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Prescription requiredAzcad Pharmaceuticals Pvt LtdAntihypertensive, Antianginal

Metosux XL 50

Metoprolol succinate prolonged-release 50 mg

₹57MRP ₹605% offIn stock
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Delivered across India in about 3–5 days, Chennai next day. ₹49 delivery, free above ₹999.

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Metosux XL 50 is used for treatment of hypertension (high blood pressure), angina pectoris (chest pain), chronic heart failure (as add-on where appropriate), and rate control in certain tachyarrhythmias as prescribed; secondary prevention after myocardial infarction as advised by doctor.

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

Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Metoprolol succinate prolonged-release 50 mg
Available variants: NA 10`S
Best price: ₹57
MRP: ₹60
Prescription: Required
Manufacturer: AZCAD PHARMACEUTICALS PVT LTD

Ordering notes

Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Metosux XL 50

Metosux XL 50 contains Metoprolol succinate prolonged-release 50 mg. It belongs to the Selective beta-1 blocker (beta-blocker) class of medicines.

Uses of Metosux XL 50

  • Treatment of hypertension (high blood pressure)
  • angina pectoris (chest pain)
  • chronic heart failure (as add-on where appropriate)
  • and rate control in certain tachyarrhythmias as prescribed; secondary prevention after myocardial infarction as advised by doctor

Key benefits

  • Lowers high blood pressure
  • Reduces chest pain (angina) episodes
  • Helps control heart rate
  • Lowers risk of cardiovascular events when used as prescribed

How Metosux XL 50 works

Metoprolol is a selective beta-1 adrenergic blocker. It reduces heart rate and the force of contraction, lowering blood pressure and myocardial oxygen demand. The extended-release (XL) formulation provides sustained effect over 24 hours.

How to take Metosux XL 50

Oral tablet (extended-release). Take exactly as prescribed, usually once daily at the same time each day; can be taken with or without food. Swallow whole with water; do not crush, chew, or split unless advised.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

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.

If you take too much

An overdose of this medicine can cause a dangerously slow heartbeat, a severe fall in blood pressure, wheezing and fits. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Metosux XL 50

Most side effects of Metosux XL are mild and settle as the body adjusts. Reported side effects include:

  • tiredness
  • dizziness
  • slow heart rate (bradycardia)
  • low blood pressure
  • cold hands/feet
  • headache
  • nausea
  • diarrhea
  • shortness of breath (occasionally)
  • sleep disturbance

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.

Safety advice for Metosux XL 50

PregnancyUse with caution / Consult doctor
BreastfeedingUse with caution while breastfeeding; watch the baby for any unusual symptoms.
AlcoholUse with caution (may increase dizziness and lower blood pressure)
DrivingMay cause drowsiness or affect your concentration. Do not drive until you know how it affects you.
KidneyUse with caution if you have kidney disease — your doctor may adjust the dose or monitor your kidney function.
LiverUse with caution if you have liver disease — your doctor may adjust the dose or monitor your liver function.
Habit formingNo

Warnings and precautions

Do not stop suddenly (may worsen angina/trigger heart attack); taper only under medical supervision. Use with caution in asthma/COPD, diabetes (may mask hypoglycemia symptoms), thyroid disorders, peripheral vascular disease, and in patients with low heart rate, heart block, or severe hypotension. In heart failure, initiate/titrate as directed; seek help for worsening breathlessness, swelling, or sudden weight gain. May cause dizziness—avoid driving if affected.

Do not take Metosux XL if

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.

Interactions with other medicines

Other antihypertensives (additive BP lowering), verapamil/diltiazem (risk of bradycardia/heart block), digoxin (bradycardia), antiarrhythmics e.g., amiodarone (conduction effects), clonidine (rebound hypertension on withdrawal), insulin/oral antidiabetics (masked hypoglycemia), NSAIDs (may reduce BP-lowering effect), CYP2D6 inhibitors e.g., fluoxetine/paroxetine/quinidine (increase metoprolol levels)

How to store Metosux XL 50

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

Expert advice for Metosux XL 50

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.

Manufacturer and class

Manufacturer:
AZCAD PHARMACEUTICALS PVT LTD
Therapeutic class:
Antihypertensive, Antianginal
Drug class:
Selective beta-1 blocker (beta-blocker)

Substitutes for Metosux XL 50

Medicines with the same active ingredient (Metoprolol succinate prolonged-release 50 mg). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Metosux XL 50
Meprol XL 50 TabletAEON PHARMA CORPORATIONtablet · 10`S₹582% more
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Metosux XL 50 FAQs

What is Metosux XL 50 used for?
Metosux XL 50 is commonly used for Treatment of hypertension (high blood pressure), angina pectoris (chest pain), chronic heart failure (as add-on where appropriate), and rate control in certain tachyarrhythmias as prescribed; secondary prevention after myocardial infarction as advised by doctor. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Metosux XL 50?
Metosux XL 50 contains Metoprolol succinate prolonged-release 50 mg. If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Metosux XL 50?
Oral tablet (extended-release). Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Metosux XL 50 work?
Metoprolol is a selective beta-1 adrenergic blocker.
Is Metosux XL 50 a prescription medicine?
Yes. Metosux XL 50 is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Metosux XL 50?
The side effects reported most often with Metosux XL are tiredness, dizziness, slow heart rate (bradycardia), low blood pressure, cold hands/feet. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Metosux XL 50 be taken during pregnancy?
Use with caution / Consult doctor Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Metosux XL.
Can I drink alcohol while taking Metosux XL 50?
Use with caution (may increase dizziness and lower blood pressure)
What if I miss a dose of Metosux XL 50?
Take it as soon as you remember.
Is Metosux XL 50 habit forming?
No. Metosux XL 50 is not known to be habit forming when taken as prescribed.
How much does Metosux XL 50 cost on PingMeDoc Pharmacy?
Metosux XL 50 starts at ₹57 (MRP ₹60) on PingMeDoc Pharmacy. Available in NA 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Metosux XL 50?
Metosux XL 50 is manufactured by AZCAD PHARMACEUTICALS PVT LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Metosux XL 50 delivered?
Metosux XL 50 is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Metosux XL 50, Quick facts

Salt
Metoprolol succinate prolonged-release 50 mg
Best price
₹57
MRP
₹60
Prescription
Required (Rx)
Schedule
Schedule H
Brand
AZCAD PHARMACEUTICALS PVT LTD
Manufacturer
AZCAD PHARMACEUTICALS PVT LTD
Therapeutic class
Antihypertensive, Antianginal
Drug class
Selective beta-1 blocker (beta-blocker)
Habit forming
No
Variants
NA 10`S
Delivery
Standard across India

References

Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.

  1. Manufacturer labeling, established medical literature on metoprolol succinate extended-release, standard cardiology/pharmacology references
  2. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  3. National List of Essential Medicines (NLEM) 2022, Government of India.
  4. Manufacturer's package insert / prescribing information for Metosux XL 50.
  5. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.