METOPROLOL SUCCINATE ER TABLETS

72/100 · Elevated

Manufactured by Ascend Laboratories, LLC

Metoprolol Succinate ER Tablets: Common Adverse Reactions Include Fatigue and Dyspnea

112,351 FDA adverse event reports analyzed

Last updated: 2026-05-12

About METOPROLOL SUCCINATE ER TABLETS

METOPROLOL SUCCINATE ER TABLETS is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Ascend Laboratories, LLC. Based on analysis of 112,351 FDA adverse event reports, METOPROLOL SUCCINATE ER TABLETS has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for METOPROLOL SUCCINATE ER TABLETS include FATIGUE, DIARRHOEA, DYSPNOEA, NAUSEA, DIZZINESS. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for METOPROLOL SUCCINATE ER TABLETS.

AI Safety Analysis

Metoprolol Succinate Er Tablets has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 112,351 adverse event reports for this medication, which is primarily manufactured by Ascend Laboratories, Llc.

The most commonly reported adverse events include Fatigue, Diarrhoea, Dyspnoea. Of classified reports, 63.9% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Fatigue and dyspnea are the most common adverse reactions reported.

Serious adverse events, such as death and pneumonia, are also reported but less frequently. Drug interactions and ineffective drug performance are notable concerns. Atrial fibrillation and myocardial infarction are significant cardiovascular risks. Weight loss and decreased appetite are frequently reported, indicating potential metabolic effects.

Patients taking Metoprolol Succinate Er Tablets should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Metoprolol Succinate ER tablets can interact with other drugs, leading to potential adverse effects. Patients should inform their healthcare provider of all medications they are taking. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Metoprolol Succinate Er Tablets received a safety concern score of 72/100 (elevated concern). This is based on a 63.9% serious event ratio across 58,201 classified reports. The score accounts for 112,351 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

FATIGUE4,484 reports
DIARRHOEA3,635 reports
DYSPNOEA3,488 reports
NAUSEA3,484 reports
DIZZINESS2,899 reports
OFF LABEL USE2,835 reports
DRUG INEFFECTIVE2,781 reports
HEADACHE2,616 reports
DEATH2,428 reports
ASTHENIA2,253 reports
PAIN2,110 reports
FALL2,013 reports
PNEUMONIA1,804 reports
VOMITING1,752 reports
COUGH1,721 reports
WEIGHT DECREASED1,632 reports
PRODUCT DOSE OMISSION ISSUE1,581 reports
ARTHRALGIA1,560 reports
HYPOTENSION1,543 reports
RASH1,542 reports
MALAISE1,534 reports
PRURITUS1,531 reports
HYPERTENSION1,464 reports
ATRIAL FIBRILLATION1,434 reports
DECREASED APPETITE1,385 reports
PAIN IN EXTREMITY1,343 reports
CONSTIPATION1,293 reports
BLOOD PRESSURE INCREASED1,222 reports
BACK PAIN1,193 reports
CHEST PAIN1,183 reports
INSOMNIA1,174 reports
URINARY TRACT INFECTION1,169 reports
MYOCARDIAL INFARCTION1,152 reports
ANXIETY1,041 reports
ACUTE KIDNEY INJURY1,015 reports
DRUG INTERACTION1,008 reports
FEELING ABNORMAL994 reports
COVID 19985 reports
RENAL FAILURE978 reports
ANAEMIA977 reports
CONDITION AGGRAVATED977 reports
PERIPHERAL SWELLING964 reports
PYREXIA948 reports
GAIT DISTURBANCE922 reports
PRODUCT USE IN UNAPPROVED INDICATION907 reports
DEPRESSION884 reports
WEIGHT INCREASED878 reports
DEHYDRATION875 reports
ABDOMINAL DISCOMFORT851 reports
PALPITATIONS814 reports
ABDOMINAL PAIN UPPER804 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION798 reports
OEDEMA PERIPHERAL797 reports
NASOPHARYNGITIS776 reports
SOMNOLENCE776 reports
MUSCLE SPASMS772 reports
HEART RATE INCREASED769 reports
CEREBROVASCULAR ACCIDENT754 reports
CHRONIC KIDNEY DISEASE750 reports
CONFUSIONAL STATE740 reports
HAEMOGLOBIN DECREASED715 reports
MYALGIA713 reports
ABDOMINAL PAIN708 reports
CARDIAC FAILURE CONGESTIVE697 reports
SYNCOPE675 reports
CARDIAC DISORDER647 reports
BLOOD GLUCOSE INCREASED637 reports
CONTUSION635 reports
MEMORY IMPAIRMENT634 reports
TREMOR629 reports
ALOPECIA628 reports
CARDIAC FAILURE628 reports
MUSCULAR WEAKNESS628 reports
GASTROINTESTINAL HAEMORRHAGE615 reports
PLATELET COUNT DECREASED597 reports
HYPOAESTHESIA596 reports
CHEST DISCOMFORT595 reports
EYE PAIN592 reports
LOSS OF CONSCIOUSNESS577 reports
VISION BLURRED576 reports
SINUSITIS564 reports
ERYTHEMA562 reports
TOXICITY TO VARIOUS AGENTS554 reports
BRADYCARDIA553 reports
DYSPEPSIA541 reports
PRODUCT USE ISSUE541 reports
HOT FLUSH538 reports
EPISTAXIS537 reports
SEPSIS537 reports
WHITE BLOOD CELL COUNT DECREASED537 reports
NEUROPATHY PERIPHERAL535 reports
ILLNESS532 reports
HYPERSENSITIVITY526 reports
DRUG HYPERSENSITIVITY525 reports
PARAESTHESIA525 reports
HYPERHIDROSIS522 reports
DRY SKIN507 reports
INFLUENZA504 reports
BALANCE DISORDER503 reports
ARRHYTHMIA494 reports

Key Safety Signals

  • Frequent reports of serious adverse events like death and pneumonia.
  • High incidence of cardiovascular issues including atrial fibrillation and myocardial infarction.
  • Common gastrointestinal issues such as nausea, diarrhea, and vomiting.
  • Significant drug interactions and ineffective drug performance.
  • Reports of decreased appetite and weight loss.

Patient Demographics

Adverse event reports by sex: Female: 29,406, Male: 24,379, Unknown: 29. The most frequently reported age groups are age 73 (1,123 reports), age 77 (1,106 reports), age 71 (1,101 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 58,201 classified reports for METOPROLOL SUCCINATE ER TABLETS:

  • Serious: 37,197 reports (63.9%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 21,004 reports (36.1%)
Serious 63.9%Non-Serious 36.1%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female29,406 (54.6%)
Male24,379 (45.3%)
Unknown29 (0.1%)

Reports by Age

Age 731,123 reports
Age 771,106 reports
Age 711,101 reports
Age 701,093 reports
Age 681,090 reports
Age 761,075 reports
Age 741,070 reports
Age 661,054 reports
Age 721,041 reports
Age 751,041 reports
Age 781,008 reports
Age 67996 reports
Age 64990 reports
Age 69988 reports
Age 65970 reports
Age 79925 reports
Age 63879 reports
Age 62859 reports
Age 80843 reports
Age 82808 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Metoprolol Succinate ER tablets can interact with other drugs, leading to potential adverse effects. Patients should inform their healthcare provider of all medications they are taking.

What You Should Know

If you are taking Metoprolol Succinate Er Tablets, here are important things to know. The most commonly reported side effects include fatigue, diarrhoea, dyspnoea, nausea, dizziness. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Inform your healthcare provider about any existing conditions or medications you are taking. Monitor for signs of serious adverse events such as chest pain, shortness of breath, and confusion. Report any side effects to your healthcare provider promptly. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of Metoprolol Succinate ER tablets. Healthcare providers should be vigilant in managing patient symptoms and monitoring for serious adverse events.

Frequently Asked Questions

How many adverse event reports has the FDA received for Metoprolol Succinate Er Tablets?

The FDA has received approximately 112,351 adverse event reports associated with Metoprolol Succinate Er Tablets. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Metoprolol Succinate Er Tablets?

The most frequently reported adverse events for Metoprolol Succinate Er Tablets include Fatigue, Diarrhoea, Dyspnoea, Nausea, Dizziness. By volume, the top reported reactions are: Fatigue (4,484 reports), Diarrhoea (3,635 reports), Dyspnoea (3,488 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Metoprolol Succinate Er Tablets.

What percentage of Metoprolol Succinate Er Tablets adverse event reports are serious?

Out of 58,201 classified reports, 37,197 (63.9%) were classified as serious and 21,004 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Metoprolol Succinate Er Tablets (by sex)?

Adverse event reports for Metoprolol Succinate Er Tablets break down by patient sex as follows: Female: 29,406, Male: 24,379, Unknown: 29. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Metoprolol Succinate Er Tablets?

The most frequently reported age groups for Metoprolol Succinate Er Tablets adverse events are: age 73: 1,123 reports, age 77: 1,106 reports, age 71: 1,101 reports, age 70: 1,093 reports, age 68: 1,090 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Metoprolol Succinate Er Tablets?

The primary manufacturer associated with Metoprolol Succinate Er Tablets adverse event reports is Ascend Laboratories, Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Metoprolol Succinate Er Tablets?

Beyond the most common reactions, other reported adverse events for Metoprolol Succinate Er Tablets include: Off Label Use, Drug Ineffective, Headache, Death, Asthenia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Metoprolol Succinate Er Tablets?

You can report adverse events from Metoprolol Succinate Er Tablets to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Metoprolol Succinate Er Tablets's safety score and what does it mean?

Metoprolol Succinate Er Tablets has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Fatigue and dyspnea are the most common adverse reactions reported.

What are the key safety signals for Metoprolol Succinate Er Tablets?

Key safety signals identified in Metoprolol Succinate Er Tablets's adverse event data include: Frequent reports of serious adverse events like death and pneumonia.. High incidence of cardiovascular issues including atrial fibrillation and myocardial infarction.. Common gastrointestinal issues such as nausea, diarrhea, and vomiting.. Significant drug interactions and ineffective drug performance.. Reports of decreased appetite and weight loss.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Metoprolol Succinate Er Tablets interact with other drugs?

Metoprolol Succinate ER tablets can interact with other drugs, leading to potential adverse effects. Patients should inform their healthcare provider of all medications they are taking. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Metoprolol Succinate Er Tablets.

What should patients know before taking Metoprolol Succinate Er Tablets?

Inform your healthcare provider about any existing conditions or medications you are taking. Monitor for signs of serious adverse events such as chest pain, shortness of breath, and confusion. Report any side effects to your healthcare provider promptly.

Are Metoprolol Succinate Er Tablets side effects well-documented?

Metoprolol Succinate Er Tablets has 112,351 adverse event reports on file with the FDA. Serious adverse events, such as death and pneumonia, are also reported but less frequently. The volume of reports for Metoprolol Succinate Er Tablets reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Metoprolol Succinate Er Tablets?

The FDA continues to monitor the safety of Metoprolol Succinate ER tablets. Healthcare providers should be vigilant in managing patient symptoms and monitoring for serious adverse events. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to METOPROLOL SUCCINATE ER TABLETS based on therapeutic use, drug class, or shared indications:

Metoprolol Succinate ER TabletsLisinoprilLosartanWarfarinDigoxin
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.