Fleetus-PD Syrup: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Breathing becomes worse after taking the medicine
- Severe chest pain or palpitations
- Swelling of the face, lips, or throat
- Difficulty in breathing or swallowing
- Severe dizziness or fainting
- Muscle weakness or cramps
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is fleetus-pd syrup used for?
This medicine is a combination syrup containing levosalbutamol and ambroxol. It is used to treat wheezing and thick mucus in conditions like bronchitis and asthma. Levosalbutamol opens the airways, while ambroxol thins the mucus, making it easier to cough out. It is taken orally, usually two to three times a day, as prescribed by a doctor.
- Generic Name: Levosalbutamol (0.5mg) + Ambroxol (15mg)
- Manufacturer: Shashvat Healthcare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 fleetus-pd syrup के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोसाल्बुटामोल और एम्ब्रोक्सोल का संयोजन है। इसका उपयोग ब्रोंकाइटिस, अस्थमा और अन्य श्वसन रोगों में घरघराहट और गाढ़े बलगम को कम करने के लिए किया जाता है। लेवोसाल्बुटामोल श्वास नलियों को खोलता है, जिससे सांस लेना आसान हो जाता है, और एम्ब्रोक्सोल बलगम को पतला करता है, जिससे उसे खांसकर बाहर निकालना आसान हो जाता है। यह दवा मुंह से ली जाती है और डॉक्टर की सलाह के अनुसार दिन में दो से तीन बार दी जाती है। इसे डॉक्टर के बताए अनुसार ही लें, अपने मन से मात्रा न बढ़ाएं।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में हाथों में कंपन, बेचैनी, सिरदर्द, चक्कर आना, जी मिचलाना, उल्टी और दिल की धड़कन तेज होना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभावों में दिल की धड़कन में अनियमितता, सीने में दर्द, सांस लेने में कठिनाई, चेहरे या गले में सूजन, और त्वचा पर चकत्ते शामिल हो सकते हैं। अगर ऐसा कुछ हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। मात्रा अपने मन से कम या ज्यादा न करें। हर बार दवा लेने से पहले बोतल को अच्छी तरह हिलाएं और मापने वाले कप या चम्मच का उपयोग करें। अगर आपको दिल की बीमारी, उच्च रक्तचाप, मधुमेह, थायरॉइड या दौरे की समस्या है, तो डॉक्टर को पहले बताएं। इस दवा को लेने के बाद चक्कर या कंपन महसूस हो तो वाहन न चलाएं। बच्चों की पहुंच से दूर रखें। कमरे के तापमान पर, धूप और नमी से बचाकर रखें।
💊 fleetus-pd syrup Uses & Benefits
[{"condition":"Acute bronchitis with bronchospasm","description":"This medicine helps relieve wheezing and loosens thick mucus in the airways, making it easier to cough out secretions.","evidence":"Well-established"},{"condition":"Chronic bronchitis with thick secretions","description":"It reduces mucus viscosity and improves airway clearance in patients with chronic obstructive airway disease.","evidence":"Well-established"},{"condition":"Bronchial asthma with mucus plugging","description":"The bronchodilator component opens the airways while the mucolytic component helps clear mucus, but it is not a replacement for inhaled rescue therapy.","evidence":"Moderate"},{"condition":"Productive cough with wheezing","description":"It is used when a patient has both a wet cough and audible wheezing, especially in respiratory infections.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Prevention of postoperative pulmonary complications","description":"Sometimes used off-label to improve secretion clearance after surgery in patients with underlying lung disease.","evidence":"Limited"},{"condition":"Bronchiolitis in young children","description":"Not routinely recommended, but occasionally prescribed off-label in some settings; evidence is limited and inconsistent.","evidence":"Limited"}]
Primary treatment for: Bronchospasm with thick respiratory secretions
Also treats: Acute bronchitis, Chronic bronchitis, Bronchial asthma, COPD with mucus plugging
📋 Drug Information
| Generic Name(s) | Levosalbutamol (0.5mg) + Ambroxol (15mg) |
| Brand Name | fleetus-pd syrup |
| Manufacturer | Shashvat Healthcare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| 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. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| 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. 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 airway smooth muscle cells, which activates intracellular adenyl cyclase and increases cyclic AMP levels. This leads to relaxation of bronchial smooth muscle and rapid bronchodilation. Ambroxol is a mucolytic and expectorant that reduces the viscosity of bronchial secretions by depolymerizing acidic mucopolysaccharide fibers. It also stimulates the production of surfactant by type II pneumocytes, which helps to lubricate and stabilize the airways, and it promotes ciliary movement, making it easier to expel mucus. Together, these actions open the airways and improve clearance of thick secretions.
Mechanism Steps
💡 How to Take fleetus-pd syrup
Strength: Each 5 mL of syrup contains levosalbutamol 0.5 mg and ambroxol 15 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 mL to 10 mL (one to two teaspoons) taken two to three times a day, or as directed by your doctor. The exact dose depends on the severity of your condition, your age, your weight, and how well your kidneys and liver are working. Do not self-adjust the dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. The dose is usually calculated based on the child's weight and age, and it must be prescribed by a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiac and tremor-inducing effects of levosalbutamol. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Dose adjustment may be required in patients with severe renal impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be required in patients with severe hepatic impairment. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 30 mL of this syrup in divided doses, but the exact limit depends on the clinical situation and must be determined by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of fleetus-pd syrup
✅ 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 | |
| Furosemide | Moderate | |
| Theophylline | Moderate | |
| Prednisolone | Moderate | |
| Amitriptyline | Major | |
| Phenelzine | Major | |
| Ipratropium | Minor | |
| Amoxicillin | Minor | |
| Caffeine | Minor | |
| Alcohol | Moderate |
🚨 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 may increase dizziness, drowsiness, and heart rate when taken with this medicine. It is advisable to avoid alcohol while using this product.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to levosalbutamol, ambroxol, or any component of the formulation","Severe cardiovascular disease including severe arrhythmias","Hyperthyroidism","Severe hepatic impairment","Severe renal impairment","Children under 2 years of age (unless specifically prescribed by a pediatrician)"]
⚠️ Warnings & Precautions
["This medicine should be used with caution in patients with cardiovascular disorders, including coronary artery disease, arrhythmias, and hypertension.","Patients with diabetes may experience increased blood sugar levels; monitor glucose closely.","Patients with hyperthyroidism may experience worsening of symptoms.","Patients with a history of seizures should use this medicine with caution.","Do not exceed the recommended dose; serious cardiac and metabolic effects can occur.","If you experience paradoxical bronchospasm, stop the medicine and seek immediate medical help.","This medicine may cause dizziness or tremor; avoid driving or operating machinery until you know how it affects you.","Keep out of reach of children; accidental overdose can be dangerous."]
🤱 Lactation Safety
It is not known whether levosalbutamol and ambroxol are excreted in human breast milk. Because many drugs are excreted in human milk, caution should be exercised when this medicine is administered to a breastfeeding woman. Consult your doctor before use.
💊 Overdose Management
Overdose of this medicine may cause severe tachycardia, tremor, palpitations, hypokalemia, and hypotension. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic, including monitoring of vital signs, electrolytes, and cardiac rhythm. There is no specific antidote for levosalbutamol or ambroxol. Gastric lavage may be considered if the overdose was recent and the patient is seen in a healthcare facility.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose on your own. Shake the bottle well before measuring each dose, and use a proper measuring cup or spoon supplied with the product. This medicine is for oral use only. Avoid taking it with other cough and cold medicines without consulting your doctor, because many of them contain similar ingredients. If you have heart disease, high blood pressure, diabetes, thyroid problems, or seizures, tell your doctor before starting this medicine. Do not drive or operate heavy machinery if you feel dizzy or shaky after taking it. Keep this medicine out of the reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use it after the expiry date printed on the pack. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. If your breathing does not improve or becomes worse, seek medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to experience cardiac side effects such as increased heart rate, palpitations, and tremor. They may also have reduced kidney and liver function, which can affect drug clearance. Start with a lower dose and monitor closely. Regular check-ups for heart rate, blood pressure, and electrolytes are recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not fully established. Your doctor will weigh the benefits against potential risks and may recommend alternative treatments if needed.
🏥 Post-Surgery Considerations
If you have recently undergone surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with certain anesthetic agents and can affect heart rate and blood pressure during surgery. Your doctor may advise you to stop the medicine temporarily before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth or increase heart rate, which can be relevant during dental work. Your dentist may take precautions or adjust the procedure accordingly.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while you are experiencing acute respiratory symptoms. Gentle activities like walking may be beneficial, but stop if you feel breathless, dizzy, or experience chest pain. Consult your doctor before starting any exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, tremor, or increased heart rate, which can affect your ability to drive or operate heavy machinery. Avoid these activities until you know how the medicine affects you. It is generally safe to continue desk work, but take breaks and stay hydrated. If your symptoms are severe, rest at home until you feel better.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor immediately if you experience paradoxical bronchospasm (worsening of breathing), severe allergic reactions, chest pain, or palpitations. Do not stop the medicine abruptly without consulting your doctor if you have been taking it regularly for a long time. Your doctor will advise you on how to taper or stop the medicine safely.
📅 Long-Term Use Effects
Long-term use of this medicine should be under regular medical supervision. Prolonged use of beta-2 agonists like levosalbutamol may lead to tolerance, reduced effectiveness, and increased cardiac side effects. Ambroxol is generally well tolerated, but rare liver and skin reactions have been reported. Regular monitoring of heart rate, blood pressure, potassium levels, and liver function may be needed if used for extended periods. Do not use this medicine for longer than prescribed without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help loosen thick mucus and relieve congestion.
Evidence: Well-establishedTechniques like postural drainage and percussion can help clear secretions.
Evidence: ModerateInhaled therapy may be preferred for long-term management of asthma or COPD.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a vaccine, inform your healthcare provider that you are taking this medicine. It is generally safe to receive vaccines while on this medicine, but your doctor will decide based on your overall health.
📦 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 out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label intact. Keep a copy of your prescription with you in case customs or security asks for it. Store the bottle in a cool, dry place, away from direct sunlight. If you are traveling across time zones, continue taking the medicine at the same intervals as prescribed; you may need to adjust the timing gradually. Do not leave the medicine in a hot car or checked luggage. If you are flying, keep it in your carry-on bag. Always check the expiry date before use.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The bronchodilator effect usually starts within 15 to 30 minutes after taking the medicine. The mucolytic effect may take a few hours to become noticeable.
A: Yes, you can take this medicine with or without food. If it causes stomach upset, take it with a meal or a glass of milk.
A: Common side effects include hand tremor, nervousness, headache, nausea, and increased heart rate. These are usually mild and temporary.
A: This medicine should be given to children only under the guidance of a pediatrician. The dose depends on the child's age and weight.
A: Consult your doctor before taking this medicine during pregnancy. The benefits and risks will be evaluated by your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for fleetus-pd syrup
View AllAlternative brands with exact same active ingredient:
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ag-ls junior syrupEarl Pharmaceuticals Private Limited ₹52.00 27.8% CHEAPER
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notus ls syrupNoel Pharma India Pvt Ltd ₹54.84 23.8% CHEAPER
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tussalyte ls syrupMeridian Enterprises Pvt Ltd ₹61.00 15.3% CHEAPER
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spirovent plus kid syrupKoye Pharmaceuticals Pvt ltd ₹65.63 8.8% CHEAPER
-
kufftas ls junior syrupIntas Pharmaceuticals Ltd ₹66.56 7.6% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any type of cough.
Fact: This medicine is specifically for cough with wheezing and thick mucus. It is not effective for dry cough or cough due to allergies alone. - Myth: More syrup means faster relief.
Fact: Taking more than the prescribed dose can cause serious heart and nerve side effects. Always follow your doctor's instructions. - Myth: It is safe to take this medicine with other cough syrups.
Fact: Many cough syrups contain similar ingredients. Combining them can lead to overdose. Always consult your doctor or pharmacist.
🔄 Alternative Options
Generic Alternatives
- Levosalbutamol + Ambroxol syrup (generic versions available)
Brand Alternatives
- Fleetus-PD Syrup