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Tadalafil and Metoprolol Interaction

Drug interaction information between Tadalafil and Metoprolol.

Tadalafil and Metoprolol have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Tadalafil and Metoprolol. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.

Drug A

Tadalafil

PDE5 Inhibitor

Drug B

Metoprolol

Beta-Blocker

How They Interact

These drugs both work to lower blood pressure, which can lead to a combined effect that lowers pressure more than intended.

What To Do

Your doctor may need to monitor your blood pressure or adjust your doses if you feel faint.

FDA Label Information

Clinical pharmacology studies were conducted to assess the effect of tadalafil on the potentiation of the blood-pressure-lowering effects of selected antihypertensive medications (amlodipine, angiotensin II receptor blockers, bendrofluazide, enalapril, and metoprolol).

Metoprolol Also Interacts With

View all Metoprolol interactions →

Frequently Asked Questions

Can I take Tadalafil and Metoprolol together?

This is a minor interaction. Your doctor may need to monitor your blood pressure or adjust your doses if you feel faint.

How serious is the interaction between Tadalafil and Metoprolol?

This interaction is classified as "minor" severity by the FDA. Minor interactions are unlikely to cause significant problems but should still be mentioned to your healthcare provider.

Why do Tadalafil and Metoprolol interact?

These drugs both work to lower blood pressure, which can lead to a combined effect that lowers pressure more than intended.

Understanding the Tadalafil and Metoprolol Interaction

FDA-approved prescribing information for these two drugs flags their combination as a minor-severity interaction. Tadalafil belongs to the PDE5 Inhibitor class and Metoprolol belongs to the Beta-Blocker class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: These drugs both work to lower blood pressure, which can lead to a combined effect that lowers pressure more than intended. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.

Context around a specific patient determines real-world impact. Tadalafil has 25 total documented interactions on file in this dataset, and Metoprolol has 18. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor may need to monitor your blood pressure or adjust your doses if you feel faint. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.

An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Tadalafil or Metoprolol based on a web page, speak with your prescriber or pharmacist before making any change.

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.