Product image of Metoprolol Retard Viatris (Metoprolol Succinate) supplied by GNH India

Metoprolol Retard Viatris

Active Ingredient:
Metoprolol Succinate
Origin:
EU

Metoprolol Retard Viatris (Metoprolol Succinate)

Metoprolol succinate, the active ingredient in Metoprolol Retard Viatris, is a beta‑adrenergic blocker presented as an extended‑release tablet for oral use. It is indicated for the management of hypertension, chronic stable angina, heart failure with reduced ejection fraction, and post‑myocardial infarction in adult patients.

GNH India supplies Metoprolol Retard Viatris as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product is manufactured for the EU market under strict regulatory standards, ensuring consistent potency and safety.

Manufacturer / TM Owner

Viatris Gx

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Indications & Clinical Uses

Metoprolol Retard is a selective β1‑adrenergic blocker used in cardiovascular disease management.

  • Hypertension: lowers blood pressure by reducing heart rate, myocardial contractility and renin release.
  • Chronic stable angina: decreases myocardial oxygen demand, relieving chest pain during exertion.
  • Heart failure (reduced ejection fraction): improves survival and reduces hospitalizations by decreasing cardiac workload.
  • Post‑myocardial infarction: lowers risk of recurrent ischemic events and mortality.

How It Works

  • Metoprolol succinate selectively antagonizes β1‑adrenergic receptors in cardiac tissue, inhibiting catecholamine‑induced stimulation of adenylate cyclase. This reduces intracellular cyclic AMP, leading to decreased calcium influx, slower sino‑atrial node firing, lower myocardial contractility, and diminished renin secretion from the kidneys, collectively lowering heart rate, blood pressure, and cardiac output.

Side Effects

Metoprolol Retard may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Fatigue
  • Dizziness or light‑headedness
  • Cold extremities
  • Gastrointestinal discomfort (nausea, abdominal pain)

Serious or Rare Side Effects

  • Bradycardia or severe heart block
  • Acute heart failure exacerbation
  • Severe bronchospasm in patients with underlying airway disease

Precautions & Warnings

When prescribing Metoprolol Retard, clinicians should consider several precautionary measures to ensure safe use.

  • Cardiovascular assessment: evaluate heart rate and blood pressure before initiation.
  • Concomitant β‑blocker therapy: avoid duplicate β‑blockade to prevent excessive bradycardia.
  • Asthma or chronic obstructive pulmonary disease: use with caution due to possible bronchoconstriction.
  • Diabetes mellitus: monitor blood glucose as β‑blockade may mask hypoglycaemia symptoms.
  • Surgery or anesthesia: discontinue or adjust dose prior to major procedures to avoid intra‑operative hypotension.
  • Store at ambient temperature: keep below 25 °C in the original container, protected from moisture and light.

Avoid Interactions

Metoprolol Retard can interact with other medicines, altering its effectiveness or safety profile.

Major Interactions (Avoid)

  • Non‑selective β‑blockers: combined use may cause profound bradycardia.
  • Calcium channel blockers (verapamil, diltiazem): increase risk of heart block and hypotension.
  • Antidiabetic agents (insulin, sulfonylureas): may enhance hypoglycaemia unawareness.
  • CYP2D6 inhibitors (paroxetine, fluoxetine): raise metoprolol plasma concentrations.
  • Clonidine abrupt withdrawal: may precipitate severe hypertension.

Moderate Interactions (Monitor Closely)

  • Diuretics: monitor electrolytes and blood pressure for additive hypotensive effect.
  • NSAIDs: may reduce antihypertensive efficacy.
  • Antidepressants (tricyclics): observe for additive cardiac depression.
  • Antithyroid drugs: assess for altered heart rate response.

Frequently Asked Questions

Metoprolol Retard Viatris is an extended‑release formulation of metoprolol succinate indicated for the treatment of hypertension, chronic stable angina, heart failure with reduced ejection fraction, and for secondary prevention after a myocardial infarction. It helps control blood pressure, reduce chest pain, improve heart‑failure outcomes, and lower the risk of future cardiac events.

Metoprolol succinate selectively blocks β1‑adrenergic receptors in the heart, reducing the effects of adrenaline and noradrenaline. This leads to a slower heart rate, decreased contractile force, and reduced renin release from the kidneys, which together lower cardiac output and blood pressure, easing the workload on the heart.

The dosage of Metoprolol Retard is individualized by the prescribing clinician based on the patient’s condition, response, and tolerability. The prescriber determines the appropriate starting dose, titration schedule, and maintenance dose, which may differ for hypertension, angina, heart‑failure, or post‑myocardial‑infarction therapy.

Safety data for metoprolol succinate during pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant. Healthcare providers should discuss individual risk factors and consider alternative therapies when appropriate.

To order Metoprolol Retard, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and assist with import documentation.

Metoprolol is a cardio‑selective (β1‑selective) blocker, offering a lower risk of bronchospasm compared with non‑selective agents such as propranolol. Its extended‑release formulation provides once‑daily dosing, which can improve adherence. Compared with carvedilol, metoprolol has less α‑blocking activity, making it a preferred choice when additional vasodilation is not required.

Metoprolol Retard tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in a refrigerator or freezer.

Metoprolol Retard is taken orally, usually once daily, with or without food. The tablet should be swallowed whole with a full glass of water; it must not be split, chewed, or crushed, as this would compromise the extended‑release mechanism and alter drug exposure.

Serious adverse events include marked bradycardia, severe hypotension, heart block, and exacerbation of heart failure. Patients with asthma or chronic obstructive pulmonary disease may experience bronchospasm. Any sudden worsening of symptoms such as fainting, chest pain, or difficulty breathing should prompt immediate medical evaluation.

Metoprolol Retard is contraindicated in patients with known hypersensitivity to metoprolol or any component of the formulation, in those with severe bradycardia (heart rate < 45 bpm), second‑ or third‑degree atrioventricular block without a pacemaker, and in individuals with cardiogenic shock or overt heart failure decompensation. Caution is also advised for patients with severe asthma or COPD.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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