Ambrosal LS Syrup: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or worsening wheezing after taking the medicine
- Severe allergic reaction with swelling of face, lips, or throat
- Irregular or very fast heartbeat
- Chest pain or tightness
- Severe dizziness or fainting
- Blood in cough or vomit
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is instaryl ls expectorant used for?
This medicine is a combination syrup used to treat productive cough with wheezing. It contains levosalbutamol, which opens the airways, and ambroxol, which thins mucus. It is available on prescription and should be taken as directed by a doctor.
- Generic Name: Levosalbutamol (1mg/5ml) + Ambroxol (30mg/5ml)
- Manufacturer: Aglowmed Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 instaryl ls expectorant के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोसाल्बुटामोल और एम्ब्रोक्सोल का संयोजन है, जिसका उपयोग बलगम वाली खांसी और घरघराहट के इलाज के लिए किया जाता है। यह श्वसन मार्ग को खोलने और बलगम को पतला करने में मदद करती है। यह ब्रोंकाइटिस, अस्थमा और अन्य श्वसन रोगों में लाभकारी है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कंपन, घबराहट, सिरदर्द, धड़कन बढ़ना और जी मिचलाना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, अनियमित धड़कन या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मात्रा मापने के लिए दी गई मापने वाली कप का उपयोग करें। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह या थायरॉइड की समस्या है तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 instaryl ls expectorant Uses & Benefits
[{"condition":"Productive cough associated with acute bronchitis","description":"This medicine helps relieve cough by opening the airways and thinning mucus, making it easier to expel.","evidence":"Well-established"},{"condition":"Chronic bronchitis with bronchospasm","description":"It reduces wheezing and improves mucus clearance in patients with chronic bronchitis.","evidence":"Well-established"},{"condition":"Bronchial asthma with mucus plugging","description":"The levosalbutamol component provides rapid bronchodilation, while ambroxol helps clear mucus.","evidence":"Well-established"},{"condition":"Obstructive airway disease with thick secretions","description":"It is used to manage symptoms of airway obstruction where mucus is thick and difficult to cough out.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Post-operative pulmonary complications prevention","description":"Sometimes used off-label to prevent mucus retention after surgery, but evidence is limited.","evidence":"Limited"},{"condition":"Smoker's cough","description":"May be prescribed off-label to help clear mucus in chronic smokers, but not a standard indication.","evidence":"Limited"}]
Primary treatment for: Productive cough with bronchospasm
Also treats: Acute bronchitis, Chronic bronchitis, Bronchial asthma, Obstructive airway disease
📋 Drug Information
| Generic Name(s) | Levosalbutamol (1mg/5ml) + Ambroxol (30mg/5ml) |
| Brand Name | instaryl ls expectorant |
| Manufacturer | Aglowmed Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| 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 a selective beta-2 adrenergic receptor agonist that binds to beta-2 receptors on bronchial smooth muscle cells. This binding activates intracellular adenyl cyclase, which increases cyclic AMP levels, leading to relaxation of bronchial smooth muscle and bronchodilation. Ambroxol is a mucolytic and expectorant that reduces mucus viscosity by breaking down acidic mucopolysaccharide fibers and stimulating serous secretion. It also enhances ciliary motility and promotes surfactant production, which helps in the clearance of mucus from the airways. Together, they relieve bronchospasm and facilitate the removal of thick secretions.
Mechanism Steps
💡 How to Take instaryl ls expectorant
Strength: Each 5 ml contains Levosalbutamol 1 mg and Ambroxol 30 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 ml to 10 ml (one to two teaspoons) two to three times a day, or as directed by your physician. The dose may be adjusted based on the severity of symptoms and your response to treatment. Do not exceed the recommended 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 for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiovascular effects of levosalbutamol. Use with caution and start with a lower dose as directed by a physician. |
| Renal Impairment | No specific dose adjustment is established for renal impairment. Use with caution in patients with severe renal impairment. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution in patients with severe hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is 30 ml (6 teaspoons) in divided doses, or as directed by a physician. Do not exceed without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of instaryl ls expectorant
✅ 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 | |
| Anticholinergics | 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 may increase the risk of dizziness, drowsiness, and cardiovascular side effects. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to levosalbutamol, ambroxol, or any component of the formulation","Severe cardiac disease or arrhythmias","Hyperthyroidism","Severe hepatic or renal impairment (relative)","Children below 2 years of age (unless directed by pediatrician)"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","May cause tremor and nervousness; avoid driving or operating machinery if affected.","Use with caution in patients with diabetes mellitus, as beta-2 agonists may increase blood glucose.","Use with caution in patients with hyperthyroidism.","Do not exceed the recommended dose.","Consult a doctor if symptoms persist or worsen after 7 days of treatment.","Keep out of reach of children."]
🤱 Lactation Safety
Levosalbutamol and ambroxol are excreted in breast milk. Use with caution in breastfeeding mothers. Consult your doctor to weigh benefits and risks.
💊 Overdose Management
Overdose may cause severe tachycardia, tremor, palpitations, and hypokalemia. Seek immediate medical attention. Treatment is supportive and symptomatic. Monitor cardiac function and electrolytes.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Always take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without medical advice. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring cup or spoon provided with the syrup, not a household spoon, to measure the correct dose. Inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid disorders, or liver or kidney problems before starting this medicine. Avoid driving or operating heavy machinery if you feel dizzy or shaky after taking this medicine. Do not take this medicine with other cough and cold medicines without consulting your doctor, as they may contain overlapping ingredients. Keep this medicine out of the reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use this medicine after the expiry date printed on the pack. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not stop the medicine abruptly without your doctor's advice, especially if you have asthma.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to cardiovascular side effects like palpitations and arrhythmias. Use with caution and monitor heart rate and blood pressure.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. The safety profile in pregnancy is not well established.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you have heart or lung conditions.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with certain medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have breathing difficulty. Mild activities like walking may be beneficial, but consult your doctor before starting any exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tremor, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is advisable to rest and recover.
🛑 When to Stop This Medicine
Stop the medicine and consult your doctor if symptoms worsen or do not improve within 7 days, or if you experience serious side effects. Do not stop abruptly if you have asthma without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged use of beta-2 agonists may lead to tolerance and reduced effectiveness. Regular monitoring of heart rate, potassium levels, and respiratory function is advised. Do not use for longer than prescribed without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and relieve congestion.
Evidence: Well-establishedCan help clear mucus from airways.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, if you have a respiratory infection, consult your doctor about timing of vaccinations.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines. Keep it in your carry-on luggage if flying.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling relief from wheezing within 15-30 minutes, and mucus clearance improves within a few hours.
A: Do not take with other cough and cold medicines without consulting your doctor, as they may contain overlapping ingredients.
A: It is not recommended for children under 2 years. For older children, consult a pediatrician for appropriate dosing.
A: Consult your doctor before use. The safety profile in pregnancy is not well established.
🤔 Common Patient Concerns
🔄 Substitutes for instaryl ls expectorant
View AllAlternative brands with exact same active ingredient:
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eldikof ls syrupElder Pharmaceuticals Ltd ₹24.61 82.5% CHEAPER
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cofytus ls syrupTusker Pharma Pvt Ltd ₹39.20 72.1% CHEAPER
-
zecoef-al syrupEvents Pharma ₹40.00 71.6% CHEAPER
-
ezikoz l syrupDR Best pharmaceuticals Pvt Ltd ₹42.19 70% CHEAPER
-
coughex-ls syrupSun Life Sciences Pvt Ltd ₹42.19 70% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: It is specifically for productive cough with bronchospasm, not for dry cough or other types. - Myth: It is safe to take without a prescription.
Fact: It is a prescription medicine and should only be taken under medical supervision. - Myth: More syrup means faster relief.
Fact: Taking more than the prescribed dose can cause serious side effects.
🔄 Alternative Options
Generic Alternatives
- Levosalbutamol + Ambroxol syrup (generic)