Ascoril LS Drops: Complete Medicine Guide for Parents and Caregivers
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or worsening breathlessness
- Swelling of the face, lips, or throat
- Severe allergic rash or hives
- Fast, irregular, or pounding heartbeat
- Severe vomiting or inability to keep fluids down
- Blood in vomit or stool
- Extreme drowsiness or unresponsiveness
- Bluish discoloration of lips or face
If experiencing severe symptoms, call emergency services immediately.
What is astha-ls oral drops used for?
This medicine is a combination oral drop containing ambroxol and levosalbutamol. It is used in children to relieve cough with thick mucus and mild breathing difficulty by thinning mucus and opening airways. It should be used only under a doctor's supervision.
- Generic Name: Ambroxol + Levosalbutamol
- Manufacturer: Divine Savior Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 astha-ls oral drops के बारे में (Hindi Summary)
उपयोग: यह दवा मुख्य रूप से बच्चों में बलगम वाली खांसी और सांस लेने में हल्की तकलीफ के इलाज के लिए दी जाती है। इसमें एम्ब्रोक्सोल और लेवोसाल्बुटामोल दो सक्रिय तत्व होते हैं। एम्ब्रोक्सोल गाढ़े बलगम को पतला करता है जिससे बलगम आसानी से बाहर निकल आता है। लेवोसाल्बुटामोल सांस की नलियों की मांसपेशियों को ढीला करता है जिससे सांस लेने में आराम मिलता है। यह दवा केवल डॉक्टर की सलाह पर ही देनी चाहिए। बच्चों को यह दवा ड्रॉपर की मदद से सही मात्रा में दें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, उल्टी, दस्त, सिरदर्द और हल्की बेचैनी शामिल हैं। कुछ बच्चों में दिल की धड़कन तेज हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, सांस लेने में कठिनाई, चेहरे या गले में सूजन, या तेज अनियमित धड़कन हो सकती है। ऐसे लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही दें। हर बार उपयोग से पहले बोतल को अच्छी तरह हिलाएं। दवा देने के लिए हमेशा साथ में दिए गए ड्रॉपर का ही उपयोग करें। बिना डॉक्टर की सलाह के खुराक न बढ़ाएं। अगर बच्चे को दिल, थायरॉइड, मधुमेह या दौरे की समस्या है तो डॉक्टर को पहले बताएं। दवा को ठंडी और सूखी जगह पर रखें। बच्चों की पहुंच से दूर रखें।
💊 astha-ls oral drops Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin out thick mucus in the airways, making it easier for the child to cough it out.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Used to relieve cough and mucus congestion associated with acute inflammation of the bronchi.","evidence":"Well-established"},{"condition":"Bronchospasm associated with respiratory infections","description":"Levosalbutamol relaxes airway muscles, providing relief from mild wheezing and breathing difficulty.","evidence":"Well-established"},{"condition":"Mucus plugging in lower respiratory tract","description":"Ambroxol helps clear mucus plugs that can block small airways and worsen breathing.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Prevention of respiratory distress in premature infants","description":"Ambroxol has been studied off-label for lung maturation, but this is not a standard use for this combination product.","evidence":"Limited"}]
Primary treatment for: Productive cough associated with bronchospasm
Also treats: Acute bronchitis, Chronic bronchitis, Asthma with mucus plugging, Respiratory tract infections with thick mucus
📋 Drug Information
| Generic Name(s) | Ambroxol + Levosalbutamol |
| Brand Name | Ascoril LS Junior Syrup |
| Manufacturer | Divine Savior Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Mucolytic + Beta-2 Adrenergic Agonist |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from direct sunlight and moisture. Do not freeze. Keep the bottle tightly closed when not in use. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Ambroxol is a mucolytic agent that increases the production of serous fluid in the airways and breaks down acidic mucopolysaccharide fibers in mucus, reducing its viscosity and making it easier to clear. Levosalbutamol is the active R-enantiomer of salbutamol and acts as a selective beta-2 adrenergic receptor agonist. It binds to beta-2 receptors on bronchial smooth muscle, causing relaxation and widening of the airways. This dual action helps both to thin mucus and to open narrowed airways, providing symptomatic relief in conditions where mucus congestion and mild bronchospasm coexist.
Mechanism Steps
💡 How to Take astha-ls oral drops
Strength: Oral drops containing Ambroxol 7.5 mg/ml and Levosalbutamol 0.25 mg/ml.
Dosage Information
| Adult Dosage | This medicine is primarily intended for pediatric use. Adult dosing, if prescribed, must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. Do not self-administer in adults without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. The dose is usually calculated based on the child's age and weight, and must be individualized by a qualified clinician. Use the dropper provided to measure the exact dose. Do not exceed the prescribed amount. |
| Elderly Dosage | This medicine is not typically intended for elderly patients. If prescribed, the dose must be individualized by a qualified clinician based on renal and hepatic function and other medications. |
| Renal Impairment | Dose adjustment may be required in patients with severe renal impairment. Consult a doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be required in patients with severe hepatic impairment. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the patient's age, weight, and clinical condition. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of astha-ls oral drops
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Propranolol | Major | |
| MAOIs | Major | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Theophylline | Moderate | |
| Cough suppressants | Minor | |
| Ipratropium | Minor |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Corticosteroids
- Xanthine derivatives (e.g., theophylline)
🍷 Alcohol Interaction
Alcohol should be avoided in children. In adults, alcohol may increase the risk of dizziness, drowsiness, and gastrointestinal upset when taken with this medicine. It is best to avoid alcohol while using this product.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to ambroxol, levosalbutamol, or any component of the formulation","Severe cardiac disease or severe arrhythmias","Severe hepatic or renal impairment without medical supervision","Children under the age recommended by the prescribing doctor","Use in patients with rare hereditary conditions such as galactose intolerance (if the formulation contains lactose)"]
⚠️ Warnings & Precautions
["This medicine should be used only under the supervision of a qualified doctor.","Do not exceed the prescribed dose.","Use with caution in patients with heart disease, hypertension, diabetes, hyperthyroidism, or seizures.","Monitor for signs of hypokalemia, especially with concomitant diuretics or corticosteroids.","Avoid concomitant use with non-selective beta-blockers.","Do not use for prolonged periods without medical review.","Keep out of reach of children.","Shake well before use and measure with the provided dropper.","Inform the doctor if the child has any known allergies.","Do not use if the solution is discolored or contains particles."]
🤱 Lactation Safety
It is not known whether ambroxol and levosalbutamol pass into breast milk in significant amounts. Breastfeeding mothers should consult a doctor before using this medicine.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as severe nausea, vomiting, rapid heart rate, palpitations, tremor, restlessness, and low potassium levels. If you suspect an overdose, contact a doctor or poison control center immediately. Treatment is supportive and symptomatic. Do not induce vomiting unless advised by a healthcare professional. Monitor heart rate, blood pressure, and serum potassium levels. In severe cases, hospitalization may be required.
⏰ Missed Dose
If you miss a dose, give it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not double the dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Give this medicine exactly as prescribed by your child's doctor. Use the dropper supplied with the bottle to measure the correct dose, and do not use a household spoon. Shake the bottle well before each use. This medicine is for oral use only and should never be injected or applied to the skin. Do not give more than the recommended dose, even if symptoms seem severe. If your child has a history of heart problems, thyroid disorders, diabetes, or seizures, inform the doctor before starting this medicine. Avoid giving this medicine along with other cough and cold medicines without asking the doctor, as some ingredients may overlap or interact. Keep this medicine out of the reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use after the expiry date printed on the pack. If your child's breathing becomes worse or new symptoms appear, contact the doctor immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
This medicine is not typically intended for elderly patients. If prescribed, elderly individuals may be more sensitive to the cardiac effects of levosalbutamol. Close monitoring of heart rate and potassium levels is advised.
🤰 Pregnancy Planning (TTC)
This medicine is not intended for use during pregnancy or while planning pregnancy without medical advice. Consult a doctor to discuss safer alternatives if you are pregnant or planning to conceive.
🏥 Post-Surgery Considerations
There is no specific information on the use of this medicine after surgery. Consult the surgeon or anesthesiologist before using it, especially if the patient is on other medications.
🦷 Dental Procedures
No specific precautions are established for dental procedures. Inform the dentist about all medicines the child is taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Children should avoid strenuous exercise while they have active breathing difficulty or fever. Once symptoms improve, gentle activity is fine. If exercise triggers coughing or wheezing, consult the doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause mild dizziness or restlessness in some children. It is best to avoid driving or operating heavy machinery if you are an adult taking this medicine and experience these effects. Children should be supervised during play if they feel dizzy or weak.
🛑 When to Stop This Medicine
Stop this medicine if the doctor advises so, or if the child develops signs of an allergic reaction, severe fast heartbeat, or worsening breathing. Do not stop abruptly if the child has been on it for a long time without consulting the doctor. Always complete the prescribed course.
📅 Long-Term Use Effects
Long-term use of this medicine without medical supervision may lead to tolerance to the bronchodilator effect, increased risk of hypokalemia, and unnecessary exposure to side effects. It should not be used for prolonged periods unless advised by a doctor. Regular monitoring of heart rate, potassium levels, and clinical response is recommended during extended use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and ease breathing naturally.
Evidence: Well-establishedHelps clear nasal congestion and improve breathing.
Evidence: Well-establishedCan help clear mucus from the airways in children with chronic conditions.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if the child is acutely unwell with fever or breathing difficulty, vaccination may be postponed until recovery. Consult the pediatrician.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep the cap tightly closed
❌ DON'T
Do not use if the solution is discolored
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of the prescription in case you need to show it at customs or to a local doctor. Store the bottle at room temperature and protect it from extreme heat or cold. If traveling across time zones, continue with the usual dosing schedule as advised by your doctor. Do not leave the medicine in a hot car or in direct sunlight. Keep the dropper clean and store it with the bottle.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The bronchodilator effect may start within 15-30 minutes, while the mucus-thinning effect may take a few hours. Full benefits are usually seen within 1-2 days of regular use.
A: Yes, it can be given with or without food. If it causes stomach upset, giving it with a small amount of food or milk may help.
A: If you remember within half the dosing interval, give the missed dose. Otherwise, skip it and continue with the next scheduled dose. Do not double dose.
A: There are no specific food restrictions, but avoiding very spicy or oily foods may help reduce stomach irritation.
A: This medicine is primarily for children. Adults should use it only if prescribed by a doctor.
🤔 Common Patient Concerns
🔄 Substitutes for astha-ls oral drops
View AllAlternative brands with exact same active ingredient:
-
simbro-ls oral dropsSilicon Pharma ₹35.63 15.2% CHEAPER
-
roxsin ls oral dropsCure Tech Skincare ₹39.38 6.2% CHEAPER
-
salphyllin paediatric dropLincoln Pharmaceuticals Ltd ₹39.90 5% CHEAPER
-
broncho tussin ls dropSynchem Lab ₹40.00 4.8% CHEAPER
-
expectus ls oral dropsIndi Pharma ₹42.19 0.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for any type of cough.
Fact: This medicine is specifically for cough with thick mucus and mild bronchospasm. It is not effective for dry cough or cough due to other causes. - Myth: More medicine will give faster relief.
Fact: Taking more than the prescribed dose can cause serious side effects. Always follow the doctor's instructions. - Myth: This medicine is safe to use without a prescription.
Fact: This is a prescription medicine and should only be used under a doctor's supervision. - Myth: This medicine can be given to infants without doctor's advice.
Fact: Infants require special dosing and monitoring. Never give this medicine to an infant without consulting a pediatrician.
🔄 Alternative Options
Generic Alternatives
- Ambroxol + Levosalbutamol oral drops
Brand Alternatives
- Ascoril LS Drops