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Drug Information

What is Ipratropium + Levosalbutamol combination used for?

Ipratropium + Levosalbutamol combination is used for the treatment of pulmonary diseases such as:

  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Emphysema
  • Chronic bronchitis

Ipratropium + Levosalbutamol  combination may also be prescribed for other conditions as determined by the doctor.

How does Ipratropium + Levosalbutamol combination work?

In Ipratropium + Levosalbutamol combination, Ipratropium belongs to the class of drugs called anti-cholinergics. This drug acts on muscarinic receptors of the lungs and inhibits acetylcholine. Thus, it helps in preventing bronchospasm.

Levosalbutamol belongs to the class of drugs called as bronchodilators. It acts by relaxing the smooth muscles of the bronchial tubes. Thus, it helps in relaxing the airways in case of pulmonary diseases.

How to use Ipratropium + Levosalbutamol combination?

The dosage and the drug form depend on the age, weight and medical condition of an individual. Use Ipratropium + Levosalbutamol as prescribed by your doctor.

  • For inhaler dosage form, place the inhaler in the mouth and press the inhaler to release the medicine and breathe slowly for 10 seconds to allow the medicine to reach your lungs.
  • For respules and rotacap dosage forms, please read the instructions carefully provided on the leaflet.

If you miss a dose of Ipratropium + Levosalbutamol combination, please use it immediately once you remember. However, if it is almost time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not use a double dose to make up for the missed dose.

The overdose symptoms of Ipratropium + Levosalbutamol combination may include:

  • Fainting
  • Trouble breathing
  • Chest pain
  • Seizures
  • Head ache
  • Increased sweating

What are the drugs that interact with Ipratropium + Levosalbutamol combination?

Drugs that interact with Ipratropium + Levosalbutamol include the following:

  • Amitriptyline
  • Atenolol
  • Atropine
  • Furosemide
  • Hydrochlorothiazide
  • Pseudoephedrine

This is not a comprehensive list of drug interactions. Consult your doctor to know more about other possible drug interactions.

What are the side effects of Ipratropium + Levosalbutamol combination?

The following are the most common side effects of Ipratropium + Levosalbutamol combination:

  • Cough
  • Muscle cramps
  • Blurred vision

The following are the severe side effects, and you may require immediate medical attention:

  • Headache
  • Increased heartbeat
  • Palpitations
  • Tremors

This is not a complete list of side effects and others may occur. Please consult your doctor to know more about other possible side effects.

What special precautions Ipratropium + Levosalbutamol combination?

  • Avoid using the medicine if you are allergic to Ipratropium + Levosalbutamol or similar drugs.
  • Avoid consumption of alcohol as it may alter the absorption of Ipratropium + Levosalbutamol combination.
  • Avoid Ipratropium + Levosalbutamol during pregnancy or breastfeeding because the safe use of the drug is not yet established.
  • Do not exceed the dose more than what is prescribed.
  • Be cautious while taking Ipratropium + Levosalbutamol combination if you have any kidney or liver impairment.

You are advised not to use Ipratropium + Levosalbutamol combination if

  • it has passed the expiry date of the medicine printed on the pack.
  • the foil or packaging is torn or shows signs of tampering or there is discolouration.

What should you tell your doctor before taking Ipratropium + Levosalbutamol combination?

  • Tell your doctor if you have any history of heart diseases, epilepsy, diabetes, glaucoma, over active thyroid, kidney and heart diseases.
  • Inform the doctor if you are taking any other drugs, OTC medications, herbal products or nutritional supplements.
  • Inform your doctor if you are pregnant or breastfeeding.

Frequently Asked Questions about Ipratropium + Levosalbutamol

  1. Should I follow any special dietary instructions while using Ipratropium + Levosalbutamol combination?
  2. A Special diet must be followed only if recommended by the doctor while using Ipratropium + Levosalbutamol.

  3. What is the standard dose of Ipratropium + Levosalbutamol combination?
  4. Ipratropium + Levosalbutamol combination is recommended to use 2 – 4 times a day. A maximum of 12 puffs is advised to be used in 24 hours. However, please consult your doctor for dosage related information.

  5. How to store Ipratropium + Levosalbutamol combination?
  6. Ipratropium + Levosalbutamol must be stored below 30°C in a cool and dry place.

  7. Is it safe to alter the dose of Ipratropium + Levosalbutamol combination?
  8. It is not advised to alter the dose of Ipratropium + Levosalbutamol.

  9. I am on Ipratropium + Levosalbutamol for asthma. Can I stop the drug if I feel better?
  10. No. Continue using Ipratropium + Levosalbutamol until your doctor advises to stop using it. Abrupt discontinuation may cause the illness to return.


The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment.  Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

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