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Prescription requiredLupin LabCARDIAC

Starpress H 50 XL

Metoprolol Succinate (23.75mg)

Starpress H 50 XL is used for treatment of Angina (heart-related chest pain) Treatment of Arrhythmia Treatment of Hypertension (high blood pressure) Prevention of Migraine Prevention of heart attack and stroke.

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

₹147
Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Metoprolol Succinate (23.75mg)
Available variants: NA 10`S
Best price: ₹147
Prescription: Required
Manufacturer: LUPIN LAB

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 Starpress H 50 XL

Starpress H 50 XL contains Metoprolol Succinate (23.75mg). It belongs to the Beta blocker class of medicines.

Uses of Starpress H 50 XL

Treatment of Angina (heart-related chest pain) Treatment of Arrhythmia Treatment of Hypertension (high blood pressure) Prevention of Migraine Prevention of heart attack and stroke

Key benefits

  • In Treatment of Angina (heart-related chest pain) Starpress XL 25 Tablet relaxes the blood vessels so that blood can flow more easily around your body and makes sure that your heart is getting a good supply of oxygen. This makes it less likely that you will suffer chest pain caused by angina. This medicine can help increase your ability to exercise and go about your daily life more easily by reducing the frequency of angina attacks. You should take it regularly
  • and as long as it is prescribed
  • for it to work effectively. In Treatment of Arrhythmia Starpress XL 25 Tablet is used to stabilize heart rhythms (particularly atrial fibrillation). It helps in normalizing an abnormal heart rhythm
  • preventing it from occurring in the first place or slowing down the heart rate during an episode. In Treatment of Hypertension (high blood pressure) Starpress XL 25 Tablet belongs to a group of medicines called long-acting beta-blocker. Starpress XL 25 Tablet works by blocking the effects of some chemicals on your heart and blood vessels. It slows down your heart rate and helps it to beat with less force. This lowers your blood pressure and helps in reducing your risk of having a stroke
  • a heart attack
  • other heart problems
  • or kidney problems in the future. This medicine needs to be taken regularly to be effective
  • so keep taking it even if you feel well. Do not stop without talking to your doctor. In Prevention of Migraine Starpress XL 25 Tablet helps change electrical activity in the brain
  • reduce the flow of blood in your brain or increase activity in a region of the brain associated with migraines. By preventing and reducing the frequency of migraine attacks
  • the medicine can help you carry out your daily activities and improve your quality of life. In Prevention of heart attack and stroke Starpress XL 25 Tablet helps lower your blood pressure and makes it easier for your heart to pump blood around your body. This reduces the chances of you having a heart attack. It can also reduce the risk of dying if it is given immediately after a heart attack. This medicine needs to be taken regularly to be effective
  • so keep taking it even if you feel well. Do not stop without talking to your doctor. Show More

How Starpress H 50 XL works

Starpress XL 25 Tablet is a long-acting beta blocker that works specifically on the heart. It works by slowing down the heart rate and making the heart more efficient at pumping blood around the body. Starpress XL 25 Tablet prevents migraines by blocking stress hormones, stabilizing blood vessels, and calming nerve activity. This reduces sudden blood flow changes and physical stress, lowering migraine frequency and severity.

How to take Starpress H 50 XL

Use it as advised by your doctor or check the label for directions before use. Starpress XL 25 Tablet may be taken with or without food. Avoid Starpress XL 25 Tablet with high-fat meals such as olive oil, nuts & seeds (Brazil nuts), dark chocolate, butter and meat.

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

If you miss a dose of Starpress XL 25 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

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 Starpress H 50 XL

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

  • Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

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 Starpress H 50 XL

PregnancyPregnancy CONSULT YOUR DOCTOR
BreastfeedingBreast feeding SAFE IF PRESCRIBED
AlcoholAlcohol CAUTION
DrivingDriving UNSAFE
KidneyKidney SAFE IF PRESCRIBED
LiverLiver CAUTION
Habit formingNo

Warnings and precautions

Never stop this medicine suddenly. Stopping abruptly can cause a sharp rise in blood pressure, worsening chest pain or a heart attack — your doctor will reduce it gradually. Tell your doctor if you have asthma or long-standing lung disease; this group can tighten the airways. If you have diabetes, be aware that this medicine can mask the early warning signs of low blood sugar, apart from sweating. Report a resting pulse that is persistently very slow, or fainting.

Do not take Starpress H 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

Combining with verapamil or diltiazem can slow the heart dangerously. Tell your doctor about diabetes medicines and about any asthma inhaler.

How to store Starpress H 50 XL

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Starpress H 50 XL

Starpress XL 25 Tablet should be taken once a day regularly at the same time. Lowering high blood pressure helps prevent stroke and heart attack. It may also be used to reduce the number and severity of angina attacks (chest pain caused by heart disease). Lifestyle changes like a low-fat diet, exercise, and not smoking may help this medicine work better. It may cause dizziness. If this happens to you, get up slowly when rising from a sitting or lying position. It can hide symptoms of low blood sugar if you are diabetic. Monitor your blood sugar levels regularly. Do not stop taking Starpress XL 25 Tablet suddenly as it can cause your blood pressure to rise suddenly, thereby increasing the risk of heart attack and stroke.

Manufacturer and class

Manufacturer:
LUPIN LAB
Therapeutic class:
CARDIAC
Drug class:
Beta blocker
Chemical class:
Tyrosol derivative

Substitutes for Starpress H 50 XL

Medicines with the same active ingredient (Metoprolol Succinate (23.75mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Starpress H 50 XL
Embeta-25Intas Pharmaceuticals Ltd10`S₹2186% cheaper
Normomet-XL 25 TabletERGOS LIFE SCIENCEStablet · 10`S₹4569% cheaper
Tolol XR 25 mg TabletTorrent Pharmaceuticals Ltdtablet · 15`S₹6159% cheaper
Betaone XL 25Dr Reddys Laboratories Ltd15`S₹6158% cheaper
Metocard XL 25 mg TabletTorrent Pharmaceuticals Ltdtablet · 15`S₹6854% cheaper
Prolomet XL 25 TabletSUN PHARMAtablet · 15 Tablet₹6854% cheaper
See all substitutes and alternatives

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Starpress H 50 XL FAQs

What is Starpress H 50 XL used for?
Starpress H 50 XL is commonly used for Treatment of Angina (heart-related chest pain) Treatment of Arrhythmia Treatment of Hypertension (high blood pressure) Prevention of Migraine Prevention of heart attack and stroke. 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 Starpress H 50 XL?
Starpress H 50 XL contains Metoprolol Succinate (23.75mg). 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 Starpress H 50 XL?
Use it as advised by your doctor or check the label for directions before use. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Starpress H 50 XL work?
Starpress XL 25 Tablet is a long-acting beta blocker that works specifically on the heart.
Is Starpress H 50 XL a prescription medicine?
Yes. Starpress H 50 XL 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 Starpress H 50 XL?
The side effects reported most often with Starpress H are Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. 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 Starpress H 50 XL be taken during pregnancy?
Pregnancy CONSULT YOUR DOCTOR Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Starpress H.
Can I drink alcohol while taking Starpress H 50 XL?
Alcohol CAUTION
What if I miss a dose of Starpress H 50 XL?
If you miss a dose of Starpress XL 25 Tablet, take it as soon as possible.
Is Starpress H 50 XL habit forming?
No. Starpress H 50 XL is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Starpress H 50 XL?
Embeta-25 has the same active ingredient and strength and is listed from ₹21 on PingMeDoc Pharmacy. Ask your doctor or pharmacist before switching brands, the salt is the same, but excipients and release profiles can differ.
How much does Starpress H 50 XL cost on PingMeDoc Pharmacy?
Starpress H 50 XL starts at ₹147 on PingMeDoc Pharmacy. Available in NA 10`S. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Starpress H 50 XL?
Starpress H 50 XL is manufactured by LUPIN LAB. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Starpress H 50 XL delivered?
Starpress H 50 XL 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.

Starpress H 50 XL, Quick facts

Salt
Metoprolol Succinate (23.75mg)
Best price
₹147
Prescription
Required (Rx)
Schedule
Schedule H
Brand
LUPIN LAB
Manufacturer
LUPIN LAB
Therapeutic class
CARDIAC
Drug class
Beta blocker
Chemical class
Tyrosol derivative
Action class
Beta blocker- Cardioselective
Habit forming
No
Variants
NA 10`S
Delivery
Standard across India

References

The information on Starpress H 50 XL 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.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Starpress H 50 XL.
  6. 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.