Levosalbutamol: A bronchodilator that relaxes the muscles in the airways, making it easier to breathe.

Ipratropium: An anticholinergic that also relaxes the muscles in the airways, but works through a different mechanism than levosalbutamol.

Relieving symptoms of asthma, such as wheezing, shortness of breath, and chest tightness.

Treating chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.

Preventing exerciseinduced bronchospasm (EIB).

Levosalbutamol and ipratropium work together to relax the muscles in the airways, opening them up and making it easier to breathe. Levosalbutamol works by stimulating beta-2 receptors in the airways, while ipratropium blocks the action of acetylcholine, a neurotransmitter that causes airway constriction.

Store the medication at room temperature, away from heat and moisture. Keep it out of reach of children. Do not use the medication after the expiration date.

The dosage and frequency of administration will vary depending on the individual patient's needs and the severity of their condition.

It is important to follow the doctor's instructions carefully and not change the dosage or frequency of administration without consulting with them.

This medication is typically inhaled using a metered-dose inhaler (MDI) or a nebulizer.

The inhaler should be shaken well before each use.

Patients should hold their breath for several seconds after each inhalation to allow the medication to reach the lungs.

After using the inhaler, the mouth should be rinsed with water to prevent the development of thrush.

Dry mouth.

Cough.

Throat irritation.

Headache.

Tremors.

Fast heartbeat.

Nausea.

Muscle cramps.

Difficulty urinating.

Paradoxical bronchospasm (rare).

Alcohol Consumption

Alcohol may increase the risk of certain side effects, such as dizziness and drowsiness. It is best to avoid alcohol while taking this medication.



While Driving or Operating Machinery

This medication may cause dizziness or drowsiness. It is important to avoid driving or operating machinery until you know how this medication affects you.



Pregnant & Breastfeeding Women

This medication should only be used during pregnancy if the potential benefits outweigh the risks to the fetus. Consult with your doctor before using this medication if you are pregnant or breastfeeding.



Children

This medication is not typically recommended for children under the age of 12. However, your doctor may prescribe it if necessary.



Kidney

This medication is generally safe for patients with kidney disease.



Liver

This medication is generally safe for patients with liver disease.

https://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20353678

https://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679

https://www.ncbi.nlm.nih.gov/pubmed/28857582

https://www.webmd.com/asthma/guide/asthma-inhalers-how-they-work#1