{"id":58866,"date":"2023-06-11T21:30:23","date_gmt":"2023-06-12T01:30:23","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=58866"},"modified":"2025-10-06T14:23:13","modified_gmt":"2025-10-06T18:23:13","slug":"metoprolol-succinate-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/metoprolol-succinate-alternatives\/","title":{"rendered":"Metoprolol succinate (Toprol XL) alternatives: What can I take instead of metoprolol succinate?"},"content":{"rendered":"

Metoprolol succinate is a generic prescription medication that belongs to a group of drugs called beta blockers and is available under the brand-name Toprol XL. Beta blockers can be used to treat a variety of conditions, including <\/span>high blood pressure (hypertension)<\/span><\/a>, heart failure, angina (chest pain often associated with coronary artery disease), and post-myocardial infarction (heart attack).\u00a0<\/span><\/p>\n

Additionally, there are many <\/span>off-label<\/span><\/a> uses, including <\/span>migraine<\/span><\/a> prevention, treatment of arrhythmias (irregular heartbeats), tremor reduction, and the symptomatic treatment of <\/span>anxiety disorders<\/span><\/a>. These medications work by slowing down the heart, which results in <\/span>lower blood pressure<\/span><\/a> and improves blood flow in the body. More specifically, metoprolol succinate is selective for beta-1 receptors (a cardioselective beta blocker), which mostly affects the heart.<\/span><\/p>\n

In contrast, non-selective beta blockers can also affect other areas such as the lungs, blood vessels, and the gastrointestinal (GI) tract. For that reason, metoprolol succinate is preferred for heart disease therapy. An advantage of metoprolol succinate is that it is an extended-release tablet dosed once daily.<\/span><\/p>\n

While an effective treatment for some people, metoprolol succinate may not be the best and safest treatment for everyone. People with asthma or chronic lung disease (such as COPD) should not use some types of beta blockers, as the medications could worsen breathing problems. Additionally, there are potentially unwanted <\/span>side effects<\/span><\/a> of metoprolol, including fatigue, dizziness, trouble sleeping, shortness of breath, a slow heart rate (bradycardia), and insomnia. For people with diabetes, metoprolol succinate can potentially increase blood sugar and may hide some of the warning signs of <\/span>hypoglycemia<\/span><\/a> (low blood sugar).<\/span><\/p>\n

RELATED: <\/b>What is metoprolol succinate?<\/b><\/a> <\/b>Metoprolol succinate coupons<\/b><\/a><\/p>\n

What can I take in place of metoprolol succinate?<\/span><\/h2>\n

There are other options available to treat hypertension, heart failure, or chest pain that does not improve with metoprolol succinate. These alternative medications include other beta blockers, angiotensin-converting enzyme inhibitors, (ACE inhibitors), angiotensin II receptor blockers (ARBs), aldosterone antagonists, vasodilators, diuretics, and medications that control the heart rate or heart rhythm. These options may be more suitable for certain individuals due to their different uses, side effect profiles, and dosages.<\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
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Compare Toprol XL (metoprolol succinate) alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n

Drug name<\/b><\/td>\nUses<\/b><\/td>\nDosage<\/b><\/td>\nSavings options<\/b><\/td>\n<\/tr>\n
Metoprolol succinate (Toprol XL)<\/span><\/td>\n-Angina<\/span><\/p>\n

-Heart failure<\/span><\/p>\n

-Hypertension<\/span><\/p>\n

-Post myocardial infarction<\/span><\/td>\n

Take 25 to 200 mg by mouth once-daily (based on indication)<\/span><\/td>\nToprol XL <\/span>coupons<\/span><\/a><\/td>\n<\/tr>\n
Acebutolol<\/span><\/td>\n-Hypertension<\/span><\/p>\n

-Ventricular arrhythmias<\/span><\/td>\n

Take 200 to 800 mg by mouth once-daily (based on indication)<\/span><\/td>\nAcebutolol coupons<\/span><\/a><\/td>\n<\/tr>\n
Atenolol\u00a0<\/span><\/p>\n

(Tenormin)<\/span><\/td>\n

-Angina<\/span><\/p>\n

-Hypertension<\/span><\/p>\n

-Post myocardial infarction<\/span><\/td>\n

Take 25 to 200 mg by mouth once-daily (based on indication)<\/span><\/td>\nTenormin <\/span>coupons<\/span><\/a><\/td>\n<\/tr>\n
Betaxolol<\/span><\/td>\n-Hypertension<\/span><\/td>\nTake 10 to 20 mg by mouth once-daily<\/span><\/td>\nBetaxolol coupons<\/span><\/a><\/td>\n<\/tr>\n
Bisoprolol<\/span><\/td>\n-Angina<\/span><\/p>\n

-Heart failure<\/span><\/p>\n

-Hypertension<\/span><\/td>\n

Take 2.5 to 20 mg by mouth once-daily<\/span><\/td>\nBisoprolol coupons<\/span><\/a><\/td>\n<\/tr>\n
Carvedilol\u00a0<\/span><\/p>\n

(Coreg)<\/span><\/td>\n

-Heart failure<\/span><\/p>\n

-Hypertension<\/span><\/p>\n

-Post myocardial infarction<\/span><\/td>\n

Take 6.25 to 50 mg by mouth twice-daily<\/span><\/td>\nCoreg\u00a0<\/span>coupons<\/span><\/a><\/td>\n<\/tr>\n
Entresto\u00a0<\/span><\/p>\n

(sacubitril\/ valsartan)<\/span><\/td>\n

-Heart failure<\/span><\/td>\nTake 24 mg\/26 mg to 97 mg\/103 mg by mouth twice-daily<\/span><\/td>\nEntresto coupons<\/span><\/a><\/td>\n<\/tr>\n
Lisinopril\u00a0<\/span><\/p>\n

(Prinivil, Zestril)<\/span><\/td>\n

-Acute coronary syndrome, post myocardial infarction<\/span><\/p>\n

-Heart failure<\/span><\/p>\n

-Hypertension<\/span><\/td>\n

Take 10 to 40 mg by mouth once-daily<\/span><\/td>\nZestril\u00a0<\/span>coupons<\/span><\/a><\/td>\n<\/tr>\n
Metoprolol tartrate (Lopressor)<\/span><\/td>\n-Angina<\/span><\/p>\n

-Hypertension<\/span><\/p>\n

-Post myocardial infarction<\/span><\/td>\n

Take 50 to 200 mg by mouth twice-daily (based on indication)<\/span><\/td>\nLopressor coupons<\/span><\/a><\/td>\n<\/tr>\n
Nebivolol<\/span><\/a><\/p>\n

(Bystolic)<\/span><\/td>\n

-Hypertension<\/span><\/td>\nTake 5 to 40 mg by mouth once-daily<\/span><\/td>\nBystolic coupons<\/span><\/a><\/td>\n<\/tr>\n
Valsartan<\/span><\/p>\n

(Diovan)<\/span><\/td>\n

-Hypertension<\/span><\/p>\n

-Heart failure<\/span><\/p>\n

-Post-myocardial infarction<\/span><\/td>\n

-Take 80 to 320 mg tablet by mouth once-daily (hypertension)<\/span><\/p>\n

-Take 160 mg tablet by mouth twice-daily (heart failure and post-MI)<\/span><\/td>\n

Diovan\u00a0<\/span>coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Other alternatives to metoprolol succinate<\/span><\/h3>\n

For people seeking other alternatives to metoprolol succinate, there are a variety of medications in several drug classes that can be used depending on the condition being treated.<\/span><\/p>\n

Angiotensin-Converting Enzyme (ACE) Inhibitors<\/span><\/a><\/p>\n