Levolin (Levosalbutamol) Syrup Dosage for Bronchospasm
For treating bronchospasm with Levolin (levosalbutamol) syrup, the recommended dosage is 0.31 mg/3 mL for children under 5 years, 0.31-1.25 mg for children 5-11 years, and 0.63-1.25 mg for adults. 1
Age-Based Dosing Guidelines
- Children under 5 years: 0.31 mg/3 mL of Levolin syrup 2, 1
- Children 5-11 years: 0.31-1.25 mg of Levolin syrup 2, 1
- Adults and children 12+ years: 0.63-1.25 mg of Levolin syrup 2, 1
Administration Recommendations
- Levolin syrup should be administered via appropriate oral dosing device to ensure accurate measurement 1
- For persistent bronchospasm, doses may be repeated every 4-6 hours as needed 1
- When treating acute bronchospasm exacerbations, more frequent dosing may be required initially (every 20 minutes for up to 3 doses) 1
Clinical Considerations
- Levosalbutamol (R-albuterol) is the active isomer of racemic albuterol and provides comparable efficacy at approximately half the dose 3
- Levosalbutamol may have fewer beta-mediated adverse effects compared to racemic albuterol at equivalent bronchodilatory doses 3
- For severe bronchospasm not responding to standard dosing, consider increasing the dose or frequency under medical supervision 2
Monitoring and Safety
- Common side effects include tremor (1%), palpitation (0.9%), and vomiting (0.7%), which are typically mild and transient 4
- Monitor for tachycardia, skeletal muscle tremor, hypokalemia, headache, and hyperglycemia 1
- Increasing need for Levolin syrup or lack of expected effect indicates diminishing bronchospasm control and may require adjustment of controller medications 1
Special Populations
- For patients with LRTI, AECB, bronchial asthma, or allergic rhinitis causing cough with bronchospasm, Levolin has shown effectiveness in both adults and children 4
- In severe cases of bronchospasm not responding to oral therapy, consider switching to nebulized levosalbutamol or referral for additional treatment 2, 1
Important Considerations
- Levolin syrup is compatible with most mucolytics and expectorants when used in combination formulations for cough with bronchospasm 4
- Regular use exceeding twice weekly for symptom control indicates poor asthma control and need for controller medication adjustment 1
- For exercise-induced bronchospasm, administer 15-30 minutes before anticipated exercise 1
Remember that while Levolin syrup is effective for acute symptom relief, it is not a replacement for controller medications in persistent asthma or chronic bronchospasm conditions.