{"id":54587,"date":"2023-09-20T10:00:30","date_gmt":"2023-09-20T10:00:30","guid":{"rendered":"https:\/\/medsname.com\/levolin-inhaler\/"},"modified":"2026-04-30T10:24:56","modified_gmt":"2026-04-30T10:24:56","slug":"levolin-inhaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/levolin-inhaler\/","title":{"rendered":"Levolin Inhaler"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Quick Answer \u2014 What is Levolin Inhaler?<\/h3>\n<p><strong>Levolin Inhaler<\/strong> \u03c0\u03b5\u03c1\u03b9\u03ad\u03c7\u03b5\u03b9 <strong>levosalbutamol<\/strong> \u2014 the active R-isomer of salbutamol, a <strong>short-acting beta-2 agonist (SABA)<\/strong> that relaxes bronchial smooth muscle to relieve breathlessness, wheezing, and chest tightness in <strong>asthma<\/strong> \u03ba\u03b1\u03b9 <strong>chronic obstructive pulmonary disease (COPD)<\/strong>. Levolin Inhaler is a <strong>pressurised metered-dose inhaler (HFA pMDI)<\/strong> \u03b1\u03c0\u03cc <strong>Cipla<\/strong>. Onset of bronchodilation is <strong>1\u20135 minutes<\/strong> and effect lasts <strong>4\u20136 \u03ce\u03c1\u03b5\u03c2<\/strong>. Levosalbutamol delivers similar bronchodilation to salbutamol at half the dose, with potentially fewer cardiac side-effects (tremor, tachycardia) \u2014 useful for patients sensitive to standard salbutamol.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u0391\u03c5\u03c4\u03cc \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03bc\u03b5 \u03c4\u03b7\u03bd MedsBase:<\/strong> \u03a0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae\u03c2 WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 \u039a\u03c1\u03c5\u03c0\u03c4\u03bf\u03b3\u03c1\u03b1\u03c6\u03b7\u03bc\u03ad\u03bd\u03b7 \u039f\u03bb\u03bf\u03ba\u03bb\u03ae\u03c1\u03c9\u03c3\u03b7 \u0391\u03b3\u03bf\u03c1\u03ac\u03c2<\/strong> \u00b7 <strong>\ud83d\udcb3 \u0395\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03bf\u03c2 \u0395\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae\u03c2<\/strong> \u00b7 <strong>\ud83d\ude9a \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u0391\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae<\/strong> \u00b7 <strong>\u2b50 4.9\/5 \u03b1\u03c0\u03cc 1,400+ \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2<\/strong>\n<\/div>\n<h2>What Is Levolin Inhaler?<\/h2>\n<p>Levolin Inhaler is a <strong>pressurised metered-dose inhaler (HFA pMDI)<\/strong> \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc <strong>Cipla<\/strong> at WHO-GMP certified facilities. Each inhaler delivers <strong>50 mcg per actuation<\/strong> \u03c4\u03bf\u03c5 <strong>levosalbutamol<\/strong>. levosalbutamol is on the <strong>WHO List of Essential Medicines<\/strong> and is the world&#8217;s most-used reliever medication for asthma and reversible airflow obstruction.<\/p>\n<p>Levosalbutamol is the pharmacologically active <strong>R-(\u2212)-enantiomer<\/strong> of salbutamol. Standard salbutamol is a 50:50 racemic mixture of R and S isomers; the S-isomer contributes nothing to bronchodilation but may worsen airway hyperreactivity in some patients. By using only the R-isomer, levosalbutamol delivers the same therapeutic effect at <strong>half the milligram dose<\/strong>, with potentially less tremor and tachycardia in sensitive patients (especially children and those with cardiovascular comorbidities).<\/p>\n<h2>How Does Levolin Inhaler Work?<\/h2>\n<p>levosalbutamol selectively activates <strong>beta-2 adrenergic receptors<\/strong> on the smooth muscle that rings the bronchial airways. Receptor activation raises intracellular cyclic AMP, smooth muscle relaxes, and the airway lumen widens \u2014 this is <strong>bronchodilation<\/strong>. Bronchodilation begins within <strong>1\u20135 minutes<\/strong>, peaks at 30\u201390 minutes, and lasts <strong>4\u20136 \u03ce\u03c1\u03b5\u03c2<\/strong>. levosalbutamol also modestly inhibits mast-cell mediator release, reduces plasma exudation from airway capillaries, and improves mucociliary clearance.<\/p>\n<p>Selectivity is dose-dependent: at therapeutic doses, \u03b22 effects predominate; at higher systemic doses (oral tablets, repeated nebulisation), spillover onto \u03b21 receptors causes tachycardia and palpitations, and onto \u03b22 receptors elsewhere causes tremor and hypokalaemia.<\/p>\n<h2>\u03a7\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Acute asthma exacerbations<\/strong> \u2014 first-line reliever (rescue) inhaler\/nebulisation<\/li>\n<li><strong>Chronic obstructive pulmonary disease (COPD)<\/strong> \u2014 symptomatic relief of acute breathlessness and exercise dyspnoea<\/li>\n<li><strong>Exercise-induced bronchoconstriction<\/strong> \u2014 inhaled 15\u201330 minutes before exercise<\/li>\n<li><strong>Bronchospasm with allergen, cold air, or viral exposure<\/strong><\/li>\n<li><strong>Anaphylaxis with bronchospasm<\/strong> \u2014 adjunct to adrenaline<\/li>\n<li><strong>\u03a5\u03c0\u03b5\u03c1\u03ba\u03b1\u03bb\u03b9\u03b1\u03b9\u03bc\u03af\u03b1<\/strong> (off-label) \u2014 nebulised salbutamol drives K\u207a intracellularly<\/li>\n<\/ul>\n<p><strong>\u03a3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03cc:<\/strong> Levolin Inhaler is a <strong>reliever, not a controller<\/strong>. It does not reduce underlying airway inflammation. Patients using more than the equivalent of <strong>one SABA canister per month<\/strong>, or needing a SABA more than three days per week outside of exercise pre-dosing, have <strong>poorly-controlled asthma<\/strong> and require step-up to inhaled corticosteroid (ICS) or ICS-LABA combination therapy.<\/p>\n<h2>Levolin Inhaler Dosage<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0395\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0394\u03cc\u03c3\u03b7<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Acute reliever (adult)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>50\u2013100 mcg<\/strong> (1\u20132 puffs)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Every 4\u20136 hours as needed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Pre-exercise<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>50\u2013100 mcg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">15 minutes before exercise<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Children 6\u201311 yr<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>50 mcg<\/strong> (1 puff)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Every 4\u20136 hours as needed<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Severe attack<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>200 mcg via spacer<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Every 20 minutes \u00d73, then reassess<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How to Use Levolin Inhaler Properly<\/h3>\n<ul>\n<li>Shake well; remove the cap.<\/li>\n<li>Breathe out fully away from the inhaler.<\/li>\n<li>Seal lips around the mouthpiece.<\/li>\n<li>Press the canister as you start a slow deep breath (3\u20135 seconds).<\/li>\n<li>Hold breath 10 seconds, then breathe out through the nose.<\/li>\n<li>Wait 30 seconds before a second puff.<\/li>\n<li>Use a spacer for children, the elderly, or anyone with poor coordination.<\/li>\n<\/ul>\n<h2>Side Effects of Levolin Inhaler<\/h2>\n<p><strong>Common (dose-related, settle within 30\u201360 minutes):<\/strong><\/p>\n<ul>\n<li>Fine tremor, especially of the hands<\/li>\n<li>Palpitations or increased heart rate (typically 10\u201320 bpm rise)<\/li>\n<li>\u039a\u03b5\u03c6\u03b1\u03bb\u03b1\u03bb\u03b3\u03af\u03b1<\/li>\n<li>Dry mouth, throat irritation (more common with DPI\/MDI)<\/li>\n<li>Muscle cramps<\/li>\n<li>Hyperactivity or agitation in young children<\/li>\n<\/ul>\n<p><strong>\u039b\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2:<\/strong><\/p>\n<ul>\n<li>Hypokalaemia \u2014 especially with high repeat doses, worsened by theophylline, steroids or loop diuretics<\/li>\n<li>\u0397\u03c0\u03af\u03b1 \u03c5\u03c0\u03b5\u03c1\u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03af\u03b1<\/li>\n<li>Insomnia if dosed late evening<\/li>\n<li>Possible paradoxical worsening with the R-isomer is rare<\/li>\n<\/ul>\n<p><strong>Serious (stop and seek emergency help):<\/strong><\/p>\n<ul>\n<li>Severe allergic reaction \/ angio-oedema \/ anaphylaxis<\/li>\n<li>Paradoxical bronchospasm \u2014 worsening wheeze immediately after dose<\/li>\n<li>Cardiac arrhythmias (atrial fibrillation, supraventricular tachycardia)<\/li>\n<li>Severe hypokalaemia with arrhythmia or muscle weakness<\/li>\n<\/ul>\n<h2>\u03a0\u03c1\u03bf\u03b5\u03b9\u03b4\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Frequent {$brand} use = poor asthma control.<\/strong> Needing a reliever more than 3 days per week (excluding exercise pre-dosing) means the underlying disease is not managed. Step up ICS-based controller therapy.<\/li>\n<li><strong>Carry your reliever with you<\/strong> \u2014 many fatal asthma attacks happen when the inhaler is at home or expired.<\/li>\n<li><strong>Cardiovascular disease:<\/strong> use cautiously in severe coronary artery disease, arrhythmias, hyperthyroidism, or severe heart failure.<\/li>\n<li><strong>Diabetes:<\/strong> monitor glucose with repeat high doses.<\/li>\n<li><strong>\u0395\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03b8\u03b7\u03bb\u03b1\u03c3\u03bc\u03cc\u03c2:<\/strong> levosalbutamol is used at the lowest effective dose. Uncontrolled asthma is more dangerous to mother and fetus than the drug itself.<\/li>\n<li><strong>Severe attack red flags<\/strong> (call emergency services): no relief 10 min after a full dose, peak flow <50% of personal best, difficulty speaking in full sentences, blue lips or drowsiness.<\/li>\n<\/ul>\n<h2>\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>Known hypersensitivity to levosalbutamol or any formulation excipient<\/li>\n<li>Tachyarrhythmias (uncontrolled) \u2014 relative contraindication<\/li>\n<li>Phaeochromocytoma \u2014 relative contraindication<\/li>\n<li>Hypertrophic obstructive cardiomyopathy \u2014 caution<\/li>\n<\/ul>\n<h2>\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03a6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interacting drug<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a4\u03b9 \u03bd\u03b1 \u03ba\u03ac\u03bd\u03b5\u03c4\u03b5<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Non-selective beta-blockers (propranolol, timolol drops)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Block \u03b22 effect \u2014 can precipitate severe bronchospasm<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid; switch to cardioselective beta-blocker if essential<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Loop or thiazide diuretics<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive hypokalaemia<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor serum potassium with high doses<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Systemic corticosteroids<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive hypokalaemia + hyperglycaemia<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor electrolytes and glucose<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Theophylline \/ aminophylline<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive tachycardia and hypokalaemia<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor heart rate and potassium<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">MAOIs and tricyclic antidepressants<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Potentiate cardiovascular effects<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Caution \u2014 monitor BP\/HR<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">\u039d\u03c4\u03b9\u03b3\u03ba\u03bf\u03be\u03af\u03bd\u03b7<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypokalaemia increases digoxin toxicity risk<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor potassium; check digoxin level if symptomatic<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h2>\n<ul>\n<li>Store below <strong>25\u00b0C<\/strong>, protected from direct sunlight and heat.<\/li>\n<li>Do not refrigerate. Do not freeze.<\/li>\n<li>Do not puncture the canister; even an empty canister can explode if heated.<\/li>\n<li>Keep out of reach of children. Use within the expiry date printed on the canister.<\/li>\n<\/ul>\n<h2>\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u039b\u03cd\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/asthalin-respules\/\"><strong>Asthalin Respules \u2014 salbutamol nebuliser solution<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/budecort-inhaler\/\"><strong>Budecort Inhaler \u2014 \u03b2\u03bf\u03c5\u03b4\u03b5\u03c3\u03bf\u03bd\u03bf\u03af\u03b4\u03b7 ICS \u03b3\u03b9\u03b1 \u03c0\u03c1\u03cc\u03bb\u03b7\u03c8\u03b7<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 \u03b2\u03bf\u03c5\u03b4\u03b5\u03c3\u03bf\u03bd\u03bf\u03af\u03b4\u03b7 + \u03c6\u03bf\u03c1\u03bc\u03bf\u03c4\u03b5\u03c1\u03cc\u03bb\u03b7 ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/seretide-accuhaler\/\"><strong>Seretide Accuhaler \u2014 fluticasone + salmeterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/duolin-inhaler\/\"><strong>Duolin Inhaler \u2014 salbutamol + ipratropium combo reliever<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3>How is Levolin Inhaler different from Asthalin Inhaler?<\/h3>\n<p>Asthalin = salbutamol 100 mcg per puff (racemic mixture). Levolin = levosalbutamol 50 mcg per puff (active R-isomer only). Clinically equivalent at half the milligram dose. Some patients report less tremor and palpitations on Levolin.<\/p>\n<h3>How many puffs of Levolin can I take?<\/h3>\n<p>Routine: 1\u20132 puffs every 4\u20136 hours, max 8 puffs (400 mcg) per day. Severe attack: 4\u201310 puffs via spacer under supervision.<\/p>\n<h3>Can children use Levolin Inhaler?<\/h3>\n<p>Yes, from age 4\u20136 with a spacer + mask, or from age 6 with a spacer + mouthpiece.<\/p>\n<h3>Is Levolin Inhaler safer than Asthalin Inhaler?<\/h3>\n<p>In some patient groups (children, those with cardiac comorbidities, those who report tremor on salbutamol), levosalbutamol may have a marginally better tolerability profile. For most adults the difference is small.<\/p>\n<h3>Should I use a spacer?<\/h3>\n<p>A spacer is strongly recommended for children, the elderly, anyone with arthritis or coordination problems, and in any acute attack. It improves drug delivery 2\u20133\u00d7 and removes the need to time breath with actuation.<\/p>\n<h3>How fast should I inhale?<\/h3>\n<p>Slow and deep over 3\u20135 seconds (this is the MDI rule \u2014 opposite of DPI rotacaps which need a fast inhalation).<\/p>\n<h3>Why is my mouth dry?<\/h3>\n<p>Local deposition on the oropharynx is normal. A spacer reduces it. Rinsing mouth after use helps.<\/p>\n<h3>Can I take Levolin Inhaler with a beta-blocker?<\/h3>\n<p>Cardioselective beta-blockers (bisoprolol, atenolol) are usually OK; non-selective (propranolol) and timolol eye drops should be avoided where possible.<\/p>\n<h3>How long does the canister last?<\/h3>\n<p>A 200-puff canister lasts about 100 days at 2 puffs\/day. Track usage or check the dose counter if fitted.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>\u0399\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03b1\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03b5\u03c5\u03b8\u03cd\u03bd\u03b7\u03c2:<\/strong> \u0391\u03c5\u03c4\u03ae \u03b7 \u03c3\u03b5\u03bb\u03af\u03b4\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03ba\u03c0\u03b1\u03b9\u03b4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b4\u03b5\u03bd \u03b1\u03bd\u03c4\u03b9\u03ba\u03b1\u03b8\u03b9\u03c3\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03ae. \u03a3\u03c5\u03bc\u03b2\u03bf\u03c5\u03bb\u03b5\u03c5\u03c4\u03b5\u03af\u03c4\u03b5 \u03c0\u03ac\u03bd\u03c4\u03b1 \u03ad\u03bd\u03b1\u03bd \u03ba\u03b1\u03c4\u03b1\u03bb\u03bb\u03ae\u03bb\u03c9\u03c2 \u03b5\u03be\u03bf\u03c0\u03bb\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b1\u03b3\u03b3\u03b5\u03bb\u03bc\u03b1\u03c4\u03af\u03b1 \u03c5\u03b3\u03b5\u03af\u03b1\u03c2 \u03c0\u03c1\u03b9\u03bd \u03be\u03b5\u03ba\u03b9\u03bd\u03ae\u03c3\u03b5\u03c4\u03b5, \u03c3\u03c4\u03b1\u03bc\u03b1\u03c4\u03ae\u03c3\u03b5\u03c4\u03b5 \u03ae \u03b1\u03bb\u03bb\u03ac\u03be\u03b5\u03c4\u03b5 \u03bf\u03c0\u03bf\u03b9\u03bf\u03bd\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03b5\u03b9\u03c3\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03ae\u03c1\u03b1 \u03ae \u03b1\u03bd\u03b1\u03c0\u03bd\u03b5\u03c5\u03c3\u03c4\u03b9\u03ba\u03ae \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae, \u03b5\u03b9\u03b4\u03b9\u03ba\u03ac \u03b1\u03bd \u03ad\u03c7\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2, \u03c0\u03b1\u03af\u03c1\u03bd\u03b5\u03c4\u03b5 \u03ac\u03bb\u03bb\u03b5\u03c2 \u03c3\u03c5\u03bd\u03c4\u03b1\u03b3\u03ad\u03c2, \u03b5\u03af\u03c3\u03c4\u03b5 \u03ad\u03b3\u03ba\u03c5\u03bf\u03c2 \u03ae \u03b8\u03b7\u03bb\u03ac\u03b6\u03b5\u03c4\u03b5, \u03ae \u03b5\u03af\u03c3\u03c4\u03b5 \u03ac\u03bd\u03c9 \u03c4\u03c9\u03bd 65 \u03b5\u03c4\u03ce\u03bd.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2<\/h3>\n<p>\u0386\u03bb\u03bb\u03b1 \u03c0\u03c1\u03bf\u03ca\u03cc\u03bd\u03c4\u03b1 \u03c3\u03b5 <strong>\u03a7\u03c1\u03cc\u03bd\u03b9\u03b5\u03c2 \u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2<\/strong> \u03c0\u03bf\u03c5 \u03bf\u03b9 \u03c0\u03b5\u03bb\u03ac\u03c4\u03b5\u03c2 \u03b5\u03be\u03b5\u03c4\u03ac\u03b6\u03bf\u03c5\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/frusenex\/\">Frusenex<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/lonitab\/\">\u039b\u03bf\u03bd\u03b9\u03c4\u03b1\u03bc\u03c0<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/leemigran\/\">Leemigran<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/kenacort\/\">Kenacort<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/cytomid\/\">Cytomid<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Fast asthma symptom relief<br \/>\n\u2705 Convenient inhalation option<br \/>\n\u2705 Targeted medication delivery<br \/>\n\u2705 COPD symptom control<\/h5>\n<p><span style=\"color: #999999;\">contains Levosalbutamol<\/span><\/p>","protected":false},"featured_media":54588,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3755,3710],"class_list":{"0":"post-54587","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-levolin-inhaler","10":"product_tag-levosalbutamol","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/54587","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=54587"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/54588"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=54587"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=54587"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=54587"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=54587"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}