Metoprolol is a beta-blocker that acts mainly on the heart (a cardioselective, beta-1 blocker). It slows the heart rate, reduces the force of each beat and lowers blood pressure, which cuts the heart's demand for oxygen. That is why it is used for angina, after a heart attack, for fast or irregular heart rhythms and, in its slow-release form, for heart failure — where it is one of the few medicines shown to help people live longer.
In the NAFDAC register
7 registered products
from 4 registration holders
What it costs online
about ₦26,550
≈₦885 per tablet (tablet/capsule)
Sampled from 7 listings across HealthPlus and MedPlus · October 2026
Full price breakdown →Brands of Metoprolol in Nigeria
Those 7 products from 4 registration holders, counted in our October 2026 copy of the register, include combination products and older listings; below are the most common brands.
| Brand Name | Manufacturer | Strength | Form | NAFDAC Reg. No. |
|---|---|---|---|---|
| Betaloc ZOK 25 | AstraZeneca Nigeria Limited | 25 mg | Extended-release tablet | A4-6203 |
| Betaloc ZOK 50 | AstraZeneca Nigeria Limited | 50 mg | Extended-release tablet | A4-6202 |
| Betaloc ZOK 100 | AstraZeneca Nigeria Limited | 100 mg | Extended-release tablet | 04-6204 |
| Metap-XL 25 | Micro Nova Pharmaceuticals Ind Ltd | 25 mg | Extended-release tablet | B4-0556 |
| Metap-XL 50 | Micro Nova Pharmaceuticals Ind Ltd | 50 mg | Extended-release tablet | B4-0555 |
| Metwise ER 50 | Onifam Laboratories Limited | 50 mg | Extended-release tablet | C4-1850 |
Metoprolol Price in Nigeria
As of October 2026, Metoprolol tablets sell for about ₦885 per tablet online in Nigeria (packs ₦9,100–₦35,570; Betaloc) at HealthPlus and MedPlus. Open-market prices (e.g. Idumota, Ogbogwu) are often lower.
Online retail (sampled)
₦12,000 for 28 tablets
₦35,570 for 30 tablets
Same 100mg Metoprolol — 2.8× the price, tablet for tablet.
median ₦26,550 · 7 listings
Better valueMETOPROLOL TARTRATE 100MG *28TABS(MedPlus)
₦12,000₦429 per tabletCosts moreBetaloc (Metoprolol) 100mg Tablets x30(HealthPlus)
₦35,570₦1,186 per tablet7 listings across HealthPlus + MedPlus — brands and pack sizes vary · October 2026.
First tracked October 2026.
How to Verify Your Metoprolol is Genuine
- 1Check the pack for its NAFDAC registration number. In our copy of the register Betaloc ZOK 25 (A4-6203) and Betaloc ZOK 50 (A4-6202) are Active; Metap-XL 25 (B4-0556), Metap-XL 50 (B4-0555) and Metwise ER 50 (C4-1850) are recorded Inactive since 2026
- 2Betaloc ZOK 100 mg (04-6204) is recorded as Inactive in our copy, its registration having run out in August 2026 — a renewal matter for the holder, not proof a pack is fake, but confirm it on the official Greenbook
- 3Enter the number in our free NAFDAC checker and confirm the product name, strength and holder match the pack; several registrations here expire within the next year, so a lapse can appear between refreshes
- 4Check the salt and the release form on the box: an extended-release succinate tablet is not swapped for an immediate-release tartrate one at the same milligram figure without a doctor's say-so
Where to Buy
Buying Metoprolol wholesale, by the carton
Cartons of metoprolol are bought at Nigeria's open drug markets: Idumota Market in Lagos, Ariaria Market in Aba, Ogbogwu Market in Onitsha and Sabon Gari Market in Kano. Each guide says where the market is and how to buy there safely; where we list sellers, they are named.
- Idumota Market, Lagos · wholesale sellers in Idumota Market
- Ariaria Market, Aba
- Ogbogwu Market, Onitsha
- Sabon Gari Market, Kano
No shop we list has Metoprolol on its confirmed product list yet — the market guides still tell you where the trade happens and how to buy there safely.
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Wherever you buy, buy only from licensed pharmacies and verified distributors — not roadside vendors — and verify the pack's NAFDAC registration before you pay. Buying Metoprolol in bulk or for resale? See how to buy medicines in bulk in Nigeria safely.
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What is Metoprolol?
Two salts exist and they are not interchangeable tablet for tablet: metoprolol tartrate is the short-acting form taken two or three times a day, and metoprolol succinate is the once-daily extended-release form used in heart failure. Every metoprolol product in our copy of the NAFDAC register is an extended-release succinate tablet: AstraZeneca's Betaloc ZOK (the originator, 25 mg and 50 mg Active, the 100 mg recorded Inactive), Micro Nova's Metap-XL 25 and 50, and Onifam's Metwise ER 50, the last three made in India.
Metoprolol is not usually the first tablet a Nigerian doctor reaches for in plain high blood pressure. Nigerian and international guidelines favour a calcium channel blocker such as amlodipine or a thiazide-type diuretic first for Black African patients, who on average respond better to them; a beta-blocker is added when there is a separate reason for one — angina, a previous heart attack, heart failure, a racing pulse. If you have been prescribed metoprolol for blood pressure alone, it is worth asking why, but it is never a reason to stop it on your own.
What is Metoprolol used for?
In Nigeria, Metoprolol is commonly used for:
- Chronic heart failure with reduced pumping function (extended-release succinate), alongside other heart-failure medicines
- Angina pectoris — preventing exertional chest pain
- After a heart attack, to lower the risk of another and of dangerous rhythms
- High blood pressure, usually in combination with other medicines or where a beta-blocker is specifically indicated
- Rate control in atrial fibrillation and other fast heart rhythms; symptoms of an overactive thyroid; migraine prevention
Dosage
IMPORTANT
Always follow your doctor's or pharmacist's instructions. The information below is for general reference only.
Adults
Taken once daily in the morning, with or after food, swallowed whole — extended-release tablets must not be crushed or chewed, though scored ones may be halved. For high blood pressure or angina a typical dose is 50 to 100 mg once daily, up to 200 mg. For heart failure the doctor starts very low — 12.5 to 25 mg once daily — and doubles the dose roughly every two weeks as tolerated towards a target of 200 mg, watching pulse and blood pressure at each step; this slow climb is the whole point, and a bigger starting dose can make heart failure worse. Doses here are the usual ranges, not a prescription.
Children
Used only by paediatric cardiologists, for conditions such as high blood pressure or certain rhythm problems, with the dose calculated by weight. Not a medicine to give a child without specialist direction.
Elderly
No routine dose change, but older adults are more prone to a slow pulse, dizziness on standing and tiredness, so doctors start at the lower end and raise it more slowly.
Do not stop metoprolol suddenly. Abrupt withdrawal after regular use can bring on severe angina, a heart attack or a dangerous rhythm within days; if it must be stopped, the dose is tapered over one to two weeks under a doctor. Check your pulse when you first start — a resting rate below 50 beats a minute, or dizziness and fainting, should be reported before the next dose.
Side Effects
General information for a reader holding a pack, not a substitute for a doctor or pharmacist. If something on the serious list is happening, seek care now.
Common side effects
- •Tiredness, low energy and reduced exercise tolerance, especially in the first weeks
- •Cold hands and feet; a slow pulse
- •Dizziness or light-headedness, particularly on standing
- •Disturbed sleep and vivid dreams; low mood
- •Erectile difficulty in some men; nausea or stomach upset
Serious side effects — seek medical help immediately
- A very slow heartbeat (under 50) with faintness, or actual fainting — possible heart block
- Worsening breathlessness, swollen ankles or sudden weight gain in someone with heart failure, especially after a dose increase
- Wheezing or tightness in the chest in anyone with asthma or COPD — cardioselective, but not completely so
- In people with diabetes, a hypo whose warning signs (racing heart, tremor) are masked — sweating may be the only clue
When to see a doctor
See a doctor promptly for fainting, a resting pulse under 50, new or worsening breathlessness or ankle swelling, wheeze, or very cold, painful fingers and toes. Tiredness and dizziness in the first fortnight often settle; if they do not, the dose can be adjusted rather than the medicine abandoned.
Warnings & Precautions
General information for a reader holding a pack, not a substitute for a doctor or pharmacist. If something on the serious list is happening, seek care now.
Do not take Metoprolol if you have:
- Second- or third-degree heart block, sick sinus syndrome, or a resting heart rate under 50 before treatment
- Severe low blood pressure, cardiogenic shock, or heart failure that is acutely decompensated (fluid overloaded) — treat that first, then start the beta-blocker slowly
- Severe asthma or a history of bronchospasm — relative; a cardioselective blocker may be used with great care by a specialist
- Severe peripheral arterial disease with rest pain or gangrene
- Untreated phaeochromocytoma (an adrenaline-producing tumour); known allergy to metoprolol
Drug interactions
- •Verapamil and diltiazem — the combination can cause severe slowing of the heart and heart block; avoid or specialist supervision only
- •Digoxin, amiodarone and clonidine — additive slowing of the pulse; clonidine must not be stopped before the beta-blocker
- •Insulin and sulfonylureas (glibenclamide, glimepiride) — the beta-blocker hides the early signs of a hypo
- •Fluoxetine, paroxetine, bupropion and other CYP2D6 inhibitors raise metoprolol levels; rifampicin lowers them
- •NSAIDs such as ibuprofen and diclofenac blunt its blood-pressure effect and strain the kidneys when combined long term
- •Adrenaline (in an allergic emergency) works less well in someone on a beta-blocker — carry a note or alert card if you have severe allergies
Pregnancy & Breastfeeding
Metoprolol can be used in pregnancy when a beta-blocker is needed, though in Nigeria labetalol or methyldopa are the usual first choices for high blood pressure in pregnancy; prolonged use can slow the baby's growth and heart rate, so it needs obstetric follow-up. Only small amounts pass into breast milk and breastfeeding is generally considered compatible — watch the baby for unusual sleepiness or a slow pulse.
Related Resources for Metoprolol
Guides, articles, and tools related to Metoprolol and other hypertension medicines in Nigeria.
Frequently Asked Questions
Sources
- •NAFDAC Greenbook — the official database of all products registered with Nigeria's National Agency for Food and Drug Administration and Control. Brand-level NAFDAC numbers for Metoprolol on this page were cross-referenced against the Greenbook.
- •British National Formulary (BNF) dosing and interaction guidance for Metoprolol.
- •Nigerian Standard Treatment Guidelines (Federal Ministry of Health).
Daily puzzle: Meddle — pair five brands with their medicines. New game at midnight.