Prescription requiredAntihypertensive

Selotol XL 25 Tab — Side Effects & Warnings

Known side effects of Selotol XL 25 Tab include Tiredness, dizziness, slow heart rate (bradycardia), low blood pressure, headache, nausea, cold hands/feet, sleep disturbances. Not everyone experiences these side effects.

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

Common Side Effects

Tiredness
dizziness
slow heart rate (bradycardia)
low blood pressure
headache
nausea
cold hands/feet
sleep disturbances

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

Important Warnings

Do not stop abruptly (may worsen angina/trigger rebound hypertension). Use with caution in asthma/COPD, diabetes (may mask hypoglycemia symptoms), peripheral vascular disease, thyroid disorders, depression, liver impairment. Contraindicated in severe bradycardia, 2nd/3rd degree heart block, cardiogenic shock, decompensated heart failure unless stabilized. Monitor BP and pulse regularly.

Drug Interactions

Selotol XL 25 Tab may interact with the following:

Other antihypertensives (additive hypotension)
calcium channel blockers like verapamil/diltiazem (bradycardia/heart block)
digoxin (bradycardia)
antiarrhythmics like amiodarone (conduction issues)
clonidine (rebound hypertension if stopped improperly)
NSAIDs (may reduce BP-lowering effect)
CYP2D6 inhibitors like fluoxetine/paroxetine/quinidine (increase metoprolol levels)
insulin/oral antidiabetics (mask hypoglycemia).

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 out of reach of children.

Selotol XL 25 Tab — Safety Summary

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

Selotol 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.