What is the recommended dose of Syr Ascoril LS Junior (Levosalbutamol) for a 7-month-old child?

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Recommended Dosage of Levosalbutamol (Syr Ascoril LS Junior) for a 7-Month-Old Child

For a 7-month-old child, the recommended dosage of Levosalbutamol (Syr Ascoril LS Junior) should be calculated based on weight at 3 mg/kg per dose, given twice daily. 1

Dosage Calculation Principles

  • For infants under 12 months of age, careful weight-based dosing is essential to avoid adverse effects 1
  • For children weighing less than 15 kg, dosing should be calculated by weight rather than using standard fixed doses 1
  • The medication should be administered using the provided measuring device to ensure accurate dosing 1

Administration Guidelines

  • The medication should be given at evenly spaced intervals throughout the day to maintain consistent therapeutic levels 1
  • For infants, the syrup formulation is preferred over other delivery methods due to ease of administration 2
  • Administer the medication consistently at the same times each day to maintain therapeutic effect 1

Safety Considerations

  • Levosalbutamol has a more favorable safety profile compared to racemic salbutamol (albuterol) in pediatric patients 3, 4
  • Lower doses of levosalbutamol have demonstrated efficacy comparable to higher doses of racemic albuterol while causing fewer side effects 4
  • Common side effects to monitor for include tremor (1%), palpitations (0.9%), and vomiting (0.7%), which are typically mild and transient 2

Monitoring

  • Observe for clinical improvement in respiratory symptoms within 48-72 hours of starting therapy 1
  • If symptoms worsen or do not improve within 72 hours, medical reevaluation is necessary 1
  • Monitor heart rate and respiratory rate before and after administration to assess response and detect potential adverse effects 5

Clinical Efficacy

  • Levosalbutamol has been shown to be effective for respiratory conditions in both adults and children 2
  • Studies have demonstrated that levosalbutamol causes less tachycardia compared to racemic salbutamol while providing equivalent or superior bronchodilation 5
  • The R-isomer in levosalbutamol is the therapeutically active component, while avoiding potential adverse effects associated with the S-isomer present in racemic formulations 3

References

Guideline

Dosage and Administration of Levosalbutamol in Infants

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Levosalbutamol.

BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 1999

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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