Levolin Respules 1.25 mg/2.5 mL

Levolin Respules 1.25 mg/2.5 mL contain 1.25 mg of levosalbutamol in each 2.5 mL respule. Levosalbutamol is a short-acting beta2-agonist bronchodilator used to help relieve and prevent bronchospasm in conditions such as asthma. Levolin Respules 1.25 mg/2.5 mL are used with a nebulizer, not swallowed as a tablet, so the medicine is breathed directly into the lungs for fast relief of wheezing and shortness of breath.

How it works: Levosalbutamol relaxes the smooth muscles around the airways, which helps open the breathing tubes and makes airflow easier. With Levolin Respules 1.25 mg/2.5 mL, the nebulized mist carries the medicine straight into the lungs for quicker relief of bronchospasm.

Levolin Respules 1.25 mg/2.5 mL is a higher-strength respule than Levolin Respules 0.63 mg/2.5 mL, so it is typically chosen when a clinician wants a stronger bronchodilator dose. Because this strength delivers more medicine per treatment, it may be better suited for patients who have been assessed by a doctor and need a higher nebulized dose rather than the lower strength.

• Relief of wheezing in asthma
• Prevention of exercise-induced bronchospasm
• Treatment of bronchospasm from reversible airway disease
• Short-term relief of chest tightness and shortness of breath

• Use Levolin Respules 1.25 mg/2.5 mL only with a nebulizer and the correct tubing/mouthpiece or face mask.
• Open one respule and squeeze the full 2.5 mL into the nebulizer cup; do not swallow it.
• Breathe the mist in slowly and deeply until the nebulizer stops producing aerosol, as directed by your doctor.
• Use it exactly at the timing prescribed; some people use it before exercise or during symptoms.
• Do not mix with other medicines in the nebulizer unless your clinician says it is okay.
• If you miss a treatment, take it when you remember unless it is almost time for the next one.

Each Levolin Respules 1.25 mg/2.5 mL respule provides 1.25 mg of levosalbutamol in 2.5 mL for nebulization. How often it is used depends on the patient and the reason for treatment, but it is commonly prescribed every 6 to 8 hours as needed; the exact schedule and maximum daily use must be set by the doctor because this is a higher-strength product than the 0.63 mg/2.5 mL respule.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Levosalbutamol may include:

• Shakiness or tremor, which may be more noticeable with the 1.25 mg/2.5 mL strength
• Nervousness or feeling jittery
• Fast heartbeat or palpitations
• Headache
• Dizziness
• Throat irritation or cough after nebulization

• Do not use more often than prescribed, since the 1.25 mg/2.5 mL strength can cause more shaking and heart-related side effects if overused.
• Tell your doctor if you have heart disease, high blood pressure, irregular heartbeat, diabetes, hyperthyroidism, or seizures.
• Use caution if you are sensitive to stimulants, because this medicine can cause nervousness, tremor, and insomnia.
• Do not use it as the only medicine for long-term asthma control; it does not replace controller therapy.
• Tell your clinician about all inhaled asthma medicines, since using too many bronchodilators can increase side effects.
• Use caution when driving or doing tasks if you feel dizzy or shaky after treatment.
• If you need it more often than usual, contact your doctor because this can mean your asthma is getting worse.

• Other beta-agonists or bronchodilators, which can increase side effects
• Beta-blockers such as propranolol, which can reduce the effect of levosalbutamol
• Diuretics, which may increase the risk of low potassium
• Digoxin, because levosalbutamol-related changes in potassium can affect heart rhythm risk
• MAO inhibitors or tricyclic antidepressants, which may increase cardiovascular side effects

Store Levolin Respules 1.25 mg/2.5 mL in the original foil pouch or carton at room temperature and protect from light and excessive heat; do not use if the solution is discolored or if the respule is damaged.