Toprol XL online prescription available

If you are suffering from high blood pressure, angina pectoris, or heart failure, Toprol XL can help. Get a same-day prescription or refill of Toprol XL from a caring, board-certified doctor online.*

Book an appointment

FDA-approved to treat hypertension, angina pectoris, and more

Available in the form of extended-release tablets

Suggested to take with food or immediately after eating

*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.

About Toprol XL 

Toprol XL belongs to a drug class known as beta-blockers. It affects the body's response to nerve impulses, especially in the heart. As a result, Toprol XL decreases the heart's need for blood and oxygen, so the heart doesn't have to work as hard.

Toprol XL is a prescription medication that treats high blood pressure, chest pain (angina pectoris), and heart failure. It's also available as a generic formula under different brand names, including metoprolol succinate.

Toprol XL is typically prescribed in the form of extended-release tablets. It’s always important to follow the specific instructions on your prescription.

If you're prescribed Toprol XL, be sure to follow your doctor's instructions exactly or consult with him or her if you have any concerns about the dose. If you don’t complete your prescription, the beta blocker may not fully treat chest pain, hypertension, or other conditions.

Toprol XL uses

There are several FDA-approved uses for Toprol XL (metoprolol succinate), but your healthcare provider may also prescribe it off-label to treat other medical conditions.

Your PlushCare doctor may prescribe Toprol XL for any of the following reasons, or other reasons not listed here. Ask your online doctor or pharmacist if you have questions about why a medication is prescribed.

  • Hypertension

    Toprol XL is FDA-approved to treat high blood pressure (hypertension). It may be used alone or prescribed with other medication to lower blood pressure.

  • Angina pectoris

    Toprol XL is FDA-approved to treat angina pectoris (chest pain) and is appropriate for long-term treatment.

  • Heart failure

    Toprol XL is FDA-approved for the treatment of stable, symptomatic heart failure. It can also lower your risk of mortality or hospitalization for heart failure.

  • Supraventricular tachycardia

    Toprol XL is used "off label" to help manage supraventricular tachycardia.

Toprol XL side effects

  • The side effects associated with taking Toprol XL are typically mild. Most Toprol XL side effects are associated with fatigue.

    Toprol XL may cause some common side effects, including:

    • Dizziness or tiredness

    • Depression, confusion, or memory problems

    • Difficulty sleeping

    • Diarrhea

    • Mild itching

    Other side effects, which are less common but might be more severe, could include:

    • Very slow heartbeat

    • Excess tiredness

    • Difficulty breathing

    Tell your doctor if you notice any of these side effects, or if you develop any other new or concerning symptoms. Toprol XL may be prescribed to treat high blood pressure and chest pain in children over the age of 6.

How to take Toprol XL

Your pharmacist will provide you with instructions on how to take your Toprol XL prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Toprol XL can come in different doses, so be sure to follow the specific instructions on your prescription. The starting doses can range from 25 to 100 mg/day for hypertension, from 100 mg to 400 mg/day for angina, and from 25 to 200 mg/day for congestive heart failure. Your doctor will adjust dosage levels to treat your condition as needed.

Toprol XL should be taken with food or just after eating. Take your Toprol XL tablet at the same time each day. Do not stop taking Toprol XL suddenly, as sudden withdrawal can make your condition worse.

What to avoid while taking Toprol XL

Toprol XL has 491 drug interactions. Don’t change what you take without checking with your doctor or pharmacist. That includes other medications, supplements, and other drugs.

Some common drug interactions with Toprol XL include:

  • Other heart and blood pressure medications, including certain beta blockers and calcium channel blockers

  • Epinephrine (Epi-Pen)

  • Antidepressants, especially monoamine oxidase (MAO) and selective serotonin reuptake inhibitors (SSRIs)

  • Ergot medicine

Avoid drinking alcohol while taking Toprol XL. Alcohol can interfere with the extended-release tablets, increasing your risk of adverse side effects.

Medication alternatives to Toprol XL

If your healthcare provider prefers to put you on another treatment, they may suggest another beta blocker or a high blood pressure medication in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

Toprol XL prescription FAQs

  • How much does Toprol XL cost?

    Depending on your pharmacy, Toprol XL extended-release tablets cost about $158 for forty-five 200 mg tablets without insurance. Fortunately, generic brands, such as metoprolol succinate, offer an affordable alternative.

  • How can I refill my Toprol XL prescription?

    To refill your Toprol XL prescription, book a virtual appointment with a board-certified PlushCare doctor. After reviewing your symptoms, your doctor can send an electronic prescription to your local pharmacy.

  • Who should not take Toprol XL?

    Avoid taking Toprol XL if you have certain health conditions, including:

    • Low blood sugar

    • Diabetes

    • Sick sinus syndrome

    • Symptomatic bradycardia

    • Peripheral vascular disease

  • What happens if I miss a dose of Toprol XL?

    If you miss a dose of Toprol XL, take the missed dose as soon as you remember. Skip the missed dose if it's almost time for your next dose. Avoid taking a double dose to make up for a missed dose.

  • What happens if I take too much Toprol XL?

    If you've taken too much Flonase, call your doctor or local poison control center. If you experience serious side effects, such as chest pain or difficulty breathing, seek immediate medical attention.

  • What time of day should Toprol XL be taken?

    You should take Toprol XL at the same time each day, preferably with food or immediately after eating.

  • Does Toprol XL need to be taken with food?

    You can take Toprol XL with or without food. Taking Toprol XL with food can help your body absorb the medication.

3 simple steps to request your Toprol XL prescription today 

Step 1: Book an appointment

Step 1

Book a Toprol XL prescription request appointment.

You can book a same-day appointment from anywhere.

Step 2: Visit with a doctor on your smartphone

Step 2

Talk to your medical provider regarding your Toprol XL prescription.

You can visit a doctor on your smartphone or computer.

Step 3: pick up at local pharmacy

Step 3

Pick up your Toprol XL prescription.

We can send prescriptions to any local pharmacy.

Toprol XL prescription pricing details

How pricing works

To get a new or refill on your Toprol XL prescription, join our monthly membership and get discounted visits.

Paying with insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • Cigna

Paying without insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

Book an appointment

If we're unable to treat you, we'll provide a full refund.


PlushCare is dedicated to providing you with accurate and trustworthy health information

PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.