Compare Lopressor vs. Bystolic

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Lopressor (metoprolol tartrate)

Prescription only

Bystolic (Nebivolol)

Prescription only
Lowers blood pressure and controls heart rate.

Lopressor (metoprolol tartrate) lowers high blood pressure, controls chest pain, and helps treat heart failure and heart attack. You need to take it with food and can't miss a dose.

5.0/ 7 average rating with 464 reviewsforLopressor
Lowers blood pressure and controls heart rate.

Bystolic (Nebivolol) is a good blood pressure-lowering medicine for people with heart conditions, and has fewer side effects than other beta blockers, but it's expensive. You can't miss doses.

4.9/ 7 average rating with 154 reviewsforBystolic
Upsides
  • A first-choice treatment to prevent chest pain (angina).
  • Makes pain episodes less frequent and makes it easier to be active without having chest pain.
  • A first-choice treatment for people who've had a heart attack.
  • Lopressor (metoprolol tartrate) lowers the risk of death during and after a heart attack.
  • Lopressor (metoprolol tartrate) is cheaper than the extended release version.
  • Controls your heart rate to reduce work for your heart.
  • A first-line treatment for heart failure and heart attack.
  • Helps to lower blood pressure if you can't use first-choice treatments or need additional blood pressure control.
  • Many beta blockers can worsen asthma or cause headaches, but Bystolic usually doesn't because it targets the heart more specifically and causes fewer side effects.
Downsides
  • You need to take Lopressor (metoprolol tartrate) with food twice a day for it to work best.
  • Taking Lopressor (metoprolol tartrate) may make you feel more tired or out of breath during exercise or your normal daily routines. This gets better for most people, but for some it may not go away.
  • Not a first-choice treatment for high blood pressure, unless you have heart failure or heart disease. It can also be added to other medicines if your blood pressure is still too high.
  • Can hide symptoms of low blood sugar if you're diabetic.
  • You can't miss doses. Stopping Lopressor (metoprolol tartrate) suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
  • Not available in less expensive generic form.
  • Taking a beta blocker might make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some might not go away.
  • Can hide symptoms of low blood sugar if you're diabetic.
  • You can't miss doses. Stopping Bystolic suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
Used for
Dosage forms
  • Pill
  • Pill
Price
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$4
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$127.43
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Reviews
464 
62%
think this treatment is worth it
47%
think this treatment works well
15%
think this treatment is a hassle

Have you used Lopressor (metoprolol tartrate)?

Leave a review
154 
53%
think this treatment is worth it
49%
think this treatment works well
18%
think this treatment is a hassle

Have you used Bystolic (Nebivolol)?

Leave a review
Side effects
7possible side effects
  • Tiredness
    10%
  • Dizziness
    10%
  • Depression
    5%
  • Diarrhea
    5%
  • Itching or skin rash
    5%
  • Shortness of breath
    3%
  • Slowed heart rate
    3%
See more detailed side effects
4possible side effects
  • Headache
    9%
  • Diarrhea
    2%
  • Fatigue
    2%
  • Dizziness
    2%
See more detailed side effects
Risks and warnings
  • Heart problems

    Suddenly stopping Lopressor (metoprolol tartrate)

    ...and 1 more risk factors

  • Masked symptoms of low blood sugar

    Diabetes

  • Increased symptoms of heart failure

    Heart failure

  • Increased risks during surgery

    Major surgery requiring anesthesia

  • Breathing problems

    Asthma

    ...and 1 more risk factors

See more detailed risks and warnings
  • Heart problems

    Sudden discontinuation of medicine

  • Trouble breathing (bronchospastic disease)

    History of asthma

  • Low blood sugar unawareness

    History of diabetes

  • Low heart rate (bradycardia)

    Age 65 years or older

    ...and 1 more risk factors

See more detailed risks and warnings