Product image of Metazero Xr (Metoprolol Succinate) supplied by GNH India

Metazero Xr

Active Ingredient:
Metoprolol Succinate
Origin:
EU

Metazero Xr (Metoprolol Succinate)

Metoprolol succinate, the active ingredient in Metazero Xr, is a beta blocker presented as an oral tablet for oral use. It treats hypertension, chronic stable angina, heart failure, and post‑myocardial infarction in adult patients.

GNH India supplies Metazero Xr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

  • Metazero Xr, a beta‑adrenergic blocker, is used in several cardiovascular conditions.
  • Hypertension: lowers blood pressure by reducing heart rate and contractility.
  • Chronic stable angina: decreases myocardial oxygen demand to relieve chest pain.
  • Heart failure: improves survival and reduces hospitalizations by moderating cardiac workload.
  • Post‑myocardial infarction: helps prevent recurrent cardiac events by stabilising heart rhythm and pressure.

How It Works

  • Metoprolol succinate selectively antagonises β1‑adrenergic receptors in cardiac tissue, leading to reduced heart rate, decreased myocardial contractility, and lowered renin release. This combined effect diminishes cardiac output and peripheral resistance, thereby lowering blood pressure and myocardial oxygen consumption.

Side Effects

Metazero Xr may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Fatigue or tiredness.
  • Dizziness or light‑headedness.
  • Bradycardia (slow heart rate).
  • Cold extremities or hands and feet.
  • Gastrointestinal upset such as nausea.
  • Sleep disturbances or vivid dreams.

Serious or Rare Side Effects

  • Severe bradycardia or heart block.
  • Marked hypotension.
  • Bronchospasm, especially in patients with asthma.
  • Allergic reactions including rash or angioedema.
  • Depression or mood changes.
  • Worsening heart failure symptoms.

Precautions & Warnings

  • Before prescribing Metazero Xr, clinicians should consider several safety measures.
  • Monitor blood pressure: check regularly to ensure therapeutic control.
  • Assess heart rate: watch for bradycardia, especially in patients with conduction disorders.
  • Evaluate renal function: dose adjustment may be needed in impairment.
  • Review concomitant beta‑blockers: avoid duplicate therapy.
  • Store at ambient temperature: keep below 25°C, protect from moisture.

Avoid Interactions

Metazero Xr can interact with various medicines, requiring careful management.

Major Interactions (Avoid)

  • Concomitant non‑selective beta‑blockers: risk of excessive cardiac depression.
  • Calcium channel blockers (verapamil, diltiazem): may cause severe bradycardia.
  • Antidiabetic agents: can mask hypoglycaemia symptoms.
  • MAO inhibitors: potential for hypertensive crisis.
  • Certain antidepressants (e.g., SSRIs): may increase bradycardia risk.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: additive hypotensive effect.
  • Diuretics: may enhance blood‑pressure lowering.
  • NSAIDs: can reduce antihypertensive efficacy.
  • Antithyroid drugs: may affect heart rate control.
  • Antimicrobials (e.g., erythromycin): may increase plasma levels of metoprolol.

Frequently Asked Questions

Metazero Xr contains metoprolol succinate, a beta‑blocker indicated for hypertension, chronic stable angina, heart failure, and post‑myocardial infarction. It helps control blood pressure, relieve chest pain, improve heart‑failure outcomes, and reduce the risk of further cardiac events after a heart attack.

Metoprolol succinate selectively blocks β1‑adrenergic receptors in the heart, slowing the heart rate, decreasing the force of contraction, and lowering renin release. These actions reduce cardiac output and peripheral resistance, which together lower blood pressure and lessen the heart’s oxygen demand.

The appropriate dose of Metazero Xr is determined by the prescribing clinician based on the patient’s specific condition, response, and tolerance. Dosage may be adjusted over time, and patients should follow the exact regimen provided by their healthcare professional.

Safety of metoprolol succinate in pregnancy or while breastfeeding has not been definitively established. Healthcare providers should weigh potential benefits against possible risks and consider alternative therapies when appropriate. Patients should discuss their individual situation with a qualified clinician.

To request Metazero Xr, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Metazero Xr (metoprolol succinate) is a long‑acting, selective β1‑blocker, offering once‑daily dosing and steady plasma levels. Compared with non‑selective beta‑blockers, it has fewer respiratory side effects, and its extended‑release formulation may improve adherence versus immediate‑release alternatives.

Metazero Xr should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and do not use it after the expiration date printed on the label.

Metazero Xr is taken orally, usually once daily with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water and not crushed or chewed to maintain its extended‑release properties.

Serious risks include severe bradycardia, heart block, marked hypotension, bronchospasm in susceptible individuals, and rare allergic reactions such as angioedema. Patients should seek immediate medical attention if they experience fainting, rapid weight gain, swelling, or difficulty breathing.

Metazero Xr is contraindicated in patients with known hypersensitivity to metoprolol or other beta‑blockers, those with severe bradycardia, second‑ or third‑degree heart block without a pacemaker, cardiogenic shock, or overt heart failure decompensation. Clinicians should also avoid use in patients with uncontrolled asthma or severe peripheral vascular disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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