Physiotens 0.2mg Tablet
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Prescription Required
Overview
Physiotens 0.2mg Tablet contains moxonidine 0.2mg, a centrally-acting antihypertensive medicine that acts on imidazoline receptors in the brain to lower blood pressure. It is used to treat mild to moderate essential hypertension, usually when other antihypertensive classes have not achieved adequate control or are not suitable.
Moxonidine works mainly in the brainstem, where it stimulates imidazoline I1 receptors to reduce sympathetic nervous system activity. This lowers the tone of blood vessels throughout the body, reducing peripheral resistance and blood pressure.
How it Works
Moxonidine selectively stimulates imidazoline I1 receptors in the rostral ventrolateral medulla of the brainstem, an area that regulates sympathetic nervous system outflow. By reducing sympathetic activity, moxonidine decreases peripheral vascular resistance, which lowers blood pressure without a significant reflex increase in heart rate.
Directions for Use
Take Physiotens 0.2mg Tablet at about the same time each day, with or without food, swallowing the tablet whole with a glass of water. Do not stop taking this medicine suddenly, especially if you are also taking a beta-blocker, as abrupt discontinuation can cause a rebound rise in blood pressure and heart rate – your doctor will advise on tapering the dose if treatment needs to be stopped.
Dosage
The usual starting dose of Physiotens 0.2mg Tablet is 0.2mg once daily in the morning, which your doctor may increase gradually, usually up to a maximum of 0.6mg daily (given as a single dose or divided into two doses), depending on your blood pressure response. Your doctor will individualise the dose and monitor your progress, especially if you have kidney impairment.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Dry mouth
- Dizziness
- Fatigue
- Headache
- Nausea
- Sleep disturbances
- Skin rashes
Contraindications
- Known hypersensitivity to moxonidine or any ingredient in this product
- Sick sinus syndrome or second- or third-degree heart block (unless a pacemaker is fitted)
- Severe bradycardia (very slow heart rate)
- Severe kidney impairment
- Severe heart failure
Drug / Food Interactions
- Beta-blockers and other blood-pressure-lowering medicines can increase the blood-pressure-lowering effect – abrupt discontinuation of moxonidine while on a beta-blocker can cause rebound hypertension
- Sedatives, tranquillisers, and alcohol may increase drowsiness when combined with moxonidine
- Tricyclic antidepressants may reduce the blood-pressure-lowering effect of moxonidine
- Other centrally-acting medicines may add to sedative side effects
Quick Tips
- Never stop this medicine suddenly, particularly if you are also on a beta-blocker – your doctor will guide you on tapering the dose
- Take at the same time each day, preferably in the morning, to build a routine
- Monitor your blood pressure regularly as advised by your doctor
- Be cautious with alcohol and sedating medicines, as they can add to drowsiness
- Rise slowly from sitting or lying down to reduce dizziness
- Keep all follow-up appointments so your doctor can adjust your dose safely
Frequently Asked Questions
What is Physiotens 0.2mg Tablet used for?
Physiotens 0.2mg Tablet is used to treat mild to moderate high blood pressure, either alone or together with other blood pressure medicines. Your doctor will confirm the specific reason it has been prescribed for you.
Why can’t I stop taking this medicine suddenly?
Stopping moxonidine abruptly, especially if you are also taking a beta-blocker, can cause a rebound increase in blood pressure and heart rate. If your doctor decides to stop this medicine, the dose will usually be reduced gradually.
Can I take this medicine with a beta-blocker?
Moxonidine can be combined with a beta-blocker under your doctor’s supervision, but if both are being stopped, the beta-blocker should generally be withdrawn first and moxonidine several days later, to avoid rebound effects. Always follow your doctor’s specific instructions.
Will this medicine make me feel drowsy?
Moxonidine can cause dizziness or drowsiness, particularly when you first start taking it. Avoid driving or operating machinery until you know how this medicine affects you, and be cautious with alcohol.
What should I do if I miss a dose of Physiotens 0.2mg Tablet?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue your regular schedule. Do not double the dose, and never stop the medicine on your own even after a missed dose.
Can I buy Physiotens 0.2mg Tablet from DoctorOnCall?
Yes, Physiotens 0.2mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Physiotens 0.2mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Physiotens 0.2mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Physiotens 0.2mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Physiotens 0.2mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Physiotens 0.2mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Moxonidine 0.2mg
Safety Advice
Pregnancy
This medicine should be used cautiously during pregnancy. Monitoring may be required.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Generally safe, but caution may be required in some patients.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Medical Review
