levolin 1mg syrup - Levosalbutamol (1mg/5ml) medicine

Levolin 1mg Syrup: Complete Guide to Uses, Dosage, and Safety

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🏭 Cipla Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for bronchodilation in asthma and COPD.
Reviewed by
SaathiMed Expert Panel | Sep 22, 2026

When to Call Your Doctor IMMEDIATELY

  • Worsening of breathing difficulties after taking the medicine
  • Severe chest pain or irregular heartbeat
  • Swelling of the face, lips, or throat
  • Severe dizziness or fainting
  • Muscle weakness or cramps
  • High blood sugar levels with increased thirst and urination

If experiencing severe symptoms, call emergency services immediately.

What is levolin 1mg syrup used for?

This medicine is a bronchodilator syrup containing levosalbutamol, used to relieve wheezing and shortness of breath in asthma and other reversible airway diseases. It works quickly to relax airway muscles, making breathing easier.

  • Generic Name: Levosalbutamol (1mg/5ml)
  • Manufacturer: Cipla Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 levolin 1mg syrup के बारे में (Hindi Summary)

उपयोग: यह दवा लेवोसाल्बुटामोल सिरप है, जिसका उपयोग अस्थमा और अन्य श्वसन रोगों में सांस लेने में कठिनाई, घरघराहट और छाती में जकड़न को कम करने के लिए किया जाता है। यह वायुमार्ग की मांसपेशियों को आराम देकर सांस लेना आसान बनाती है। यह दवा डॉक्टर के परामर्श से ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कंपन, सिरदर्द, घबराहट और धड़कन तेज होना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। यदि ये लक्षण लंबे समय तक बने रहें या गंभीर हों, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा का उपयोग करने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। निर्धारित खुराक से अधिक न लें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। दवा को बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 levolin 1mg syrup Uses & Benefits

[{"condition":"Asthma","description":"Provides rapid relief of acute bronchospasm in patients with asthma, helping to improve airflow and reduce symptoms such as wheezing and shortness of breath.","evidence":"Well-established"},{"condition":"Chronic Obstructive Pulmonary Disease (COPD)","description":"Used as a bronchodilator to relieve reversible airway obstruction in patients with COPD, though it is not a first-line maintenance therapy.","evidence":"Established"},{"condition":"Exercise-induced bronchospasm","description":"Can be used prophylactically before exercise to prevent bronchoconstriction in susceptible individuals.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Hyperkalemia","description":"Sometimes used off-label to temporarily lower potassium levels in emergency settings, but this is not a standard indication.","evidence":"Limited"}]

Primary treatment for: Asthma

Also treats: Chronic Obstructive Pulmonary Disease (COPD), Exercise-induced bronchospasm

📋 Drug Information

Generic Name(s)Levosalbutamol (1mg/5ml)
Brand Namelevolin 1mg syrup
ManufacturerCipla Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassShort acting β2-agonists
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. Do not refrigerate. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
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
Always use a calibrated measuring cup or spoon to ensure accurate dosing.
2
Shake the bottle well before each use to ensure the medicine is evenly mixed.
3
If you experience stomach upset, take the medicine with a small amount of food.
4
Do not use this medicine more frequently than prescribed, as it may increase the risk of side effects.
5
Keep a record of how often you use this medicine; if you need it more than usual, consult your doctor.
6
Inform your doctor if you have heart disease, diabetes, or thyroid problems before using this medicine.
7
Do not stop taking this medicine abruptly without consulting your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Wheezing
This medicine is commonly prescribed for this.
Likely Use
Shortness of breath
This medicine helps relieve bronchospasm.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevosalbutamol is rapidly absorbed from the gastrointestinal tract after oral administration. However, oral bioavailability is relatively low due to first-pass metabolism in the liver. The syrup formulation is designed for oral use, and absorption may be influenced by food intake.
DistributionLevosalbutamol is widely distributed throughout the body, with a volume of distribution of approximately 1.5 L/kg. It crosses the placenta and is excreted in breast milk in small amounts. Protein binding is approximately 10%.
Protein BindingApproximately 10% bound to plasma proteins.
MetabolismLevosalbutamol is primarily metabolized in the liver by conjugation with glucuronic acid to form an inactive metabolite, levosalbutamol 4'-O-glucuronide. It is also metabolized by sulfation. The R-enantiomer is preferentially metabolized, which may contribute to its improved safety profile compared to racemic salbutamol.
Half-LifeThe elimination half-life of levosalbutamol is approximately 3 to 4 hours after oral administration.
ExcretionLevosalbutamol and its metabolites are excreted primarily in the urine, with about 70% of a dose recovered in urine and 30% in feces. Renal clearance is a major route of elimination.
BioavailabilityOral bioavailability of levosalbutamol is approximately 20% due to first-pass metabolism. The syrup formulation may have slightly different bioavailability compared to other oral forms.
Onset of ActionThe onset of action after oral administration is typically within 15 to 30 minutes, but bronchodilation may begin as early as 5 to 15 minutes in some patients.
Peak Plasma TimePeak plasma concentrations are reached approximately 1 to 2 hours after oral administration.
Duration of ActionThe duration of bronchodilator action is approximately 4 to 6 hours after oral administration, though this may vary among individuals.

How It Works

Levosalbutamol is the R-enantiomer of salbutamol and acts as a selective beta-2 adrenergic receptor agonist. It binds to beta-2 receptors on the smooth muscle cells of the airways, stimulating intracellular adenyl cyclase, which increases cyclic AMP levels. This leads to relaxation of bronchial smooth muscle and inhibition of release of mediators from mast cells, resulting in bronchodilation and relief of bronchospasm.

Mechanism Steps

1
Binding to beta-2 receptors: Levosalbutamol selectively binds to beta-2 adrenergic receptors located on the surface of bronchial smooth muscle cells.
2
Activation of adenyl cyclase: This binding activates the enzyme adenyl cyclase, which catalyzes the conversion of ATP to cyclic AMP.
3
Increase in cyclic AMP: Elevated levels of cyclic AMP lead to activation of protein kinase A, which phosphorylates target proteins.
4
Smooth muscle relaxation: Phosphorylation results in relaxation of bronchial smooth muscle, leading to dilation of the airways and improved airflow.

💡 How to Take levolin 1mg syrup

Strength: Syrup, 1 mg per 5 ml

1Shake the bottle well before each use.
2Use a calibrated measuring cup or spoon to measure the prescribed dose accurately.
3Take the medicine orally, with or without food, as directed by your doctor.
4If you experience stomach upset, take it with a small amount of food.
5Do not exceed the recommended dose.
6After use, close the bottle tightly and store as directed.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 1 to 2 mg (5 to 10 ml) three to four times daily, depending on the severity of symptoms and the patient's response. The dose may be adjusted by the doctor based on clinical response and tolerability. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of levosalbutamol, particularly cardiovascular effects. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo specific dosage adjustment is provided in the available information. Use with caution in patients with renal impairment. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dosage adjustment is provided in the available information. Use with caution in patients with hepatic impairment. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum recommended daily dose is 8 mg (40 ml) per day, but this may vary based on medical advice. Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals if stomach upset occurs
Reduces gastrointestinal discomfort.
Caffeine
Limit
May increase nervousness and tachycardia.

⏰ 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 levolin 1mg syrup

✅ Common Side Effects

Tremor (Common (5-10%))
Usually resolves with continued use. If persistent or bothersome, consult your doctor.
Headache (Common (5-10%))
May be relieved with over-the-counter pain relievers. Consult doctor if severe or persistent.
Nervousness (Common (5-10%))
Usually transient. If it interferes with daily activities, consult your doctor.
Palpitations (Common (5-10%))
Report to your doctor if you experience a racing or pounding heartbeat.

🚨 Serious Side Effects

Paradoxical bronchospasm (Rare (<0.1%))
Seek immediate medical attention if breathing worsens after taking this medicine.
Cardiac arrhythmias (Rare (<0.1%))
Contact your doctor immediately if you experience irregular heartbeat, chest pain, or fainting.
Severe allergic reactions (Rare (<0.1%))
Get emergency help if you notice rash, swelling of face, lips, or throat, or difficulty breathing.

⚠️ Rare Side Effects

Hypokalemia
Your doctor may monitor potassium levels. Report muscle weakness or cramps.
Hyperglycemia
Monitor blood sugar if you have diabetes. Consult doctor if levels rise.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Propranolol Major
Furosemide Moderate
Prednisone Moderate
Digoxin Moderate
Amitriptyline Major
Ipratropium Minor

🚨 Major Interactions

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

⚡ Moderate Interactions

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

🍷 Alcohol Interaction

Alcohol may increase the risk of tachycardia and hypotension when taken with this medicine. It is advisable to avoid or limit alcohol consumption while using this product.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to levosalbutamol or any component of the formulation","Severe cardiovascular disease (e.g., severe arrhythmias, hypertrophic obstructive cardiomyopathy)","Severe hyperthyroidism","Severe hepatic or renal impairment (relative contraindication)"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Use with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","May cause hypokalemia; monitor potassium levels in patients at risk.","May increase blood glucose levels; monitor in diabetic patients.","Not for use as a substitute for long-term controller medications in asthma.","Paradoxical bronchospasm may occur; discontinue and seek medical help if it occurs.","Use with caution in elderly patients and those with renal or hepatic impairment.","Safety and effectiveness in children below 2 years have not been established."]

🤱 Lactation Safety

Levosalbutamol is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but consult your doctor to weigh benefits and risks.

💊 Overdose Management

Overdose may cause severe tachycardia, tremor, hypokalemia, and hyperglycemia. Treatment is supportive and symptomatic. Discontinue the medicine and seek immediate medical attention. Monitor cardiac function and electrolyte levels. There is no specific antidote.

⏰ 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

General Safety

Before using this medicine, inform your doctor if you have a history of heart disease, high blood pressure, epilepsy, thyroid disorders, or diabetes. Do not exceed the prescribed dose, as this can increase the risk of serious side effects. This medicine should be used with caution in elderly patients and those with renal or hepatic impairment. Avoid using this medicine if you are allergic to levosalbutamol or any other ingredients. If you are pregnant or breastfeeding, consult your doctor before use. Do not use this medicine for prolonged periods without medical supervision. Keep out of reach of children and store as directed on the label.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to cardiovascular effects such as tachycardia and arrhythmias. Use with caution and monitor closely. Dose adjustment may be needed.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor to review your asthma medications. Levosalbutamol is generally considered safe, but your treatment plan may need adjustment.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist if you are taking this medicine. It may interact with certain anesthetic agents and affect heart rate. Continue use only as advised by your doctor.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may cause dry mouth or interact with certain medications used in dental procedures. No major precautions are typically needed.

💚 Lifestyle Tips for Better Results

🏃
Avoid triggers such as smoke, dust, and cold air.
🥗
Maintain a healthy weight to reduce breathing effort.
😴
Practice breathing exercises as advised by your doctor.
💧
Stay hydrated to keep airways moist.
🧘
Get adequate rest and manage stress.
🌞
Use a peak flow meter to monitor your breathing.

🏋️ Exercise Considerations

This medicine can be used before exercise to prevent bronchospasm. However, avoid strenuous exercise if you have uncontrolled symptoms. Consult your doctor for an exercise plan.

🥗 Diet Recommendations

Include fruits and vegetables rich in antioxidants.
Limit processed foods and added sugars.
Stay well hydrated.
Avoid foods that trigger your asthma or allergies.

💼 Impact on Daily Work & Life

This medicine may cause tremor or dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe to continue most work activities, but inform your employer if you have severe asthma.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects or your condition worsens, seek medical advice. Your doctor may adjust or discontinue the medicine based on your response.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to tolerance, reduced effectiveness, and increased risk of cardiovascular side effects. Regular monitoring of heart rate, blood pressure, and potassium levels is advised. It should not replace long-term controller medications for asthma. Consult your doctor for periodic review.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Inhaled bronchodilators

Inhaled forms of levosalbutamol or salbutamol may provide targeted relief with fewer systemic side effects.

Evidence: Well-established
Long-acting beta-agonists

For long-term control, especially in asthma and COPD.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, consult your doctor before vaccination if you are acutely ill.

📦 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 with a copy of your prescription. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, adjust your dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines. Always carry enough supply for your trip and a little extra in case of delays.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with asthma
She was prescribed this medicine for acute asthma attacks. She found that taking it at the first sign of wheezing helped her breathe easier within 15 minutes. She also learned to keep a spare bottle at work and to avoid caffeine, which made her feel jittery.
💡 Lesson: Early use during an attack and avoiding caffeine can improve tolerability and effectiveness.
👤 A 60-year-old man with COPD
He used this medicine as needed for breathlessness. His doctor monitored his heart rate and potassium levels regularly. He experienced mild tremors initially, which decreased over time. He was advised not to use it more than four times a day.
💡 Lesson: Regular monitoring and adherence to dosing limits are important, especially in elderly patients with comorbidities.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 15 to 30 minutes after oral administration, with peak effects in 1 to 2 hours.

Q: Can I use this medicine for a cough?

A: This medicine is not a cough suppressant. It is used for bronchospasm associated with asthma or COPD. Consult your doctor for cough.

Q: Is it safe to use during pregnancy?

A: Consult your doctor. Levosalbutamol is generally considered safe when benefits outweigh risks, but medical advice is essential.

🤔 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 levolin 1mg syrup

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Levosalbutamol can cure asthma.
    Fact: Levosalbutamol provides symptomatic relief but does not cure asthma. It is not a substitute for long-term controller medications.
  • Myth: Levosalbutamol is safe to use without a prescription.
    Fact: Levosalbutamol is a prescription medicine and should only be used under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Levosalbutamol syrup (generic)

Brand Alternatives

  • Levolin
  • Levosal
  • Levera

📊 Comparison with Similar Medicines

[{"medicine":"Levosalbutamol","class":"Short-acting beta-2 agonist","onset":"15-30 minutes","duration":"4-6 hours","common_side_effects":"Tremor, headache, palpitations"},{"medicine":"Salbutamol","class":"Short-acting beta-2 agonist","onset":"15-30 minutes","duration":"4-6 hours","common_side_effects":"Tremor, headache, palpitations"}]

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