INTRODUCTION

IBIRES NEXHALER contains Levosalbutamol which belongs to the group of medicines called Bronchodilators. It is indicated in the treatment or prevention of bronchospasm (constriction of airways) in adults, adolescents, and children 4 years of age and older with reversible obstructive airway disease.

Your doctor might ask you to take several diagnostic tests before starting the treatment with IBIRES NEXHALER.

It should be used with caution in patients having cardiovascular disorders (coronary insufficiency, cardiac arrhythmias, and high blood pressure), kidney diseases, epilepsy, overactive thyroid gland, and diabetes.

Caution must be exercised while using IBIRES NEXHALER in pregnant and breast-feeding women. Consult with your doctor before using.

Your doctor will prescribe the right dose depends on your child’s age, body weight and disease condition. Consult your doctor before using IBIRES NEXHALER.

It should be used with caution in elderly patients above 65 years of age. Consult your doctor immediately if you experience any side effects or persist for a longer duration.

USES OF IBIRES NEXHALER

• Used to treat bronchospasm (constriction of airways) in reversible obstructive airway disease

HOW IBIRES NEXHALER WORKS

IBIRES NEXHALER helps in the treatment and prevention of bronchospasm acts by relaxing smooth muscle in the bronchial tubes (airway) to increase air flow and relieve shortness of breath by activation of an enzyme which inhibits the release of cells called mast cells which are responsible for causing asthma.

DIRECTIONS FOR USE

Use IBIRES NEXHALER as advised by your physician. It is for oral inhalational use only. Do not exceed the recommended dose. Your doctor will decide the correct dose and duration of IBIRES NEXHALER for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF IBIRES NEXHALER

WARNING & PRECAUTIONS

PREGNANCY

IBIRES NEXHALER should be used with caution in pregnant women or women planning to have a baby as safety and effectiveness to the baby and mother has not been established yet. Dose will be adjusted by your doctor. Consult your doctor before using it.

BREASTFEEDING

IBIRES NEXHALER should be used with caution in breastfeeding women as it is not known if IBIRES NEXHALER passes through mother’s milk. Consult your doctor before using it.

KIDNEY

IBIRES NEXHALER should be used with caution in patients with kidney problems. Consult your doctor before using it.

ALLERGY

Do not use IBIRES NEXHALER if you are allergic to Levosalbutamol or any other ingredients of this medicine.

HEART DISEASE

IBIRES NEXHALER should be used with caution in patients with heart diseases such as coronary insufficiency, irregular heartbeat, and high blood pressure. Consult your doctor before using.

INTERACTIONS

A. Drug-Drug Interactions:

Before using IBIRES NEXHALER inform your doctor if you are taking any of the following medicine:

• other short acting bronchodilators such as albuterol, terbutaline (used to treat asthma)
• beta blockers such as metoprolol, propranolol (used to treat irregular heartbeat), digoxin (used to treat heart disease)
• diuretics (water medicine) such as furosemide, chlorothiazide
• MAO inhibitors such as isocarboxazid, tricyclic antidepressants such as nortriptyline, amitriptyline (used to treat depression)
• halothane, enflurane, isoflurane, desflurane, sevoflurane (used as anaesthetics)
• corticosteroids (anti-inflammatory drug Ex. dexamethasone, hydrocortisone)

Overdosage:

If you or anyone else accidentally use too much of IBIRES NEXHALER, consult your doctor immediately or visit the nearby hospital. The symptoms of overdosage of IBIRES NEXHALER are fastened heart rate, nervousness, headache, tremor, nausea, dry mouth, palpitation, dizziness, fatigue, and sleeplessness.

SYNOPSIS

MORE INFORMATION

• Keep IBIRES NEXHALER out of reach of children
• Store below at room temperature 30°C

FAQs ABOUT IBIRES NEXHALER

What is IBIRES NEXHALER and why is it prescribed?

IBIRES NEXHALER contains Levosalbutamol which belongs to the group of medicines called Bronchodilators. It is indicated in the treatment or prevention of bronchospasm (constriction of airways) in adults, adolescents, and children 4 years of age and older with reversible obstructive airway disease.

Can IBIRES NEXHALER be given to patients having heart disease?

IBIRES NEXHALER may cause fastened heart rate. It should be used with caution in patients with heart diseases such as coronary insufficiency, irregular heartbeat, and high blood pressure. Consult your doctor before using.

Is it safe to use IBIRES NEXHALER in diabetic patients?

IBIRES NEXHALER may cause an increase in blood sugar level. Therefore, caution must be exercised while using IBIRES NEXHALER in diabetic patients and should be kept under close observation. Consult your doctor before using.

How to use IBIRES NEXHALER?

Use IBIRES NEXHALER as advised by your physician. It is for oral inhalational use only. Do not exceed the recommended dose of the medicine. Your doctor will decide the correct dose and duration of IBIRES NEXHALER for you depending upon your age, body weight and disease condition.

Can I stop using IBIRES NEXHALER if I feel better?

You should not stop using IBIRES NEXHALER until your doctor asks you to. Keep using IBIRES NEXHALER for the whole time it has been prescribed to you. If you wish to discontinue, ask for your doctor’s advice.

REFERENCES

1. K.D. Tripathi. Respiratory System Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 222

2. Mukesh Kumar Gupta, Meenu Singh. Evidence based review on Levosalbutamol. NIH National Library of Medicine, National centre for biotechnology information. Pubmed.gov. February 2007. [Accessed on 19th July 2022] https://pubmed.ncbi.nlm.nih.gov/17337829/

3 J L Schlienger, M J Compagnie, P Dellenbach, F Stephan. Metabolic risks of salbutamol in diabetic patients. A study using somatostatin (author's transl). NIH National Library of Medicine, National centre for biotechnology information. Pubmed.gov. September 1980. [Accessed on 19th July 2022] https://pubmed.ncbi.nlm.nih.gov/6106923/

4. Cipla Ltd. Levolin Rotacaps. Ciplamed. [Revised in January 2019] [Accessed on 19th July 2022] https://www.ciplamed.com/content/levolin-rotacaps

5. cipla Ltd. Levolin Inhalers. Ciplamed. [Revised in June 2022] [Accessed on 19th July 2022] https://www.ciplamed.com/content/levolin-inhaler

6. Drugbank. Levosalbutamol. [Revised in October 2021] [Accessed on 19th July 2022] https://go.drugbank.com/drugs/DB13139

USEFUL DIAGNOSTIC TESTS

• Chest X ray
• Pulmonary Function Test
• Kidney function test

AUTHOR DETAILS

Written By Dr. Janet.C, Pharm.D
Last updated on 26 Nov 2022 | 11:03 PM(IST)