Reported Reactions

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

096192Jul 2021: 26Aug 2021: 32Sep 2021: 49Oct 2021: 33Nov 2021: 51Dec 2021: 462022Jan 2022: 34Feb 2022: 29Mar 2022: 123Apr 2022: 79May 2022: 37Jun 2022: 54Jul 2022: 45Aug 2022: 45Sep 2022: 46Oct 2022: 51Nov 2022: 52Dec 2022: 392023Jan 2023: 46Feb 2023: 158Mar 2023: 81Apr 2023: 141May 2023: 50Jun 2023: 74Jul 2023: 39Aug 2023: 46Sep 2023: 45Oct 2023: 51Nov 2023: 53Dec 2023: 442024Jan 2024: 101Feb 2024: 41Mar 2024: 57Apr 2024: 192May 2024: 61Jun 2024: 40Jul 2024: 84Aug 2024: 53Sep 2024: 55Oct 2024: 53Nov 2024: 41Dec 2024: 612025Jan 2025: 122Feb 2025: 46Mar 2025: 94Apr 2025: 76May 2025: 46Jun 2025: 30Jul 2025: 43Aug 2025: 37Sep 2025: 38Oct 2025: 43Nov 2025: 42Dec 2025: 582026Jan 2026: 130Feb 2026: 48Mar 2026: 53Apr 2026: 87May 2026: 43Jun 2026: 42

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

05661,1322004: 6220042005: 572006: 1022007: 19020072008: 2462009: 2712010: 25220102011: 3612012: 4442013: 12120132014: 2382015: 2812016: 36220162017: 8962018: 1,1322019: 84020192020: 6762021: 5062022: 63420222023: 8282024: 8392025: 67520252026: 403

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

  1. Off label useused for a purpose or in a way not on the label8.4%870
  2. Drug ineffectivethe medicine did not work as expected8%838
  3. Dizzinesslight-headedness or unsteadiness7.3%760
  4. Dyspnoeashortness of breath7.1%744
  5. Fatiguetiredness5.8%606
  6. Hypotensionlow blood pressure5.4%558
  7. Hypertensionhigh blood pressure4.4%456
  8. Nauseafeeling sick4.3%453
  9. Blood pressure increaseda raised blood pressure reading4.3%445
  10. Headachehead pain4%414
  11. Bradycardiaslow heart rate3.9%402
  12. Drug interactionan interaction between medicines3.9%402
  13. Palpitationsawareness of the heartbeat3.8%394
  14. Malaisegeneral feeling of being unwell3.6%380
  15. Suspected suicide3.6%375
  16. Toxicity to various agentspoisoning or toxic effect of one or more substances3.5%363
  17. Astheniaweakness or lack of energy3.4%355
  18. Heart rate increaseda fast heart rate reading3.2%335
  19. Diarrhoealoose or frequent stools3.1%324
  20. Product substitution issuea problem after switching products3.1%323
  21. Chest painchest pain3%308
  22. Myocardial infarctionheart attack2.9%304
  23. Atrial fibrillationan irregular heart rhythm2.9%301
  24. Falla fall2.9%298
  25. Product use in unapproved indicationused for a purpose not on the label2.6%270
  26. Syncopefainting2.4%245
  27. Inappropriate schedule of product administrationthe product was taken at the wrong times2.3%244
  28. Arrhythmia2.3%239
  29. Product quality issuea problem with the product itself2.2%232
  30. 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

Death10.4%1,081
Life-threatening5%526
Hospitalisation (initial or prolonged)30.7%3,202
Disability1.5%158
Congenital anomaly0.7%72
Other serious39.2%4,079
Not serious34.6%3,600

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

Under 20.5%51
2 to 110%5
12 to 170.5%47
18 to 447.2%752
45 to 6420.5%2,131
65 to 7416.4%1,705
75 and over17.1%1,777
Age not given37.9%3,948

Patient sex

Female49.8%5,183
Male36.5%3,800
Not given13.8%1,433

Who reported

Physician22.5%2,343
Pharmacist5.8%604
Other health professional17.8%1,854
Lawyer0.2%17
Consumer or non-health professional45.7%4,761
Not given8%837

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)ReportsShare
Hypertension1,89318.2%
Atrial fibrillation3123%
Blood pressure abnormal2612.5%
Cardiac disorder1891.8%
Arrhythmia1741.7%
Cardiac failure991%

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)ReportsShare of Metoprolol succinate reports
Aspirin1,44613.9%
Lisinopril8468.1%
Atorvastatin7407.1%
Amlodipine7337%
Brilinta6746.5%
Furosemide5985.7%
Metformin4854.7%
Omeprazole4474.3%
Simvastatin4184%
Losartan3663.5%

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

MeasureMetoprolol succinatebeta-Adrenergic blockerAll reports
Reports as suspect product10,416148,20820,646,523
Share of that pool—7%0.1%
Reports, latest 12 months664—1,332,454
Marked serious65.4%78.7%57.4%
Death recorded among outcomes, per 1,000 reports10413191
Hospitalisation recorded, per 1,000 reports307387213
Consumer-filed share45.7%26.8%45.8%
Top term, share of reportsOff 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

DrugName typeReportsLatest 12 monthsMarked serious
Metoprololgeneric27,4101,52088.2%
Bisoprololbrand22,8811,45499.1%
Atenololgeneric17,02244484.9%
Propranololgeneric13,7331,17787.1%
Metoprolol tartrategeneric9,10355772.4%
Bisoprolol fumarategeneric8,29254698.2%
Propranolol hydrochloridegeneric6,10248471.9%
Timololgeneric4,8189720.7%
Hemangeolbrand4,3834415.4%
Nebivololgeneric4,21138693.9%
Toprol Xlbrand3,3413544.5%
Labetalolgeneric2,96019288.7%
Bystolicbrand2,8412131.1%
Timolol maleategeneric2,74312029.9%
Tenorminbrand1,7861480.2%

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.