Should I chew Metol XL 25 or not?
My heart arteries are 50–60% blocked.
While eating food, I feel a kind of blockage or tightness in my neck.
I also get dizziness and feel as if I might faint.
Metol XL 25 is an extended‑release form of metoprolol that should always be swallowed whole and never chewed or crushed, because breaking the tablet can release the drug too quickly and cause dangerous drops in blood pressure or heart rate. Given your 50–60% artery blockage and symptoms of neck tightness, dizziness, and near fainting, these may represent angina or reduced blood flow and require urgent medical evaluation. You should continue taking the medication exactly as prescribed and contact your cardiologist promptly to review your symptoms and treatment plan.