Beta-1 selective adrenergic blocker
Metoprolol in Canada: prescription, brands, pricing
This page summarises the situation of Metoprolol in Canada under Health Canada: prescription status, available brands and generics, pharmacy dispensing, and online options in CAD. Metoprolol belongs to the Beta-1 selective adrenergic blocker class.
- Regulator
- Health Canada
- Currency
- CAD
About Metoprolol
Metoprolol is approved in adults for hypertension, chronic stable angina pectoris, supraventricular tachyarrhythmias and rate control in atrial fibrillation, post-myocardial infarction secondary prevention, prevention of migraine and, as th… Canada classifies medications as Schedule I (prescription), II (pharmacist-only OTC), III (open OTC) or unscheduled, with provincial variation. Provincial drug plans cover prescription costs at varying rates.
Mechanism and action
Metoprolol selectively blocks beta-1 adrenergic receptors in the heart, reducing heart rate, contractility and atrioventricular conduction velocity, and lowering myocardial oxygen demand.
Brands and generics in Canada
In Canada, Metoprolol is typically dispensed as one internationally recognised brand along with their corresponding authorised generics. Canadian pharmacies (Shoppers Drug Mart, Rexall, London Drugs and many independents) are licensed provincially, and pharmacists in several provinces can prescribe for minor ailments. Brand-to-generic substitution is decided by the pharmacist under local Health Canada equivalence rules, and the price difference in CAD is usually substantial.
Online and tele-prescribing access
Online pharmacy is regulated provincially in Canada; cross-border imports are restricted. Tele-prescribing platforms have expanded prescription access since 2020. For Metoprolol specifically, the legal online options in Canada depend on its Rx-or-OTC classification under Health Canada.
Frequently asked questions
Is Metoprolol available in Canada? ▾
Yes — Metoprolol and its brands are available in Canada through pharmacies authorised by Health Canada, in various strengths depending on the commercial product. Authorised generics offer a lower-cost alternative with the same active substance.
Do I need a prescription for Metoprolol in Canada? ▾
Canada classifies medications as Schedule I (prescription), II (pharmacist-only OTC), III (open OTC) or unscheduled, with provincial variation. Provincial drug plans cover prescription costs at varying rates. The exact status of Metoprolol (Rx or OTC) is determined by Health Canada; most active ingredients in the Beta-1 selective adrenergic blocker class require prescription, although there are exceptions by country and formulation.
How much does Metoprolol cost in Canada? ▾
The price in CAD depends on the manufacturer (brand vs authorised generic), the strength and the pack size. Generics are typically substantially cheaper than brands and serve as the economic reference for ongoing use.
Products with Metoprolol in Canada
Metoprolol in other countries
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.