Key takeaways
Metoprolol succinate (Toprol XL) and nebivolol (Bystolic) are both beta blockers, but they have some key differences. Metoprolol succinate is used to treat high blood pressure, chest pain, and to lower the risk of hospitalization and death in people with heart failure. In contrast, nebivolol is primarily used to treat high blood pressure and is not a first-choice medication for this condition. Metoprolol succinate is available in both brand (Toprol XL) and generic forms, while nebivolol is available as both brand (Bystolic) and generic. Metoprolol succinate needs to be taken with food, whereas nebivolol can be taken with or without food. Additionally, nebivolol is less likely to cause erectile dysfunction and weight gain compared to other beta blockers, including metoprolol succinate. Both medications can cause dizziness and tiredness, and you should not stop taking either suddenly without consulting your healthcare provider.
