Prescription requiredAntihypertensive

Metoray XL 25 Tab — Side Effects & Warnings

Known side effects of Metoray XL 25 Tab include Dizziness, fatigue, slow heart rate (bradycardia), low blood pressure, headache, nausea, diarrhea/constipation, cold hands and feet, sleep disturbance. Not everyone experiences these side effects.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated June 2026

Common Side Effects

Dizziness
fatigue
slow heart rate (bradycardia)
low blood pressure
headache
nausea
diarrhea/constipation
cold hands and feet
sleep disturbance

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

Do not stop abruptly (may worsen angina or trigger heart attack). Use with caution in asthma/COPD, diabetes (may mask hypoglycemia), thyroid disorders, peripheral vascular disease, kidney/liver impairment, and in patients with slow pulse, heart block, or acute decompensated heart failure. Monitor blood pressure and pulse regularly. Seek urgent care for very slow heartbeat, fainting, wheeze/shortness of breath, or swelling/rapid weight gain.

Drug Interactions

Metoray XL 25 Tab may interact with the following:

Other antihypertensives (additive hypotension)
verapamil/diltiazem
digoxin (bradycardia/heart block)
antiarrhythmics (e.g.
amiodarone)
clonidine (rebound hypertension on withdrawal)
insulin/oral antidiabetics (masked hypoglycemia)
NSAIDs (may reduce BP control)
CYP2D6 inhibitors such as fluoxetine/paroxetine/quinidine (increase metoprolol levels)

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Use with caution / Consult doctor

Alcohol Interaction

Use with caution (may increase dizziness and lower blood pressure)

Habit Forming

Storage

Store below 25°C in a dry place, protected from light and moisture. Keep in original blister pack and out of reach of children.

Metoray XL 25 Tab — Safety Summary

Composition: Metoprolol succinate extended-release 25 mg
Prescription: Required (Rx)
Pregnancy: Use with caution / Consult doctor
Alcohol: Use with caution (may increase dizziness and lower blood pressure)
Habit forming: No

Metoray XL 25 Tab — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.

Metoray XL 25 Tab — Side Effects & Warnings

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated June 2026