Levo salbutamol 1 mg/5ml

Category- Allopathy

Medicine Highlights

Levo salbutamol Uses  

Levo salbutamol is a medicine belonging to the category of bronchodilators and is used to treat the following conditions: 

1. Asthma  
2. Chronic obstructive pulmonary disease (COPD) 
3. Bronchospasm  
4. Acute and chronic respiratory symptoms like wheezing and breathlessness    

Directions for use

1. Take this medicine exactly as prescribed by your doctor, at the same time each day. 
2. Do not stop taking this medicine without your doctor’s approval, even if you feel better. 
3. If you forget to take this medicine, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose. 

Levo salbutamol side effects 

More Common  

1. Tremor 
2. Nervousness 
3. Headache 
4. Increased heart rate (palpitations) 
5. Mild dizziness 
6. Nausea      

Less Common

1. Severe allergic reaction (rash, swelling, difficulty breathing) 
2. Chest pain 
3. Irregular heartbeat 
4. High blood pressure 
5. Paradoxical bronchospasm   

How Levo salbutamol works 

Levo salbutamol works by selectively stimulating beta-2 adrenergic receptors in the smooth muscles of the airways. This causes the muscles to relax, leading to dilation of the bronchi and bronchioles, which opens the air passages and makes breathing easier.

Safety Measures and Warning 

Allergy Warning

Should avoid use as per doctor’s advice, because it may cause severe allergic reactions like rash, swelling, or difficulty breathing. 

Heart Problems

Should take it only under doctor’s advice, as Levo salbutamol can increase heart rate and blood pressure, worsening these conditions. 

Hyperthyroidism

Should use under doctor’s advice, since the medicine may cause increased heart rate or palpitations. 

Low potassium levels (hypokalemia)

Should take with doctor’s advice, as Levo salbutamol can further lower potassium, which may be dangerous. 

Levo salbutamol Interaction with Food Product

Avoid caffeinated food, alcohol and smoking which can alter the drug absorption in the body, and they may cause severe side effects. 

Levo salbutamol Interaction with Other Medicines

Avoid taking Levo salbutamol with the following medicines, as it may increase or decrease the desired effect, or in worse cases, it could be fatal: 

Levo salbutamol Chemical Structure

IUPAC (International Union of Pure and Applied Chemistry) / Chemical name

Levo salbutamol: 4-[2-(tert-butylamino)-1-hydroxyethyl]-2-(hydroxymethyl)phenol 

Intake routine/cycle

Daily dose

Take Levo salbutamol exactly as your doctor recommends. The dose may change based on your condition and how well you respond. Do not take more than prescribed without consulting your doctor. 

Missed Dose

If you forget to take your medicine, take the medication as soon as you remember. If it’s nearly time for your next dose, skip the missed one and continue with your regular schedule. Always consult the doctor before making any changes to your dosage. 

Overdose

Don’t take more than 24 mg of Levo salbutamol in a day, as overdosing may cause severe side effects such as rapid heartbeat, tremors, dizziness, high blood pressure, chest pain, or difficulty breathing. In case of any side effects, seek medical attention immediately. 

Storage

1. Store the medicine at room temperature 
2. Keep away from sunlight and moisture 
3. Keep out of reach of children 

Levo salbutamol Summary

Levosalbutamol is a selective beta-2 adrenergic receptor agonist used as a bronchodilator to relieve bronchospasm in conditions such as asthma, chronic obstructive pulmonary disease (COPD), and wheezing. It works by relaxing the smooth muscles of the airways, leading to dilation of the bronchi and bronchioles, which makes breathing easier. Levosalbutamol is available in syrup, inhaler, and nebulizer (respule) formulation. It is used to treat asthma, bronchospasm, wheezing, shortness of breath, and COPD symptoms.  

Common side effects include tremor, nervousness, headache, palpitations, mild dizziness, and nausea, while rare but serious effects may include severe allergic reactions, chest pain, irregular heartbeat, high blood pressure, and paradoxical bronchospasm. The medicine should be used only under doctor’s guidance, especially in patients with heart problems, hyperthyroidism, low potassium, or in children. Food interactions are minimal, but excessive caffeine or alcohol may worsen side effects, and overdose can lead to severe cardiovascular or neurological symptoms.   

FAQ’s

What are the uses of Levo salbutamol 1 mg/5 ml syrup? 

Levo salbutamol syrup is used to treat asthma, bronchospasm, wheezing, shortness of breath, and symptoms of chronic obstructive pulmonary disease (COPD). 

What are the side effects of Levo salbutamol 1 mg/5 ml syrup? 

Common side effects include tremor, nervousness, headache, increased heart rate (palpitations), mild dizziness, and nausea. Rare but serious side effects may include severe allergic reactions (rash, swelling, difficulty breathing), chest pain, irregular heartbeat, high blood pressure, and paradoxical bronchospasm (worsening of breathing). 

Can I use Levo salbutamol during pregnancy? 

Levo salbutamol may be used during pregnancy only under a doctor’s supervision. It is generally considered safe when prescribed at the lowest effective dose to manage asthma or bronchospasm, but the doctor will weigh the benefits against any potential risks to the mother and baby. 

What is the mechanism of action of Levo salbutamol? 

Levo salbutamol works by selectively stimulating beta-2 adrenergic receptors in the airway smooth muscles, causing them to relax. This leads to dilation of the bronchi and bronchioles, making breathing easier and relieving bronchospasm, wheezing, and shortness of breath. 

What is the price of Levo salbutamol syrup? 

Levo salbutamol syrup prices at an online pharmacy like SayaCare is about 14 rupees, at SayaCare they provide test reports with each medicine. Also, at SayaCare they provide you with medicines at up to 80% less cost than the market. 

Reference 

1. https://www.facebook.com/Drugscom. Levalbuterol Dosage Guide + Max Dose, Adjustments [Internet]. Drugs.com. 2023. Available from 
2. Levosalbutamol [Internet]. go.drugbank.com. Available from 
3. Truemeds [Internet]. Truemeds.in. 2019 [cited 2025 Oct 3]. Available from 
4. PubChem. Levalbuterol [Internet]. pubchem.ncbi.nlm.nih.gov. Available from 

Pranathi Chintaluri

Pranathi is a final year Pharm D student at Chalapathi Institute of Pharmaceutical Sciences. She loves learning and applying her knowledge in pharmacy and has a passion for writing, which allows her to express ideas clearly and creatively. She enjoys combining her technical skills with her love for writing and communication to make a meaningful impact. Currently she is working on a research paper about “Consanguineous marriages and its impact on children’s health” which will be published by the end of 2025.