some patients, your clinician might consider Atenolol or, when alpha and beta blockade is desired, Carvedilol. To understand how another beta blocker is used for hypertension, see our overview on Atenolol and Hypertension.

Pricing and Access

Canadian pricing can offer meaningful savings for US patients, with US shipping from Canada. You can check current pricing, compare manufacturers, and see estimated cash-pay options. Our checkout is encrypted, and prescription status is confirmed when required.

If you are looking for extra ways to save, you can review active offers on our Promotions page. For broader cardiovascular therapy options you can also browse the Cardiovascular category.

Availability and Substitutions

Supply can vary by strength and manufacturer. If a specific tablet is unavailable, your prescriber may recommend a therapeutically equivalent option. You can explore metoprolol sr online availability and discuss suitable substitutions with your clinician and pharmacy team.

Patient Suitability and Cost-Saving Tips

This medicine may be a fit if you need once-daily beta-1 selective blockade and can tolerate a lower heart rate and blood pressure. It may not suit people with certain conduction problems or very low baseline heart rate. Discuss lung disease, diabetes, and depression with your prescriber before starting.

To reduce pharmacy trips, consider multi-month fills if your prescriber agrees. Set refill reminders in your phone. If your plan changes, bring your medication list to each visit so your clinician can adjust therapy safely. For education on heart medicines and related conditions, explore our articles on Altace and Blood Pressure and SGLT2 roles in heart failure care at SGLT2 and Heart Failure.

Questions to Ask Your Clinician

• Therapy goal: blood pressure range and symptom targets
• Dose plan: how and when to titrate safely
• Food and timing: should it be taken with meals
• Monitoring: which readings to track at home
• Interactions: which drugs or supplements to avoid
• Travel: what to do if a dose is missed

Authoritative Sources

For full prescribing details, consult the US label on DailyMed metoprolol succinate extended-release, review the product information via the manufacturer’s US reference where applicable, and see the Canadian entry in the Health Canada Drug Product Database for additional regulatory data.

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Medical disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice.