Levosal Syrup
Written By Dr. Love Sharma, PhD (Pharmacology), PGDPRA
Reviewed By Dr. Shilpa Garcha, MD (Pharmacology), MBBS
Last updated on 10 Nov 2024 | 01:01 AM (IST)
Levosal Syrup is used to relieve symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as coughing, wheezing and breathlessness. It helps in relaxing the muscles of the air passages, thus widening it and making it easier to breathe.
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General Information
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Product introduction
You can take Levosal Syrup with or without food. The dose will depend on your condition and how you respond to the medicine. Try to take it at the same time each day. It is important to keep taking this medicine until your doctor tells you not to. Use this medicine regularly to get the most benefit from it even if you feel well.
Levosal Syrup is generally safe and effective but some common side effects include tremor, headache, palpitation, increased heart rate, and muscle cramps. These side effects are not often dangerous and they should gradually improve as your body gets used to this medicine. There are other, rarer, side effects and you should call your doctor straight away if you get chest pain, a very bad headache, or very bad dizziness.
Before using Levosal Syrupl, you should tell your doctor if you have high blood pressure, an overactive thyroid gland, a history of heart problems, diabetes, or low levels of potassium in your blood to make sure it’s safe. Also, make sure your doctor knows if you are pregnant or breastfeeding before taking this medicine. Because this medicine can make you feel dizzy or shaky, do not drive, cycle, or use tools or machinery until you feel better. You should not smoke as it causes damage to your lungs and will make your condition worse.
Levosal Syrup is generally safe and effective but some common side effects include tremor, headache, palpitation, increased heart rate, and muscle cramps. These side effects are not often dangerous and they should gradually improve as your body gets used to this medicine. There are other, rarer, side effects and you should call your doctor straight away if you get chest pain, a very bad headache, or very bad dizziness.
Before using Levosal Syrupl, you should tell your doctor if you have high blood pressure, an overactive thyroid gland, a history of heart problems, diabetes, or low levels of potassium in your blood to make sure it’s safe. Also, make sure your doctor knows if you are pregnant or breastfeeding before taking this medicine. Because this medicine can make you feel dizzy or shaky, do not drive, cycle, or use tools or machinery until you feel better. You should not smoke as it causes damage to your lungs and will make your condition worse.
Uses of Levosal Syrup
Benefits of Levosal Syrup
Treatment of Chronic obstructive pulmonary disease (COPD)
Bronchodilators like Levosal Syrup help the airways in your lungs stay open. They work by relaxing the muscles of these airways. This makes it easier for air to get in and out. It will relieve symptoms such as tightness in your chest, shortness of breath, wheezing and coughing and help you carry out your daily activities more easily. This medicine is safe and effective. It usually starts to work within a few minutes and the effects can last up to several hours. Do not stop using it unless you are advised to by your doctor.
Bronchodilators like Levosal Syrup help the airways in your lungs stay open. They work by relaxing the muscles of these airways. This makes it easier for air to get in and out. It will relieve symptoms such as tightness in your chest, shortness of breath, wheezing and coughing and help you carry out your daily activities more easily. This medicine is safe and effective. It usually starts to work within a few minutes and the effects can last up to several hours. Do not stop using it unless you are advised to by your doctor.
Side effects of Levosal Syrup
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Levosal
- Tremors
- Headache
- Palpitations
- Increased heart rate
- Muscle cramp
How to use Levosal Syrup
Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Levosal Syrup may be taken with or without food, but it is better to take it at a fixed time.
How Levosal Syrup works
Levosal Syrup is a bronchodilator. It works by relaxing the muscles in the airways and widens airways. This makes breathing easier.
All substitutes for Levosal Syrup
For information purposes only. Consult a doctor before taking any medicine.
Quick tips
- Levosal Syrup is used to relieve symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as coughing, wheezing and breathlessness.
- It must be taken regularly to help keep the airways open all the time.
- Your doctor may regularly monitor your blood potassium levels. Inform your doctor if you notice muscle twitching or weakness, or an irregular heartbeat.
- Inform your doctor if you have a history of heart diseases or if you experience headache, or chest pain.
Safety advice

Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Levosal Syrup. Please consult your doctor.

Pregnancy
CONSULT YOUR DOCTOR
Levosal Syrup may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding
SAFE IF PRESCRIBED
Levosal Syrup is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby.

Driving
SAFE
Levosal Syrup does not usually affect your ability to drive.

Kidney
CONSULT YOUR DOCTOR
There is limited information available on the use of Levosal Syrup in patients with kidney disease. Please consult your doctor.

Liver
CONSULT YOUR DOCTOR
There is limited information available on the use of Levosal Syrup in patients with liver disease. Please consult your doctor.
Frequently asked questions
Levosal Syrup works by widening the air passages in your lungs so that air can flow into your lungs more freely. For people with asthma, Levosal Syrup helps to relieve symptoms such as coughing, wheezing and shortness of breath, particularly at night.
Levosal Syrup should be taken in the dose and duration advised by your doctor. Levosal Syrup can be taken with or without food, preferably at the same time each day to reduce the chances of a missed dose. However, it is advisable to take Levosal Syrup just before bedtime with a glass of water.
If you forget a dose of Levosal Syrup, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose on the prescribed time. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.
Taking a higher than the recommended dose of Levosal Syrup may cause seizures, chest pain, nervousness, headache, dry mouth, nausea, dizziness and lack of energy. High doses of Levosal Syrup may also cause fast, irregular or pounding heartbeat, uncontrollable shaking of any part of the body and difficulty falling asleep or staying asleep. In any such case, seek immediate medical attention.
Both Levosal Syrup and Albuterol belong to the same class of medicines. and are used for quick relief in symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as wheezing, shortness of breath and coughing. Levosal Syrup contains the active form of Albuterol known as R-albuterol. On the other hand, Albuterol contains a mixture of equal amounts of R-albuterol (active form) and S-albuterol (inactive form of Albuterol). Levosal Syrup, being the active form may have lesser side effects when compared to the inactive form.
Yes, it is considered safe, but its use depends on the severity of your heart problem. If you experience chest pain or any other symptom of worsening heart disease while taking Levosal Syrup, seek immediate medical advice.
Levosal Syrup may cause blood sugar levels to rise. Therefore, your doctor may adjust your dose of insulin or antidiabetic medicines. Keep a regular check on your blood glucose levels and do not miss any dose. Consult your doctor if you experience a sudden rise in blood sugar levels.
Yes, it could be due to Levosal Syrup. Feeling shaky is a common side effect of Levosal Syrup which usually goes away after some time. For headaches, drink plenty of water, get sufficient rest and avoid alcohol. Usually, headaches go away after a week. If they persist for a long time, contact your doctor.
No, you should not smoke while taking Levosal Syrup. Smoking irritates the lungs. The medicine may make breathing more difficult, especially in patients who have asthma. Take advice from your doctor if you are finding it hard to avoid smoking.
Fact Box
Chemical Class
Benzyl Alcohols Derivatives
Habit Forming
No
Therapeutic Class
RESPIRATORY
Action Class
Short acting β2-agonists
References
- Westfall TC, WestfallIn DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. p. 291.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 788.
- Levalbuterol. Marlborough, MA: Sunovion Pharmaceuticals Inc.; 1999. [Accessed 01 Apr. 2019] (online) Available from:
- ScienceDirect. Levalbuterol. [Accessed 01 Apr. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 01 Apr. 2019] (online) Available from:
- CiplaMed. Levosalbutamol sulphate [Prescribing Information]. [Last Reviewed: Jul. 2016]. [Accessed 08 Jul. 2023]. (online) Available from:
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Patient concerns
i m suffering from breathing problem cough chest infame . Do tell chronic obstructive pulmonary disease .So tell which medicines should i take to treat this problem.
Dr. Anshum Aneja Arora
Pulmonology
It is less likely you have copd at this age You need detailed check up and spirometry test for same
What is chronic pulmonary thromboembolism?
Dr. Saurabh Arora
Cardiology
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Name: Haeal Pharma
Address: 8-3-940 & 940 / A to E, Basement, Tirumala Shah Complex, YellaReddyguda Road, Ameerpet, Hyderabad - 500 073, T.S.
Address: 8-3-940 & 940 / A to E, Basement, Tirumala Shah Complex, YellaReddyguda Road, Ameerpet, Hyderabad - 500 073, T.S.
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