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Ajanta Pharma - Drop - 0.5%W/V - 5 ml
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Metoprolol succinate (extended-release) 50 mg + Amlodipine 10 mg
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Met XL D 50/10 mg Tablet is used for treatment of hypertension (high blood pressure); may be used in patients requiring combination therapy to control BP and reduce cardiovascular risk.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Met XL D 50/10 mg Tablet contains Metoprolol succinate (extended-release) 50 mg + Amlodipine 10 mg. It belongs to the Beta-blocker (beta-1 selective) + Calcium channel blocker (dihydropyridine) class of medicines.
Treatment of hypertension (high blood pressure); may be used in patients requiring combination therapy to control BP and reduce cardiovascular risk.
Metoprolol is a beta-1 selective beta blocker that slows heart rate and reduces the force of contraction, lowering blood pressure. Amlodipine is a calcium channel blocker that relaxes blood vessels by inhibiting calcium entry into vascular smooth muscle, improving blood flow and reducing BP.
Tablet for oral use. Take exactly as prescribed, preferably at the same time each day. Swallow whole with water; do not crush/chew (extended-release). Can be taken with or without food. Do not stop abruptly without medical advice.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. It can cause a severe fall in blood pressure and a dangerously slow or irregular heartbeat. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Met XL D 50/10 mg are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Consult doctor (use with caution; generally not preferred unless clearly needed) |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | Use with caution (may increase dizziness and low blood pressure) |
| Driving | May cause drowsiness or affect your concentration. Do not drive until you know how it affects you. |
| Kidney | Use with caution if you have kidney disease — your doctor may adjust the dose or monitor your kidney function. |
| Liver | Use with caution if you have liver disease — your doctor may adjust the dose or monitor your liver function. |
| Habit forming | No |
Prescription medicine. Do not stop metoprolol suddenly (risk of chest pain/heart attack in susceptible patients). Use with caution in asthma/COPD (may worsen breathing), diabetes (may mask low-sugar symptoms), thyroid disorders, peripheral vascular disease, and in patients with slow heart rate/heart block or heart failure unless supervised. Monitor BP and pulse. Amlodipine may cause ankle swelling and dizziness. Caution while driving if dizzy. Inform doctor before surgery/anesthesia.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with a very slow heart rate, certain heart block disorders, or uncontrolled heart failure. Generally avoided in severe asthma. Not for people with very low blood pressure or with severe narrowing of the aortic valve.
Other antihypertensives (additive BP lowering), verapamil/diltiazem/digoxin/antiarrhythmics (risk of bradycardia/heart block), clonidine (rebound hypertension on withdrawal), NSAIDs (may reduce antihypertensive effect), CYP3A4 inhibitors like clarithromycin/azoles/grapefruit (increase amlodipine levels), CYP3A4 inducers like rifampicin/phenytoin/carbamazepine (reduce amlodipine effect), alcohol (increases dizziness/hypotension)
Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep out of reach of children.
Take it at the same time each day and do not miss doses. Learn to check your own pulse, and report a persistently slow one. Raising your legs when sitting, and reducing salt, helps with ankle swelling. Do not stop suddenly without asking your doctor.

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The information on Met XL D 50/10 mg Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.