Drugs › beta-Adrenergic blocker
Generic name
Metoprolol succinate: adverse event reports filed with FDA
10,416 reports list it as a suspect or interacting product, 2004–2026. Class: beta-Adrenergic blocker. Also reported as Metoprolol Succinate Extended Release, Metoprolol Succinate Extended-Release, Metoprolol Er Succinate.
- 10,416
- reports as suspect product
- 0.1% of all reports · about 463 a year
- 664
- reports, 12 months to June 2026
- 761 in the 12 months before
- 65.4%
- marked serious by the reporter
- 78.7% across the class
- 10.4%
- record death among outcomes, as reported
- 1,081 reports · not verified by FDA
10,416 adverse event reports received by FDA list metoprolol succinate, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 52,657 reports list it only as a concomitant medication, and those are not counted in the figures on this page.
In the 12 months to June 2026, 664 reports listed it, down 13% from 761 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 463 reports a year and 0.1% of the 20,646,523 reports in the database, and 7% of the reports for the beta-Adrenergic blocker class. How many people take it is not in the data, so a count is not a rate of occurrence.
The reactions recorded most often are off label use (8.4%), drug ineffective (8%) and dizziness (7.3%). A report can list several reactions, so shares add to more than 100%; 1,433 different terms appear across these reports. Off label use is recorded in 8.4% of these reports, a larger share than in the median beta-Adrenergic blocker drug (4.4%).
65.4% of the reports are marked serious by the reporter (78.7% across the class); 10.4% record death among the outcomes and 30.7% record hospitalisation, as reported. 45.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (20.5%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Metoprolol succinate reports recording the termmedian drug in beta-adrenergic blocker
- Off label useused for a purpose or in a way not on the label8.4%870
- Drug ineffectivethe medicine did not work as expected8%838
- Dizzinesslight-headedness or unsteadiness7.3%760
- Dyspnoeashortness of breath7.1%744
- Fatiguetiredness5.8%606
- Hypotensionlow blood pressure5.4%558
- Hypertensionhigh blood pressure4.4%456
- Nauseafeeling sick4.3%453
- Blood pressure increaseda raised blood pressure reading4.3%445
- Headachehead pain4%414
- Bradycardiaslow heart rate3.9%402
- Drug interactionan interaction between medicines3.9%402
- Palpitationsawareness of the heartbeat3.8%394
- Malaisegeneral feeling of being unwell3.6%380
- Suspected suicide3.6%375
- Toxicity to various agentspoisoning or toxic effect of one or more substances3.5%363
- Astheniaweakness or lack of energy3.4%355
- Heart rate increaseda fast heart rate reading3.2%335
- Diarrhoealoose or frequent stools3.1%324
- Product substitution issuea problem after switching products3.1%323
- Chest painchest pain3%308
- Myocardial infarctionheart attack2.9%304
- Atrial fibrillationan irregular heart rhythm2.9%301
- Falla fall2.9%298
- Product use in unapproved indicationused for a purpose not on the label2.6%270
- Syncopefainting2.4%245
- Inappropriate schedule of product administrationthe product was taken at the wrong times2.3%244
- Arrhythmia2.3%239
- Product quality issuea problem with the product itself2.2%232
- Weight decreasedweight loss2.2%230
Top 30 of 1,433 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 22 drugs in the beta-adrenergic blocker class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 148,208 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 67.5% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Hypertension | 1,893 | 18.2% |
| Atrial fibrillation | 312 | 3% |
| Blood pressure abnormal | 261 | 2.5% |
| Cardiac disorder | 189 | 1.8% |
| Arrhythmia | 174 | 1.7% |
| Cardiac failure | 99 | 1% |
The indication field is filled in by the reporter and is often blank; shares are of all 10,416 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Metoprolol succinate reports |
|---|---|---|
| Aspirin | 1,446 | 13.9% |
| Lisinopril | 846 | 8.1% |
| Atorvastatin | 740 | 7.1% |
| Amlodipine | 733 | 7% |
| Brilinta | 674 | 6.5% |
| Furosemide | 598 | 5.7% |
| Metformin | 485 | 4.7% |
| Omeprazole | 447 | 4.3% |
| Simvastatin | 418 | 4% |
| Losartan | 366 | 3.5% |
Other products listed in reports where Metoprolol succinate is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.
In context
| Measure | Metoprolol succinate | beta-Adrenergic blocker | All reports |
|---|---|---|---|
| Reports as suspect product | 10,416 | 148,208 | 20,646,523 |
| Share of that pool | — | 7% | 0.1% |
| Reports, latest 12 months | 664 | — | 1,332,454 |
| Marked serious | 65.4% | 78.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 104 | 131 | 91 |
| Hospitalisation recorded, per 1,000 reports | 307 | 387 | 213 |
| Consumer-filed share | 45.7% | 26.8% | 45.8% |
| Top term, share of reports | Off label use 8.4% | median 4.4% | 4.1% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Other drugs in the beta-adrenergic blocker class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Metoprolol | generic | 27,410 | 1,520 | 88.2% |
| Bisoprolol | brand | 22,881 | 1,454 | 99.1% |
| Atenolol | generic | 17,022 | 444 | 84.9% |
| Propranolol | generic | 13,733 | 1,177 | 87.1% |
| Metoprolol tartrate | generic | 9,103 | 557 | 72.4% |
| Bisoprolol fumarate | generic | 8,292 | 546 | 98.2% |
| Propranolol hydrochloride | generic | 6,102 | 484 | 71.9% |
| Timolol | generic | 4,818 | 97 | 20.7% |
| Hemangeol | brand | 4,383 | 441 | 5.4% |
| Nebivolol | generic | 4,211 | 386 | 93.9% |
| Toprol Xl | brand | 3,341 | 35 | 44.5% |
| Labetalol | generic | 2,960 | 192 | 88.7% |
| Bystolic | brand | 2,841 | 21 | 31.1% |
| Timolol maleate | generic | 2,743 | 120 | 29.9% |
| Tenormin | brand | 1,786 | 14 | 80.2% |
Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.
Questions about Metoprolol succinate reports
How many adverse event reports has FDA received for Metoprolol succinate?
10,416 reports list Metoprolol succinate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 664 of them arrived in the latest 12 months. Another 52,657 list it only as a concomitant medication.
What reactions are recorded in Metoprolol succinate reports?
off label use (8.4%), drug ineffective (8%), dizziness (7.3%), dyspnoea (7.1%) and fatigue (5.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Metoprolol succinate was responsible.
How serious are the reports?
65.4% are marked serious by the reporter. Among the outcomes recorded, 10.4% of reports include death and 30.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
consumer or non-health professional (45.7%), physician (22.5%) and other health professional (17.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Metoprolol succinate rising?
664 reports in the 12 months to June 2026, down 13% from 761 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Metoprolol succinate was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Metoprolol succinate?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Metoprolol succinate as a suspect or interacting product; reports listing it only as a concomitant medication (52,657) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.