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Levosalbutamol+ipratropium Bromide

About

Levosalbutamol+ipratropium Bromide is a combination medication primarily used to treat or prevent symptoms of chronic obstructive pulmonary disease (COPD) likes shortness of breath, coughing or wheezing (whistling sound while breathing). COPD is a group of lung diseases with emphysema (shortness of breath due to damaged air sac) and chronic bronchitis (inflammation and narrowing of the lining of airways or bronchial tubes).

Levosalbutamol+ipratropium Bromide is a combination of two bronchodilators, namely: Levosalbutamol and Ipratropium bromide. Levosalbutamol+ipratropium Bromide belongs to the class of bronchodilators that works by relaxing muscles and widening the airways of the lungs. Thereby, it allows us to breathe easily.

Use Levosalbutamol+ipratropium Bromide as prescribed. Your doctor will recommend how often you use Levosalbutamol+ipratropium Bromide based on your medical condition. Some people may experience headache, sore throat, dry mouth, runny or stuffy nose, pain, cough with mucus, sneezing, chest tightness, difficulty in breathing, dizziness, nervousness, tiredness, irregular heartbeats and vomiting. Most of these side effects of Levosalbutamol+ipratropium Bromide do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Levosalbutamol+ipratropium Bromide or any other medicines, pregnant or breastfeeding, or experience severe difficulty in breathing, please consult a doctor immediately. Do not use Levosalbutamol+ipratropium Bromide in more than the prescribed doses as it may lead to severe heart or lung problems. Regular monitoring of potassium levels is recommended while taking a prolonged intake of Levosalbutamol+ipratropium Bromide may cause low potassium levels in the blood. If you have high blood pressure, diabetes fits, enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before taking Levosalbutamol+ipratropium Bromide. Please do not use or store Levosalbutamol+ipratropium Bromide near open flame or heat as it may burst the container.

Uses of Levosalbutamol+ipratropium Bromide

Chronic obstructive pulmonary disease (COPD)

Medicinal Benefits

Levosalbutamol+ipratropium Bromide is a combination of two bronchodilators, namely: Levosalbutamol and Ipratropium bromide. Levosalbutamol+ipratropium Bromide belongs to the class of bronchodilators that works by relaxing muscles and widening the airways of the lungs. Thereby, allowing to breathe easily and provide relief from symptoms such as shortness of breath, coughing or wheezing (whistling sound while breathing).

Directions for Use

Inhaler/Transhaler: Shake the inhaler/Transhaler well and check the label for directions before using it. Hold the inhaler/Transhaler with the mouthpiece downwards. Put the mouthpiece between your teeth and seal the lips around it. Then, press down the inhaler once to release the medication. Breathe in slowly and hold your breath for 5 to 10 seconds. Breathe out slowly. Repeat the process until you have inhaled the number of puffs prescribed by the doctor. Rinse your mouth with water and spit it out after using inhaler/Transhaler to avoid fungal infections in the mouth and throat. Rotacaps/Transcaps/Respicaps: The capsule should be placed at the base of the rotahaler/Lupihaler/Respihaler and completely twist the mouthpiece until you hear a click sound. Then, breathe in through the mouthpiece deeply and hold your breath for 10 seconds. It is for inhalation only. Do not swallow the capsule. Respules/Transpules: Check the label for directions before using it. Twist the respule/transpule top, squeeze all the liquid into the nebulizer and use immediately after opening.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Levosalbutamol+ipratropium Bromide

  • Headache
  • Sore throat
  • Dry mouth
  • Runny or stuffy nose
  • Chest tightness
  • Dizziness
  • Nervousness
  • Tiredness
  • Vomiting

In-Depth Precautions and Warning

Drug Warnings

If you are allergic to Levosalbutamol+ipratropium Bromide or any other medicines, pregnant or breastfeeding, experience severe difficulty in breathing, please consult a doctor immediately. Do not use Levosalbutamol+ipratropium Bromide in more than the prescribed doses as it may lead to severe heart or lung problems. Regular monitoring of potassium levels is recommended while taking Levosalbutamol+ipratropium Bromide as it may cause low potassium levels in the blood. However, if you experience irregular heartbeats, leg cramps, extreme thirst, constipation, increased urination, muscle weakness, numbness or tingling, please consult a doctor immediately as these might be signs of low potassium. If you have high blood pressure, diabetes, epilepsy (fits), enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before taking Levosalbutamol+ipratropium Bromide. Do not use or store Levosalbutamol+ipratropium Bromide near open flame or heat as it may burst the container.

Drug Interactions

Drug-Drug Interaction: Levosalbutamol+ipratropium Bromide may interact with bronchodilators (salmeterol, albuterol, vilanterol, formoterol, tiotropium), steroids (budesonide, prednisone), water pills (furosemide), anti-sickness drug (ondansetron), heart-related medicines (atropine).

Drug-Food Interaction: Levosalbutamol+ipratropium Bromide may interact with caffeine. Therefore, avoid or limit the intake of caffeinated beverages, foods or dietary supplements with Levosalbutamol+ipratropium Bromide as it may increase the risk of adverse effects.

Drug-Disease Interaction: If you have high blood pressure, diabetes, fits, enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before taking Levosalbutamol+ipratropium Bromide.

Drug-Drug Interactions Checker List:

  • SALMETEROL
  • ALBUTEROL
  • VILANTEROL
  • FORMOTEROL
  • TIOTROPIUM
  • BUDESONIDE
  • PREDNISONE
  • FUROSEMIDE
  • ONDANSETRON
  • ATROPINE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      The interaction of Levosalbutamol+ipratropium Bromide with alcohol is unknown. Please consult a doctor before consuming alcohol with Levosalbutamol+ipratropium Bromide.

    • Safety Warning

      Pregnancy

      caution

      The safety of Levosalbutamol+ipratropium Bromide in pregnant women is unknown and is given to pregnant women only if the doctor thinks benefits outweigh risks.

    • Safety Warning

      Breast Feeding

      caution

      It is unknown whether Levosalbutamol+ipratropium Bromide is excreted in human milk. It is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

    • Safety Warning

      Driving

      caution

      Levosalbutamol+ipratropium Bromide may cause blurred vision or dizziness in some people. Therefore, avoid driving if you notice any changes in vision or feel dizzy after taking Levosalbutamol+ipratropium Bromide.

    • Safety Warning

      Liver

      safe if prescribed

      If you have any concerns regarding the use of Levosalbutamol+ipratropium Bromide in patients with Liver problems, please consult a doctor.

    • Safety Warning

      Kidney

      safe if prescribed

      If you have any concerns regarding the use of Levosalbutamol+ipratropium Bromide in patients with Kidney problems, please consult a doctor.

    • Safety Warning

      Children

      caution

      Please consult a doctor before giving Levosalbutamol+ipratropium Bromide to children.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Eat foods rich in potassium such as tomatoes, bananas, asparagus, oranges, potatoes, avocados, dark leafy greens, and beetroots as potassium is important for lung function and a potassium deficiency may cause breathing problems.
    • Drink plenty of fluids every day to thin mucus which makes it easier to cough out.
    • Maintain a diet that includes complex carbohydrates such as lentils, beans, barley, oats, quinoa, bran, peas, and potatoes with skin.
    • Limit or avoid the intake of caffeinated drinks such as tea, coffee, soda, and energy drinks like red bull.
    • Eat protein-rich foods such as meat, fish (particularly salmon, sardines, and mackerel), eggs, and poultry.
    • Exercise regularly to strengthen your breathing muscles and boost your immune system. Learning breathing exercises will help you move more air in and out of your lungs.
    • Quit smoking as it may reduce the effectiveness of the Levosalbutamol+ipratropium Bromide and irritate the lungs worsening breathing problem.

    Special Advise

    Avoid contact of Levosalbutamol+ipratropium Bromide with eyes, especially if you have glaucoma (damaged eye nerve due to increased eye pressure) as it may worsen the condition and cause eye irritation or blurred vision. A fungal infection might occur in your mouth and throat, so it is advisable to gargle with warm water after each inhalation of Levosalbutamol+ipratropium Bromide.

    Patients Concern

    Disease/Condition Glossary

    Chronic obstructive pulmonary disease (COPD): It is a group of lung diseases with emphysema (shortness of breath due to damaged air sacs) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco and exposure to air pollutants like asbestos and chemicals/fumes. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).

    FAQs

    Levosalbutamol+ipratropium Bromide should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking Levosalbutamol+ipratropium Bromide as it may increase blood sugar levels.

    Yes, Levosalbutamol+ipratropium Bromide may cause blurred vision in some patients. It is not necessary for everyone taking Levosalbutamol+ipratropium Bromide to experience this side effect. Therefore, avoid driving if you notice any changes in vision after taking Levosalbutamol+ipratropium Bromide.

    Levosalbutamol+ipratropium Bromide should be used with caution in hyperthyroid (overactive thyroid) patients as it may worsen the condition. Inform your doctor if have hyperthyroidism before taking Levosalbutamol+ipratropium Bromide so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking Levosalbutamol+ipratropium Bromide.

    Yes, Levosalbutamol+ipratropium Bromide may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking Levosalbutamol+ipratropium Bromide to experience this side effect. However, to avoid such side effects, drink plenty of water, regularly rinse your mouth, practice good oral hygiene and suck on sugarless candy. However, if the condition persists or worsens, please consult a doctor.

    No, you are not recommended to stop taking Levosalbutamol+ipratropium Bromide without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take Levosalbutamol+ipratropium Bromide for as long as your doctor has prescribed it, and if you experience any difficulty while taking Levosalbutamol+ipratropium Bromide, please consult your doctor.

    No, Levosalbutamol+ipratropium Bromide does not relieve sudden symptoms such as shortness of breath. Therefore, it is advised to carry a rescue inhaler always to treat sudden symptoms.

    Available Medicines for

    Levosalbutamol+ipratropium Bromide

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