{"id":54570,"date":"2023-09-20T10:00:28","date_gmt":"2023-09-20T10:00:28","guid":{"rendered":"https:\/\/medsname.com\/levolin\/"},"modified":"2026-04-30T14:22:08","modified_gmt":"2026-04-30T14:22:08","slug":"levolin","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/levolin\/","title":{"rendered":"Levolin"},"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?<\/h3>\n<p><strong>Levolin<\/strong> bevat <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> en <strong>chronic obstructive pulmonary disease (COPD)<\/strong>. Levolin is a <strong>tablets<\/strong> van <strong>Cipla<\/strong>. Onset of bronchodilation is <strong>15-30 minuten<\/strong> and effect lasts <strong>4\u20136 uur<\/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>Wat u krijgt bij MedsBase:<\/strong> WHO-GMP gecertificeerde fabrikant \u00b7 Discrete verpakking \u00b7 Wereldwijde verzending \u00b7 1.400+ geverifieerde <a href=\"https:\/\/medsbase.com\/nl\/reviews\/\">klantbeoordelingen<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Onze generieke medicijnen zijn afkomstig van WHO-GMP gecertificeerde fabrikanten en worden wereldwijd verzonden in discrete, eenvoudige verpakkingen \u2014 geen medicijnnaam op de buitenkant van het pakket. Betalingen met kaart worden verwerkt via een gereguleerde processor (betalingsoverzichten vermelden een gereguleerde kaartbetalingprocessor \u2014 nooit \u201cMedsBase\u201d of een medicijnnaam). Crypto en SEPA bankoverschrijvingen worden ook geaccepteerd. Elke bestelling wordt ondersteund door ons Reshipment Assurance Policy.<\/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 Versleutelde afrekenprocedure<\/strong> \u00b7 <strong>\ud83d\udcb3 Geverifieerde betalingsverwerker<\/strong> \u00b7 <strong>\ud83d\ude9a Wereldwijde verzending<\/strong> \u00b7 <strong>\u2b50 4,9\/5 van 1.400+ klanten<\/strong>\n<\/div>\n<h2>What Is Levolin?<\/h2>\n<p>Levolin is a <strong>tablets<\/strong> geproduceerd door <strong>Cipla<\/strong> at WHO-GMP certified facilities. Each tablet delivers <strong>1 mg or 2 mg<\/strong> van <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 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>15-30 minuten<\/strong>, peaks at 30\u201390 minutes, and lasts <strong>4\u20136 uur<\/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>Toepassingen en Indicaties<\/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>Hyperkali\u00ebmie<\/strong> (off-label) \u2014 nebulised salbutamol drives K\u207a intracellularly<\/li>\n<\/ul>\n<p><strong>Belangrijk:<\/strong> Levolin 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 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;\">Pati\u00ebnt<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Dosering<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Frequentie<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults &amp; children &gt;12 yr<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Three to four times daily<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Kinderen 6\u201312 jaar<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Three times daily<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Children 2\u20135 yr<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>0.5 mg<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Three times daily under medical supervision<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Elderly \/ sensitive<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Start at <strong>1 mg TDS<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Titrate to response<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How to Use Levolin Properly<\/h3>\n<ul>\n<li>Swallow with water; food does not significantly affect absorption.<\/li>\n<li>Space doses at least 4 hours apart.<\/li>\n<li>Inhaled levosalbutamol is preferred for most patients \u2014 fewer systemic side effects.<\/li>\n<li>Never double up after a missed dose.<\/li>\n<\/ul>\n<h2>Side Effects of Levolin<\/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>Hoofdpijn<\/li>\n<li>Dry mouth, throat irritation<\/li>\n<li>Muscle cramps<\/li>\n<li>Hyperactivity or agitation in young children<\/li>\n<\/ul>\n<p><strong>Minder vaak:<\/strong><\/p>\n<ul>\n<li>Hypokalaemia \u2014 especially with high repeat doses, worsened by theophylline, steroids or loop diuretics<\/li>\n<li>Milde hyperglykemie<\/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>Waarschuwingen en voorzorgsmaatregelen<\/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>Cardiovasculaire aandoeningen:<\/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>Zwangerschap en borstvoeding:<\/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>Contra-indicaties<\/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>Geneesmiddelinteracties<\/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;\">Interagerend geneesmiddel<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Effect<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Wat te doen<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Niet-selectieve b\u00e8tablokkers (propranolol, timolooldruppels)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Blokkeren \u03b22-effect \u2014 kan ernstige bronchospasmen veroorzaken<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Vermijd; schakel indien noodzakelijk over op een cardioselectieve b\u00e8tablokker<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Lis- of thiazidediuretica<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additieve hypokali\u00ebmie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Controleer het serumkalium bij hoge doseringen<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Systemische corticostero\u00efden<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additieve hypokali\u00ebmie + hyperglykemie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Controleer elektrolyten en glucose<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Theofylline \/ aminofylline<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additieve tachycardie en hypokali\u00ebmie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Controleer hartslag en kalium<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">MAO-remmers en tricyclische antidepressiva<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Versterken cardiovasculaire effecten<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Voorzichtigheid \u2014 controleer bloeddruk\/hartslag<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Digoxine<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypokali\u00ebmie verhoogt digoxine-toxiciteitsrisico<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Controleer kalium; meet digoxinespiegel bij symptomen<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Opslag<\/h2>\n<ul>\n<li>Bewaren beneden <strong>25\u00b0C<\/strong> in a cool, dry place away from direct sunlight.<\/li>\n<li>Keep in original packaging until use to protect from moisture and light.<\/li>\n<li>Do not use after the expiry date printed on the strip.<\/li>\n<li>Buiten bereik van kinderen houden.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Gerelateerde alternatieven op MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/asthalin-respules\/\"><strong>Asthalin Respules \u2014 salbutamol nebuliser solution<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/budecort-inhaler\/\"><strong>Budecort Inhaler \u2014 budesonide ICS-preventer<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/foracort-inhaler\/\"><strong>Foracort Inhaler \u2014 budesonide + formoterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/seretide-accuhaler\/\"><strong>Seretide Accuhaler \u2014 fluticason + salmeterol ICS-LABA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/duolin-inhaler\/\"><strong>Duolin Inhaler \u2014 salbutamol + ipratropium combo reliever<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3>Why levosalbutamol tablets when inhalers exist?<\/h3>\n<p>Oral tablets are useful for patients who cannot use inhaler devices reliably. The systemic side-effect profile is heavier than inhaled, but lighter than racemic salbutamol tablets at equivalent bronchodilation.<\/p>\n<h3>Levolin tablet vs. Asthalin tablet \u2014 which is better?<\/h3>\n<p>Both work. Levolin (levosalbutamol) uses half the milligram dose for similar bronchodilation and may cause less tremor and palpitations. Asthalin (racemic salbutamol) is well-established and lower-cost.<\/p>\n<h3>Will Levolin make me jittery?<\/h3>\n<p>Fine tremor and increased heart rate are dose-dependent \u03b22 effects \u2014 milder than with racemic salbutamol at equivalent doses, but still present in some people, especially at the 2 mg strength.<\/p>\n<h3>Can I take Levolin during pregnancy?<\/h3>\n<p>Levosalbutamol is considered low-risk in pregnancy; uncontrolled asthma is more dangerous than the drug. Inhaled is preferred.<\/p>\n<h3>How fast does Levolin tablet work?<\/h3>\n<p>Onset 15\u201330 minutes, peak 1\u20132 hours, duration 4\u20136 hours.<\/p>\n<h3>Can I take Levolin if I have heart disease?<\/h3>\n<p>Use with caution. Tachyarrhythmias, severe coronary artery disease, and severe heart failure are relative contraindications. Discuss with your cardiologist.<\/p>\n<h3>Is Levolin habit-forming?<\/h3>\n<p>No \u2014 there is no addiction or tolerance with levosalbutamol. However, frequent use is a marker of poor disease control, not dependence.<\/p>\n<h3>Wat als ik een dosis vergeet?<\/h3>\n<p>Take it as soon as you remember unless the next dose is due. Never double up.<\/p>\n<h3>Does food affect Levolin tablet?<\/h3>\n<p>Food slightly delays absorption but does not reduce total drug exposure.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Medische disclaimer:<\/strong> Deze pagina is educatief en vervangt geen professioneel medisch advies. Raadpleeg altijd een gekwalificeerde zorgverlener voordat u een inhaler of respiratoir medicijn start, stopt of wijzigt, vooral als u andere medische aandoeningen heeft, andere voorgeschreven medicijnen gebruikt, zwanger bent of borstvoeding geeft, of ouder bent dan 65.<\/div>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Efficient symptom control<br \/>\n\u2705 Asthma and COPD relief<br \/>\n\u2705 Convenient tablet format<br \/>\n\u2705 Accurate dosing<\/h5>\n<p><span style=\"color: #999999;\">contains Levosalbutamol<\/span><\/p>","protected":false},"featured_media":54571,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3754,3710],"class_list":{"0":"post-54570","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","10":"product_tag-levosalbutamol","12":"first","13":"outofstock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/54570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=54570"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/54571"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=54570"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=54570"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=54570"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=54570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}