Drug interactions
Albuterol + Levosalbutamol
Severity: Moderate
Albuterol and Levosalbutamol: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Levosalbutamol is the R-enantiomer of salbutamol (albuterol), so using both is therapeutic duplication. It adds beta-2 agonist effects such as tachycardia, tremor and hypokalemia without added benefit.
What this interaction means in plain words
Albuterol and Levosalbutamol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Why it happens
Duplicate beta-2 adrenergic agonism producing additive adverse effects.
What to do
Avoid using both together and choose a single short-acting beta-2 agonist. If both are given, monitor heart rate and serum potassium.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Albuterol and Levosalbutamol, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Levosalbutamol
Frequently asked questions
Can I take Albuterol with Levosalbutamol?
MediHelp rates the interaction as moderate. Albuterol and Levosalbutamol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Levosalbutamol is the R-enantiomer of salbutamol (albuterol), so using both is therapeutic duplication. It adds beta-2 agonist effects such as tachycardia, tremor and hypokalemia without added benefit.
How serious is the interaction between Albuterol and Levosalbutamol?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using both together and choose a single short-acting beta-2 agonist. If both are given, monitor heart rate and serum potassium.
What other medicines interact with Levosalbutamol?
MediHelp also lists interactions of Levosalbutamol with, for example, Amisulpride, Carvedilol, Fexinidazole. The full list is on the Levosalbutamol page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
