incasal ds 2mg tablet - Levosalbutamol (2mg) medicine

Incasal DS 2mg Tablet: Complete Medicine Guide

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🏭 Incarnate Pharmachem Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for bronchodilation in reversible airway obstruction.
Reviewed by
SaathiMed Expert Panel | Sep 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe chest pain or pressure
  • Irregular or very fast heartbeat
  • Difficulty breathing that gets worse after taking the medicine
  • Swelling of the face, lips, tongue, or throat
  • Severe dizziness or fainting
  • Muscle weakness or cramps that do not go away
  • Yellowing of the skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is incasal ds 2mg tablet used for?

This medicine contains Levosalbutamol 2 mg, a bronchodilator used to treat asthma and other reversible airway obstruction conditions. It works by relaxing the muscles around the airways to make breathing easier. It is taken orally as a tablet, usually two to three times a day, but the exact dose must be prescribed by a doctor.

  • Generic Name: Levosalbutamol (2mg)
  • Manufacturer: Incarnate Pharmachem Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 incasal ds 2mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा लेवोसाल्बुटामोल 2 मिलीग्राम की गोली है, जिसका उपयोग अस्थमा और श्वसन मार्ग की रुकावट के इलाज में किया जाता है। यह श्वसन नलियों की मांसपेशियों को आराम देकर सांस लेने में आसानी प्रदान करती है। यह मुख्य रूप से घरघराहट, सांस फूलने और छाती में जकड़न को कम करने में मदद करती है। इस दवा को डॉक्टर के निर्देशानुसार ही लेना चाहिए और इसका सेवन बिना पर्चे के नहीं करना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में हाथों में कंपन, बेचैनी, सिरदर्द, दिल की धड़कन तेज होना और मांसपेशियों में ऐंठन शामिल हैं। ये आमतौर पर हल्के होते हैं और शरीर के अभ्यस्त होने पर कम हो जाते हैं। कभी-कभी गंभीर दुष्प्रभाव जैसे अनियमित दिल की धड़कन, सीने में दर्द, एलर्जी या सांस लेने में कठिनाई हो सकती है। ऐसे लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और खुराक में बदलाव न करें। इसे पानी के साथ निगलें, खाने के साथ या बिना खाने के ले सकते हैं, लेकिन हर दिन एक ही समय पर लें। अचानक तेज अस्थमा अटैक में इसका उपयोग न करें; ऐसे समय के लिए डॉक्टर द्वारा बताई गई इनहेलर हमेशा पास रखें। अगर आपको दिल की बीमारी, उच्च रक्तचाप, थायरॉइड या मधुमेह है तो डॉक्टर को जरूर बताएं। इस दवा के साथ शराब न पिएं। बिना डॉक्टर की सलाह के दवा बंद न करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 incasal ds 2mg tablet Uses & Benefits

[{"condition":"Asthma","description":"This medicine helps to relieve and prevent bronchospasm in people with asthma by relaxing the airway muscles and improving airflow.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"It is used to ease breathing difficulty in some patients with COPD when an oral bronchodilator is considered appropriate by the treating doctor.","evidence":"Established"},{"condition":"Reversible airway obstruction","description":"This medicine is used to treat narrowing of the airways that can be reversed with bronchodilator therapy.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Hyperkalemia","description":"Beta-2 agonists like levosalbutamol have been used in some settings to help shift potassium into cells, but this is not a standard use for the oral tablet form and must only be done under specialist supervision.","evidence":"Limited"}]

Primary treatment for: Asthma

Also treats: Chronic obstructive pulmonary disease (COPD), Reversible airway obstruction

📋 Drug Information

Generic Name(s)Levosalbutamol (2mg)
Brand Nameincasal ds 2mg tablet
ManufacturerIncarnate Pharmachem Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassShort acting β2-agonists
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Keep in the original container.
Shelf LifeNot established from the available information. Check the expiry date on the package.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to keep a steady level in your body.
2
Do not use this medicine as a rescue medicine for a sudden severe asthma attack; always keep a fast-acting inhaler available if prescribed.
3
Inform your doctor if you have heart problems, high blood pressure, diabetes, or an overactive thyroid before taking this medicine.
4
Avoid drinking alcohol while taking this medicine because it can increase dizziness and fast heartbeat.
5
Do not stop taking this medicine suddenly without consulting your doctor, as your breathing symptoms may worsen.
6
Report any persistent fast heartbeat, chest pain, or severe tremor to your doctor promptly.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Wheezing
This medicine is commonly prescribed for wheezing due to asthma or COPD.
Likely Use
✅
Shortness of breath
It helps relieve breathlessness caused by bronchospasm.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
✅
Chest tightness
It can help relax airway muscles and reduce chest tightness.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevosalbutamol is absorbed from the gastrointestinal tract after oral administration. The exact bioavailability and absorption rate of the oral tablet form are not established from the available information.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismLevosalbutamol is metabolized in the liver, mainly by conjugation to sulfate and glucuronide metabolites. The exact metabolic pathways and enzyme involvement for the oral tablet are not established from the available information.
Half-LifeNot established from the available information.
ExcretionLevosalbutamol and its metabolites are primarily excreted in the urine. The exact excretion profile for the oral tablet is not established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionThe onset of action for the oral tablet form is not established from the available information. Inhaled forms of levosalbutamol typically act within minutes, but the oral tablet may take longer to produce noticeable relief.
Peak Plasma TimeNot established from the available information.
Duration of ActionNot established from the available information.

How It Works

This medicine works by selectively stimulating beta-2 adrenergic receptors located on the smooth muscle cells of the airways. When levosalbutamol binds to these receptors, it activates an enzyme called adenylate cyclase, which increases the level of cyclic adenosine monophosphate inside the cells. This rise in cyclic adenosine monophosphate leads to relaxation of the bronchial smooth muscle, widening the airways and making it easier to breathe. Because levosalbutamol is the active R-isomer, it provides bronchodilation with potentially fewer beta-1 mediated cardiac effects compared with the mixed isomer salbutamol, although side effects on the heart can still occur.

Mechanism Steps

1
Binding to beta-2 receptors: Levosalbutamol binds selectively to beta-2 adrenergic receptors on the surface of airway smooth muscle cells.
2
Activation of adenylate cyclase: This binding activates the enzyme adenylate cyclase inside the cell.
3
Increase in cyclic AMP: Activated adenylate cyclase raises the level of cyclic adenosine monophosphate (cAMP) in the cell.
4
Relaxation of smooth muscle: The increased cAMP causes the airway smooth muscle to relax, which widens the bronchial tubes.
5
Improved airflow: The relaxed airways allow air to move more freely, reducing wheezing and breathlessness.

💡 How to Take incasal ds 2mg tablet

Strength: Levosalbutamol 2 mg immediate-release tablet

1Swallow the tablet whole with a glass of water.
2You can take it with or without food, but taking it with food may reduce stomach upset.
3Take it at the same time each day to maintain consistent levels in your body.
4Do not crush, chew, or break the tablet unless your doctor tells you to.
5If you have trouble swallowing the tablet, ask your doctor or pharmacist for advice.

Dosage Information

Adult DosageThe usual adult dose of this medicine is determined by your doctor based on your condition, response to treatment, and other factors. A typical starting dose may be 2 mg taken two to three times a day, but the exact dose and frequency must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose without consulting your doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially on the heart. Your doctor may start with a lower dose and monitor you closely. Dose must be individualized by a qualified clinician based on renal and hepatic function and other medical conditions.
Renal ImpairmentDose adjustment may be needed in patients with severe kidney disease. Consult your doctor for individualized dosing.
Hepatic ImpairmentDose adjustment may be needed in patients with severe liver disease. Consult your doctor for individualized dosing.
Maximum Daily DoseThe maximum daily dose is not established from the available information. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Caffeine-containing foods and drinks
Limit intake
May increase nervousness, tremor, and fast heartbeat.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of incasal ds 2mg tablet

✅ Common Side Effects

Tremor (Common (5-10%))
This usually improves as your body adjusts. If it bothers you, talk to your doctor about dose adjustment.
Nervousness or restlessness (Common (5-10%))
Try to rest and avoid caffeine. If it persists, consult your doctor.
Headache (Common (5-10%))
Stay hydrated and rest. Consult your doctor if the headache is severe or persistent.
Fast heartbeat (Common (5-10%))
Report a persistent fast heartbeat to your doctor, especially if you have heart problems.
Muscle cramps (Uncommon (1-5%))
Stay hydrated and gently stretch. Tell your doctor if cramps are frequent.

🚨 Serious Side Effects

Irregular heartbeat (arrhythmia) (Rare (<0.1%))
Seek immediate medical attention if you feel palpitations, dizziness, or fainting.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you have swelling of the face, lips, or throat, or difficulty breathing.
Paradoxical bronchospasm (Rare (<0.1%))
If your breathing becomes worse after taking this medicine, stop it and seek medical help immediately.
Low potassium levels (hypokalemia) (Rare (<0.1%))
Your doctor may monitor your potassium levels. Report muscle weakness or cramps.
Chest pain (Rare (<0.1%))
Seek immediate medical attention if you experience chest pain.

⚠️ Rare Side Effects

Hyperglycemia
Monitor blood sugar if you have diabetes and inform your doctor about any changes.
Hypersensitivity reactions such as rash or urticaria
Stop the medicine and consult your doctor if you develop a rash.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Propranolol Major
Furosemide Moderate
Digoxin Moderate
Tricyclic antidepressants Major
MAO inhibitors Major
Corticosteroids Moderate
Thiazide diuretics Moderate
Pseudoephedrine Minor

🚨 Major Interactions

  • Non-selective beta-blockers (e.g., propranolol)
  • Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide, thiazides)
  • Corticosteroids
  • Digoxin

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and fast heartbeat when taken with this medicine. It is best to avoid alcohol while you are taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy or hypersensitivity to levosalbutamol or any component of the tablet","Severe heart disease or certain types of irregular heart rhythms, unless approved by a cardiologist","Use in children without a doctor's recommendation"]

⚠️ Warnings & Precautions

["This medicine should not be used as a substitute for emergency medical care in a severe asthma attack.","Use with caution if you have heart disease, high blood pressure, or an overactive thyroid.","Use with caution if you have diabetes, as it may raise blood sugar levels.","Use with caution if you have low potassium levels or are taking medicines that lower potassium.","Do not exceed the prescribed dose, as this increases the risk of serious side effects.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Keep all follow-up appointments and report any new or worsening symptoms."]

🤱 Lactation Safety

It is not known whether levosalbutamol is excreted in human breast milk. Because many medicines are excreted in breast milk, caution should be exercised when this medicine is taken by a breastfeeding mother. Consult your doctor to decide whether to continue breastfeeding or to stop the medicine, taking into account the importance of the medicine to the mother.

💊 Overdose Management

Overdose of this medicine may cause symptoms such as severe tremor, fast or irregular heartbeat, chest pain, dizziness, nervousness, and low potassium levels. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and may include monitoring of heart rate, blood pressure, and electrolyte levels. Do not try to treat yourself at home.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor and do not change the dose on your own. Swallow the tablet whole with a glass of water, with or without food, but try to take it at the same time each day. Do not use this medicine to treat a sudden severe asthma attack; always keep a fast-acting inhaler available if your doctor has prescribed one. Inform your doctor if you have heart problems, high blood pressure, an overactive thyroid, diabetes, or low potassium levels, as this medicine may not be suitable for you. Avoid drinking alcohol while taking this medicine because it can increase the risk of dizziness and fast heartbeat. Do not stop taking this medicine suddenly without talking to your doctor, as your breathing symptoms may worsen. Keep all follow-up appointments so your doctor can check your response to treatment and adjust the dose if needed.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the cardiovascular effects of this medicine, such as fast heartbeat and changes in blood pressure. Your doctor may start with a lower dose and monitor you closely. Dose adjustment may be needed based on kidney and liver function.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, talk to your doctor before taking this medicine. The safety of this medicine during pregnancy has not been fully established, and your doctor will weigh the benefits and risks.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may affect heart rate and blood pressure during surgery. Your doctor may advise you to stop or adjust the dose temporarily.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth or interact with certain medicines used during dental work. Your dentist may take precautions.

💚 Lifestyle Tips for Better Results

🏃
Avoid triggers such as smoke, dust, and cold air that can worsen your breathing.
🥗
Maintain a healthy weight to reduce strain on your lungs and heart.
😴
Practice breathing exercises as recommended by your doctor or physiotherapist.
💧
Stay up to date with vaccinations, including flu and pneumonia vaccines, as advised by your doctor.
🧘
Get adequate rest and manage stress, as stress can trigger asthma symptoms.

🏋️ Exercise Considerations

This medicine may cause tremor or dizziness. Avoid strenuous exercise until you know how it affects you. If you experience chest pain, severe shortness of breath, or palpitations during exercise, stop and seek medical attention.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Limit caffeine intake as it can increase side effects like tremor and fast heartbeat.
Stay well hydrated.
Avoid foods that you know trigger your asthma or allergies.

💼 Impact on Daily Work & Life

This medicine may cause dizziness, tremor, or fast heartbeat, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Inform your employer if your work involves operating heavy machinery.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as severe allergic reactions, irregular heartbeat, or worsening breathing, seek immediate medical attention and follow your doctor's advice about stopping.

📅 Long-Term Use Effects

Long-term use of this medicine should be monitored by your doctor. Regular check-ups may include monitoring of heart rate, blood pressure, and potassium levels. If you have diabetes, your blood sugar may need monitoring. Do not use this medicine for longer than prescribed without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Inhaled bronchodilators

Inhaled forms of levosalbutamol or salbutamol deliver medicine directly to the lungs and may be preferred for quick relief.

Evidence: Well-established
Inhaled corticosteroids

These are often used as controller therapy for asthma to reduce inflammation.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Patients with asthma or COPD should stay up to date with influenza and pneumococcal vaccinations as recommended by their doctor. This medicine does not interact with vaccines, but consult your doctor about timing if you are unwell.

📦 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

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your hand luggage to avoid loss or exposure to extreme temperatures. Store it at room temperature and away from direct sunlight. If you are crossing time zones, consult your doctor about how to adjust your dosing schedule. Check the customs regulations of your destination country regarding prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with asthma
He was prescribed this medicine for his asthma symptoms. He took it regularly as directed and noticed that his wheezing and shortness of breath improved over a few days. He also learned to avoid caffeine because it made his hands shaky. He kept his rescue inhaler with him at all times.
💡 Lesson: Taking the medicine regularly and avoiding caffeine can help manage side effects and improve symptoms.
👤 A 60-year-old woman with COPD
She started this medicine along with other treatments for COPD. Her breathing improved, but she experienced a fast heartbeat initially. Her doctor adjusted the dose and monitored her heart rate. She was advised to report any palpitations immediately.
💡 Lesson: Dose adjustment and regular monitoring are important, especially in older patients with heart conditions.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The onset of action for the oral tablet is not established from available information. Inhaled forms act within minutes, but the oral tablet may take longer. Follow your doctor's advice.

Q: Can I take this medicine with food?

A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.

Q: What should I do if I miss a dose?

A: 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 dose.

Q: Is it safe during pregnancy?

A: Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant. The safety has not been fully established.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for incasal ds 2mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure asthma permanently.
    Fact: This medicine helps control symptoms but does not cure asthma. Asthma is a chronic condition that requires ongoing management.
  • Myth: You can take this medicine whenever you feel breathless without a prescription.
    Fact: This medicine is a prescription drug and should only be taken under a doctor's supervision. Self-medication can be dangerous.
  • Myth: This medicine is the same as an inhaler.
    Fact: This medicine is an oral tablet, while inhalers deliver medicine directly to the lungs. They are not interchangeable, and your doctor will decide which is right for you.

🔄 Alternative Options

Generic Alternatives

  • Levosalbutamol 2 mg tablet

Brand Alternatives

  • incasal ds 2mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Levosalbutamol 2 mg tablet","active_ingredient":"Levosalbutamol","strength":"2 mg","form":"Tablet","route":"Oral","primary_use":"Asthma, COPD"},{"medicine":"Salbutamol 2 mg tablet","active_ingredient":"Salbutamol","strength":"2 mg","form":"Tablet","route":"Oral","primary_use":"Asthma, COPD"}]

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