Compare Toprol XL vs. Betapace

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

Toprol Xl
(Metoprolol Succinate)


Lowers blood pressure and controls heart rate. Toprol Xl (Metoprolol Succinate) is good for controlling chest pain and treating heart failure and heart attack. You can't miss doses.Coming soon.
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Reviews & ratings
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5.220858895705521Toprol XL
Reviews for Toprol Xl (Metoprolol Succinate)
of people (All ages) say Toprol Xl (Metoprolol Succinate) is worth it
say it works well
say it's a big hassle
163 reviews
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Side effects
Toprol XLBetapace
  • Abnormally slow heartbeat 9%
  • Low blood pressure 4%
  • Heart block 3%
More Toprol XL side effects »

We haven’t found good data for Betapace side effects.

FDA side effect reports for Betapace »
How it works
Toprol XLBetapace
Toprol Xl (Metoprolol Succinate) is a beta blocker. It lowers blood pressure by slowing heart rate, relaxing blood vessels, and lowering the body's fight-or-flight response.Coming soon.
Type of medication
Toprol XLBetapace
Beta blocker
Prescription only
Coming soon.
Available as
Toprol XLBetapace
  • Pill
  • Extended release
  • Pill
Used for (click to learn more)
Toprol XLBetapace
  • Atrial arrhythmia Ventricular arrhythmia
Risk factors for serious side effects
Toprol XLBetapace
  • Diabetes
    • Coronary artery disease
    • Heart failure
    • Major surgery requiring anesthesia
    • History of asthma
    Detailed Toprol Xl (Metoprolol Succinate) risks & warnings »
    Coming soon.
    Pregnancy category
    Toprol XLBetapace
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    BFDA pregnancy category (Probably safe)

    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

    See the FDA package insert
    Upsides and benefits
    Toprol XLBetapace
    • A first-choice treatment to prevent chest pain (angina). Makes pain attacks less frequent and makes it easier to be active without having chest pain.
    • A first-choice treatment for heart failure. May prevent long-term heart damage.
    • A first-choice treatment for heart attack. Lowers the risk of death during and after a heart attack.
    • Toprol XL is the extended release version of Lopressor.
    Coming soon.
    Downsides and risks
    Toprol XLBetapace
    • 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.
    • Not a first-choice treatment for high blood pressure according to the latest guidelines, except if you have heart failure or heart disease.
    • Can hide symptoms of low blood sugar if you're diabetic.
    • You can't miss doses. Stopping Toprol XL suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
    Coming soon.
    Tips from our pharmacists for people taking the medication
    Toprol XLBetapace
    • Can cause dizziness in the first few days.
    • Check your blood pressure 1 week after starting this medicine, and tell your doctor if it hasn't improved.
    • Can cause fatigue and headache.
    • Can hide symptoms of low blood sugar. Be careful if you're diabetic.
    • Don't stop taking this medicine suddenly.
    • Extended release version. Also comes in immediate release called Lopressor (metoprolol tartrate).
    Coming soon.
    Learn more
    More about Toprol XLSide effectsReviews & ratingsAlternativesFDA package insert
    Have you used Toprol Xl (Metoprolol Succinate)?
    Worth itNot sureNot worth it
    More about BetapaceSide effectsReviews & ratingsFDA package insert
    Have you used Betapace (Sotalol)?
    Worth itNot sureNot worth it