Metoprolol and supplements: 1 sourced interaction

Beta-blocker, also sold as Toprol-XL and Lopressor. Of these, 1 named by an FDA label or NIH page. Plus 2 predicted from how each works (not established). Each links its source and the date it was checked.

A combination missing here is not on our list; that does not mean it is safe together.

Metoprolol with supplements

Most serious first. Open a row for the mechanism, the source's words and the date checked.

Educational only. Check with your pharmacist or prescriber before changing anything you take.

Moderate

1
AshwagandhaLabel or NIHAn NIH page names this pair (cause not established).

moderate · Named by an FDA label or NIH page · Cause not established

In the source’s own words; rated moderate from that wording, not from a study of the pair.

“There is evidence that ashwagandha might interact with some medications, including those for diabetes and high blood pressure, medicines that decrease the immune system response (immunosuppressants), sedatives, anti-seizure medications (anticonvulsants), and thyroid hormone medications.”

Minor

2
Potassium (supplements / salt substitutes)PredictedBoth lower blood pressure, which may add up.

minor · Predicted from how each works, not established · Blood pressure lowering

Predicted from what each is known to do, not studied as a pair and not established.

Both lower blood pressure, which may add up.

  • FDA drug label (DailyMed) · Metoprolol: lowers blood pressure (TOPROL XL (METOPROLOL SUCCINATE) TABLET, EXTENDED RELEASE [MELINTA THERAPEUTICS, LLC], section 1.1)
  • NIH Office of Dietary Supplements · Potassium (supplements / salt substitutes): lowers blood pressure (Office of Dietary Supplements · Potassium, Potassium and Health · Hypertension and stroke)
  • Checked Oct 25, 2026
Red yeast ricePredictedBoth lower blood pressure, which may add up.

minor · Predicted from how each works, not established · Blood pressure lowering

Predicted from what each is known to do, not studied as a pair and not established.

Both lower blood pressure, which may add up.

How these lines are sourced

Three kinds of line

  • Studied in people (PubMed): PubMed records that were opened and read, graded A (several controlled studies, or a finding in the dosing guidance), B (at least one controlled human study) or C (case reports, observational data or mechanism only).
  • Named by an FDA label or NIH page: quoted word for word from that page. Its severity comes from the source’s wording, not from a study of the pair.
  • Predicted from how each works, not established: built from sourced facts about each substance, such as the FDA’s table of enzyme roles. Never rated major.

Interaction MapCheck Metoprolol with everything else you take, together

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