Aerocort Inhaler
✅ Asthma symptom management
✅ Convenient inhalation method
✅ Quick symptom relief
✅ Enhanced respiratory comfort
Contains Beclomethasone Dipropionate and Levosalbutamol Sulphate
✓ Medically reviewed by Morgan Ellis — Pharmacy Researcher · 8 years experience · Last reviewed: May 2026
⚡ Quick Answer — What is Aerocort Inhaler?
Aerocort Inhaler combines beclomethasone dipropionate (an inhaled corticosteroid, ICS) with levosalbutamol (a short-acting β2 agonist, SABA) in one inhaler. This combination is unusual — most preventer combinations pair ICS with a long-acting β2 agonist (LABA), not a short-acting one. Aerocort Inhaler is intended for symptomatic relief plus same-time anti-inflammatory delivery in mild-to-moderate asthma. Each inhaler delivers beclomethasone 50 mcg + levosalbutamol 50 mcg per actuation, manufactured by Cipla at WHO-GMP certified facilities. Note: consider a separate ICS preventer + SABA reliever, or move to ICS-LABA combination, if exacerbations recur.
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What Is Aerocort Inhaler?
Aerocort Inhaler is a fixed-dose ICS-SABA combination unique to the Indian market. The ICS component (beclomethasone) treats underlying inflammation; the SABA component (levosalbutamol) provides immediate relief. The intent is to reduce reliever dependence and ensure ICS dosing happens when patients reach for symptom relief.
Important context: international guidelines (GINA 2024) prefer either separate ICS controller + SABA reliever or an ICS-formoterol SMART/MART regime. ICS-SABA combinations are no longer first-line in most settings, though Aerocort Inhaler remains widely used in India.
How Does Aerocort Inhaler Work?
- Levosalbutamol activates β2 receptors for rapid bronchodilation (1–5 min onset, 4–6 h duration). The R-isomer reduces tremor and tachycardia compared to racemic salbutamol.
- Beclomethasone binds glucocorticoid receptors, suppresses airway inflammation, and restores β2 receptor responsiveness. Effect builds over 1–2 weeks.
Uses and Indications
- Mild-to-moderate persistent asthma — symptomatic relief + same-time ICS delivery
- Step-down from ICS-LABA in well-controlled asthma
- Acute episodes of bronchospasm with concurrent ICS dosing (4–6 h symptomatic cover)
Aerocort Inhaler Dosage
| Patient | Dose | Frequency |
|---|---|---|
| Adults — mild persistent asthma | 2 puffs | As needed, max 4× daily |
| Children 6–12 yr | 1–2 puffs | As needed via spacer |
How to Use Aerocort Inhaler Properly
- Shake the inhaler well; remove the cap.
- Breathe out fully away from the device.
- Seal lips around the mouthpiece.
- Press the canister at the start of a slow deep breath (3–5 seconds).
- Hold breath 10 seconds, then breathe out gently.
- Wait 30 seconds before second puff if needed.
- For ICS-containing combinations: rinse mouth, gargle, and spit out.
- Use a spacer for children, the elderly, and during acute illness.
Side Effects of Aerocort Inhaler
Common:
- Mild tremor (β2 effect)
- Palpitations, increased heart rate
- Oral thrush, hoarse voice (ICS effect)
- Throat irritation, headache
- Dry mouth
Less common:
- Hypokalaemia at high doses
- Mild hyperglycaemia
- Easy bruising, mild adrenal suppression at high cumulative ICS doses
- Mild reduction in growth velocity in children at high doses
Serious — stop and seek help:
- Severe allergic reaction
- Paradoxical bronchospasm
- Cardiac arrhythmias
Warnings and Precautions
- Daily ICS exposure if used as a reliever — not a problem, but means total daily ICS dose can climb. Track usage.
- If you need {$brand} more than 3× per week, your asthma is poorly controlled — step up to ICS-LABA (Foracort, Seretide).
- Rinse mouth, gargle, and spit after every dose to prevent oral thrush.
- International guidelines increasingly favour ICS-formoterol SMART/MART over ICS-SABA. Discuss with your prescriber whether a switch is appropriate.
- Cardiovascular disease: use cautiously in arrhythmias, severe coronary disease.
- Pregnancy: safer alternatives (budesonide-based) are preferred.
Contraindications
- Hypersensitivity to beclomethasone, levosalbutamol, or excipients
- Untreated respiratory infection
- Severe tachyarrhythmias (relative)
Drug Interactions
| Interacting drug | Effect | What to do |
|---|---|---|
| Non-selective beta-blockers (propranolol, timolol drops) | Block β2 effect — can precipitate severe bronchospasm | Avoid; switch to cardioselective beta-blocker if essential |
| Loop or thiazide diuretics | Additive hypokalaemia | Monitor serum potassium with high doses |
| Systemic corticosteroids | Additive hypokalaemia + hyperglycaemia | Monitor electrolytes and glucose |
| Theophylline / aminophylline | Additive tachycardia and hypokalaemia | Monitor heart rate and potassium |
| MAOIs and tricyclic antidepressants | Potentiate cardiovascular effects | Caution — monitor BP/HR |
| Digoxin | Hypokalaemia increases digoxin toxicity risk | Monitor potassium; check digoxin level if symptomatic |
Storage
- Store below 25°C, protected from direct sunlight and heat.
- Do not refrigerate. Do not freeze.
- Do not puncture the canister; even an empty canister can explode if heated.
- Keep out of reach of children. Use within the expiry date printed on the canister.
Related Alternatives on MedsBase
- Foracort Inhaler — budesonide + formoterol ICS-LABA
- Seretide Accuhaler — fluticasone + salmeterol ICS-LABA
- Budecort Inhaler — budesonide ICS preventer
- Duova Inhaler — tiotropium + formoterol LAMA-LABA combo
- Triohale Inhaler — tiotropium + formoterol + ciclesonide triple
Frequently Asked Questions
How is Aerocort Inhaler different from the rotacaps?
Same molecule combination, different device. Inhaler is a pressurised aerosol (50 mcg + 50 mcg per actuation) compatible with spacers. Rotacaps are dry-powder (100 mcg + 50 mcg per cap) via Rotahaler — needs fast inhalation.
Should I use a spacer with Aerocort Inhaler?
Strongly recommended for children, the elderly, and during acute attacks. A spacer doubles or triples lung delivery.
How often can I use Aerocort Inhaler?
Up to 4× daily. More than that signals poorly-controlled asthma and needs step-up.
Why rinse my mouth?
Local beclomethasone deposition causes oral thrush and hoarseness without rinsing.
Should I switch to a modern ICS-LABA combo?
If you use Aerocort regularly (more than 3× a week), international guidelines favour stepping up to ICS-LABA (Foracort, Seretide) or formal ICS-formoterol SMART/MART. Discuss with your prescriber.
Can children use Aerocort Inhaler?
From age 5–6 with spacer + mask. Lower doses are appropriate.
Is it safe in pregnancy?
Beclomethasone has long-standing pregnancy data; budesonide-based combinations are preferred where feasible.
How fast does it work?
Levosalbutamol = 1–5 min; beclomethasone effect builds over 1–2 weeks.
How long does the canister last?
200-actuation canister = ~50 days at 4 puffs/day. Track usage.
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| Strength | 50 + 50 mcg |
|---|---|
| Quantity | 1 Inhaler/s, 2 Inhaler/s, 3 Inhaler/s |
| Pharma Form | Inhaler/s |
| Manufacturer | Cipla Inc |
| Treatment | Asthma |
| Generic Brand | Beclomethasone Dipropionate and Levosalbutamol Sulphate |
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