What is Labetalol: Uses, Warnings & Interactions

Updated May 22, 2025  •  Published Dec 30, 2020

Labetalol is a generic high blood pressure medication. As a beta blocker, it lowers blood pressure by slowing down the heart, but it also relaxes and widens blood vessels. Labetalol is taken as a tablet with or without food twice daily.

Labetalol overview

BRAND NAMES:

  • No brand-name versions

Generic Names:

  • Labetalol HCl

Uses:

  • Treats high blood pressure.

Therapeutic Classes:

  • Antihypertensive, beta blocker

Forms:

  • Tablet, injectable

How it’s taken:

  • By mouth, or injected

What is Labetalol used for?

Labetalol tablets treat high blood pressure (hypertension). Healthcare providers use labetalol intravenous injections in emergencies to treat severe hypertension.

What form(s) does Labetalol come in

  • Tablet

    • 100 mg

    • 200 mg

    • 300 mg

  • Injection

    • 5 mg/mL

What are common Labetalol doses?

  • For hypertension: 200–400 mg taken as tablets twice daily

Common Labetalol prescriptions

  • Labetalol HCl
    4ml of 5mg/ml cartridge

  • Labetalol HCl
    2ml of 10mg/2ml syringe

  • Labetalol HCl
    100mg tablet

  • Labetalol HCl
    200mg tablet

  • Labetalol HCl
    300mg tablet

  • Labetalol HCl
    20ml of 5mg/ml vial

  • Labetalol HCl
    40ml of 5mg/ml vial

  • Labetalol HCl
    4ml of 5mg/ml vial

How to take Labetalol

  • Follow all the prescriber’s instructions.

  • Take two doses daily, once in the morning and once later in the day.

  • Take labetalol tablets with a meal or on an empty stomach.

  • Swallow the tablet whole with a drink of water. 

  • Do not stop taking doses except when the doctor approves. 

  • Store labetalol tablets at room temperature 

What to do if you miss a dose of Labetalol

  • Ask the prescriber how to manage a missed dose.

  • Healthcare providers will likely advise that the missed dose be taken if it’s not close to the next scheduled dose.

  • Do not use extra medicine to make up for a missed dose.

Labetalol contraindications

  • This medicine is not right for everyone. 

  • Do not use it if you have:

    • Known allergies to labetalol 

    • Obstructive airway problems such as asthma or COPD

    • A very slow heart rate (severe bradycardia)

    • Moderate or severe heart block

    • Heart failure 

    • Any other medical condition that causes prolonged low blood pressure

Labetalol warnings

  • The prescriber will need regular office visits, blood pressure checks, and blood tests to manage dosages and monitor for side effects. Keep all appointments.

  • Tell your doctor if you are pregnant, breastfeeding, or have:

    • Asthma or other obstructive lung diseases such as bronchitis or emphysema

    • Heart failure

    • Heart rhythm abnormalities

    • Slow heart rate

    • Blood flow problems in your legs or feet

    • Liver problems

    • Diabetes

    • Adrenal gland cancer (pheochromocytoma)

    • A history of severe allergic reactions (anaphylactic reactions)

  • Labetalol masks some of the symptoms of low blood sugar (hypoglycemia) like racing heartbeats or shakiness. 

    • People with diabetes or who are fasting should be able to recognize other symptoms of low blood sugar such as sweating. 

    • Ask the prescriber for instructions.

  • This medicine may cause impairment. Before driving, operating machinery, or engaging in potentially hazardous activities, become familiar with how this medicine affects you.  

  • Do not suddenly stop taking labetalol. The dose may need to be gradually reduced.

  • Labetalol injections can make you feel dizzy, lightheaded, or faint when you stand up or change position. After receiving an injection, do not stand up without someone else in the room to help you.

  • Tell any doctor or other healthcare provider who treats you that you are using this medicine, particularly before surgery or certain medical tests. 

    • Some general anesthetics shouldn’t be used.

    • For cataract surgery, the surgeon must know about labetalol before performing the procedure.

    • Labetalol can alter the results of blood tests, such as giving back false positive readings on drug tests for amphetamines.

Labetalol interactions

  • To avoid potential drug interactions, tell the prescriber about all the medications you currently take, particularly: 

    • Other beta blockers

    • Blood pressure drugs called calcium channel blockers

    • Drugs that treat heart rhythm problems, particularly digoxin, dronedarone, quinidine, and propafenone

    • Cimetidine, epinephrine, nitroglycerin

  • Ask the prescriber about drinking or avoiding alcohol during treatment.

  • Tell other healthcare providers you are using this medicine before they prescribe new medications or use general anesthetics.

Labetalol side effects

Serious side effects

Talk to a healthcare provider if you notice any signs or symptoms of a possible serious side effect including:

  • New or worsening chest pain

  • Swelling in your hands, ankles, or feet, trouble breathing

  • Slow, fast, or irregular heartbeat, palpitations

  • Lightheadedness, dizziness, fainting

  • Trouble breathing, shortness of breath, wheezing, asthma-like symptoms

  • Racing heartbeats

  • Sensitivity to cold in your hands, fingers, or toes, blue or red skin on your hands, fingers, or feet, muscle pain while resting

  • Allergic reaction: Hives, rash, itching, swelling in the face, lips, mouth, tongue, or throat, chest tightness, trouble breathing, trouble swallowing

Less serious side effects

  • Nausea

  • Dizziness

  • Tiredness

  • Feeling faint when standing up (injections only)

  • Mild scalp tingling (in the first few days)

Sources:

Subscribe to our savings newsletter

Health education, drug info, wellness & more

By clicking 'Subscribe', I agree to SingleCare's Terms & Conditions.