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Two medicines, side by side

Labetalol vs metoprolol

Labetalol and metoprolol are both labeled for high blood pressure. Drugs@FDA records approvals of labetalol since 1984 and of metoprolol since 1978. Pharmacies paid $0.215 per labetalol HCl 300 mg tablet and $0.085 per metoprolol succ ER 100 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Metoprolol's other strengths are brand-only: $1.20 per mL (Lopressor 10 mg/mL oral solution).

Check it at the source: the labetalol FDA label on DailyMed (effective March 2, 2026); the metoprolol FDA label on DailyMed (effective March 3, 2026).

Highlights of the labetalol record

Labetalol (Trandate) · label of March 2, 2026

Used for

From the label: indications

Labetalol hydrochloride tablets, USP are indicated in the management of hypertension. Labetalol hydrochloride tablets USP may be used alone or in combination with other antihypertensive agents, especially thiazide and loop diuretics.

On the market

Earliest approval on file
August 1, 1984
Generic labelers
43 labelers
Pharmacy cost
$0.215 per tablet

Supply and safety

Shortage
No current entry
Recalls
6

Highlights of the metoprolol record

Metoprolol (Lopressor) · label of March 3, 2026

Used for

From the label: indications

TOPROL-XL, metoprolol succinate, is a beta-adrenergic blocker indicated for the treatment of: Hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions. ( 1.1 ) Angina Pectoris. […]

On the market

Earliest approval on file
August 7, 1978
Generic labelers
74 labelers
Pharmacy cost
$0.085 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
39

Source: FDA drug labels via openFDA (Labetalol label of March 2, 2026, Metoprolol label of March 3, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do labetalol and metoprolol differ on the record?

Both are in FDA's class beta-adrenergic blockers.

Half-life, in each label's words: Labetalol, “The plasma half-life of labetalol following oral administration is about 6 to 8 hours.”; Metoprolol, “Elimination Elimination is mainly by biotransformation in the liver, and the plasma half-life ranges from approximately …”

Generics: labetalol since 1998; metoprolol since 1993 (Drugs@FDA).

LabetalolMetoprolol
Labeled forHigh blood pressureHigh blood pressure, Angina, Heart failure, Heart attack and coronary artery disease
Pharmacologic classbeta-Adrenergic Blockerbeta-Adrenergic Blocker
How it works (label)n/aMetoprolol is a beta 1 -selective (cardioselective) adrenergic receptor blocking agent.
Half-life (label)The plasma half-life of labetalol following oral administration is about 6 to 8 hours.Elimination Elimination is mainly by biotransformation in the liver, and the plasma half-life ranges from approximately 3 to 7 hours.
Earliest approval on file (Drugs@FDA)August 1, 1984August 7, 1978
First generic approvedAugust 3, 1998December 21, 1993
Generic labelers (NDC)43 labelers74 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.215 per tablet (Labetalol HCl 300 mg tablet)$0.085 per tablet (Metoprolol succ ER 100 mg tablet)
12-month price change+3%-8%
Boxed warningNoNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded639
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)13,250353,609
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to labetalol
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