Compare Coreg vs. Toprol XL

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

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Coreg (Carvedilol)

Prescription only
Lowers blood pressure and controls heart rate.

Coreg (Carvedilol) is good for controlling chest pain and treating heart failure and heart attack. You have to take it with food, and you can't miss doses.

3.5/ 5 average rating with 406 reviewsforCoreg
Lowers blood pressure and controls heart rate.

Toprol XL (metoprolol succinate) is good for controlling chest pain, treating heart failure, and heart attack. It has the added benefit of being taken once a day.

3.8/ 5 average rating with 164 reviewsforToprol XL
Upsides
  • A first-choice treatment to prevent chest pain (angina).
  • A first-choice treatment for heart failure and heart attack.
  • For people with severe heart failure, Carvedilol lowers the risk of worsening heart failure, hospitalization, and sudden death.
  • A first-choice treatment to prevent chest pain (angina). It makes attacks less frequent and helps you be more active without having chest pain.
  • Toprol XL (metoprolol succinate) is a first-choice treatment for heart failure since it may prevent long-term heart damage.
  • It's also a first-choice for heart attack treatment since it lowers the risk of death during and after a heart attack.
  • Toprol XL (metoprolol succinate) is the extended release version of metoprolol tartrate and only needs to be taken once a day.
  • It's available as a generic and is relatively cheap.
Downsides
  • You have to take Carvedilol with food.
  • 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. As a second choice, your doctor might add it to medicines you're already taking 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 Carvedilol suddenly can cause your blood pressure to go up suddenly, which raises the risk of heart attack and stroke.
  • Taking a beta blocker can make you feel more tired or out of breath during exercise or normal daily routines. This gets better for most people, but for some this may not go away.
  • It's not a first-choice treatment for high blood pressure according to the latest guidelines, except if you have heart failure or heart disease.
  • Toprol XL (metoprolol succinate) can hide symptoms of low blood sugar if you have diabetes.
  • You can't miss doses. Stopping Toprol XL (metoprolol succinate) suddenly can cause your blood pressure to go up quickly, which increases your risk of heart attack and stroke.
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Used for
Dosage forms
  • Pill
  • Extended release
  • Extended release
Price
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Reviews
406 reviews so far
53%
saidit'sworth it
46%
saiditworked well
18%
saidit'sa big hassle

Have you used Coreg (Carvedilol)?

Leave a review
164 reviews so far
60%
saidit'sworth it
54%
saiditworked well
13%
saidit'sa big hassle

Have you used Toprol XL (metoprolol succinate)?

Leave a review
Side effects
5possible side effects
  • Dizziness
    6%
  • Bradycardia
    2%
  • Postural hypotension
    2%
  • Insomnia
    2%
  • Diarrhea
    2%
See more detailed side effects
2possible side effects
  • Dizziness/balance problems
    2%
  • Slower heartbeat
    2%
See more detailed side effects
Risks and risk factors
  • Worsened chest pain; increased risk of heart attack and heart rhythm problems
    • Abrupt discontinuation of Coreg (Carvedilol)
  • Slowing of the heart rate
  • Low blood pressure
  • Worsening heart failure
    • Congestive heart failure
    • Increasing the dose of Coreg (Carvedilol)
  • Masked symptoms of low blood sugar
    • Diabetes
  • Increased risks during surgery
    • Major surgery requiring anesthesia
  • Masked symptoms of overactive thyroid
See more detailed risks and warnings
  • Heart problems
    • Sudden discontinuation of medicine
    • Coronary artery disease
  • Masked symptoms of low blood sugar
    • Diabetes
  • Masked symptoms of overactive thyroid
    • Hyperthyroidsim
  • Increased symptoms of heart failure
    • Heart failure
  • Increased risks during surgery
    • Major surgery requiring anesthesia
  • Trouble breathing (bronchospastic disease)
    • History of asthma
    • History of COPD
See more detailed risks and warnings