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Prescription requiredAnti-asthmatic

Combimist L Respules

Ipratropium (500mcg) + Levosalbutamol (1.25mg)

Combimist L Respules is used for combimist-L Respules 2.5ml is used in the treatment of chronic obstructive pulmonary disease.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

₹26
Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Ipratropium (500mcg) + Levosalbutamol (1.25mg)
Available variants: respule respule 2.5ML
Best price: ₹26
Prescription: Required
Manufacturer: G

Ordering notes

Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Combimist L Respules

Combimist L Respules contains Ipratropium (500mcg) + Levosalbutamol (1.25mg). It belongs to the Inhaled bronchodilator / corticosteroid class of medicines.

Uses of Combimist L Respules

Combimist-L Respules 2.5ml is used in the treatment of chronic obstructive pulmonary disease.

Key benefits

  • Acts directly in the lungs with minimal effect elsewhere
  • Prevents attacks when used daily as a preventer
  • Portable and fast acting

How Combimist L Respules works

Combimist-L Respules 2.5ml is a combination of two medicines: Salbutamol/Albuterol and Ipratropium. Salbutamol/Albuterol is a bronchodilator while Ipratropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.

How to take Combimist L Respules

Use this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Twist off the top of the respule/transpule and squeeze all the liquid into the nebulizer. It should be used right away after opening.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Apply it as soon as you remember. If it is nearly time for the next application, skip the missed one — applying extra does not make up for it.

If you take too much

An overdose of this medicine can cause a racing heart, marked tremor, headache and a fall in blood potassium. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Combimist L Respules

Most side effects of Combimist L are mild and settle as the body adjusts. Reported side effects include:

  • Dryness in mouth Shortness of breath Cough Tremor Headache Palpitations Muscle cramp

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Combimist L Respules

PregnancyCombimist-L Respules 2.5ml may be unsafe to use during pregnancy.<br>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
BreastfeedingCombimist-L Respules 2.5ml is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
AlcoholCombimist-L Respules 2.5ml may cause excessive drowsiness and calmness with alcohol.
DrivingNot expected to affect your ability to drive.
KidneyNo interaction found/established
LiverNo interaction found/established
Habit formingNo

Warnings and precautions

Know which of your inhalers is the reliever and which is the preventer. A preventer must be used every day even when you feel well; a reliever is for symptoms. Seek emergency care if your reliever is not working, if you cannot speak a full sentence, or if you are using the reliever far more often than usual. Rinse your mouth with water and spit it out after every steroid inhaler dose to prevent thrush and hoarseness. Ask your doctor or pharmacist to watch your technique — poor technique is the commonest reason an inhaler seems not to work. Use a spacer if one has been advised, particularly for children.

Do not take Combimist L if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to the propellant used in the inhaler.

Interactions with other medicines

Beta blockers, including eye drops for glaucoma, can tighten the airways and reduce the effect of your reliever.

How to store Combimist L Respules

Store below 30°C, away from direct sunlight and heat. Do not puncture or burn the canister, even when empty. Keep out of the reach of children.

Expert advice for Combimist L Respules

Keep a spare reliever and check the counter so you are not caught with an empty one. Follow your written asthma action plan if you have one. Do not stop a preventer because you feel better — that is the medicine working.

Manufacturer and class

Manufacturer:
G
Therapeutic class:
Anti-asthmatic
Drug class:
Inhaled bronchodilator / corticosteroid

Substitutes for Combimist L Respules

Medicines with the same active ingredient (Ipratropium (500mcg) + Levosalbutamol (1.25mg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Combimist L Respules
Iprasure PulmulesALKEM LAB2.5ML₹1734% cheaper
New Duoprl Ld RespulesPRISTINE PEARL PHARMArespule · 5X2.5ML₹84221% more
Dutaresp MistpulesJB CHEMICALS5X2.5ML₹128389% more
See all substitutes and alternatives

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Combimist L Respules FAQs

What is Combimist L Respules used for?
Combimist L Respules is commonly used for Combimist-L Respules 2.5ml is used in the treatment of chronic obstructive pulmonary disease. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Combimist L Respules?
Combimist L Respules contains Ipratropium (500mcg) + Levosalbutamol (1.25mg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Combimist L Respules?
Use this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Combimist L Respules work?
Combimist-L Respules 2.5ml is a combination of two medicines: Salbutamol/Albuterol and Ipratropium.
Is Combimist L Respules a prescription medicine?
Yes. Combimist L Respules is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Combimist L Respules?
The side effects reported most often with Combimist L are Dryness in mouth Shortness of breath Cough Tremor Headache Palpitations Muscle cramp. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Combimist L Respules be taken during pregnancy?
Combimist-L Respules 2.5ml may be unsafe to use during pregnancy.<br>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Combimist L.
Can I drink alcohol while taking Combimist L Respules?
Combimist-L Respules 2.5ml may cause excessive drowsiness and calmness with alcohol.
What if I miss a dose of Combimist L Respules?
Apply it as soon as you remember.
Is Combimist L Respules habit forming?
No. Combimist L Respules is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Combimist L Respules?
Iprasure Pulmules has the same active ingredient and strength and is listed from ₹17 on PingMeDoc Pharmacy. Ask your doctor or pharmacist before switching brands, the salt is the same, but excipients and release profiles can differ.
How much does Combimist L Respules cost on PingMeDoc Pharmacy?
Combimist L Respules starts at ₹26 on PingMeDoc Pharmacy. Available in respule respule 2.5ML. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Combimist L Respules?
Combimist L Respules is manufactured by G. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Combimist L Respules delivered?
Combimist L Respules is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Combimist L Respules, Quick facts

Salt
Ipratropium (500mcg) + Levosalbutamol (1.25mg)
Form
respule
Best price
₹26
Prescription
Required (Rx)
Schedule
Schedule H
Manufacturer
G
Therapeutic class
Anti-asthmatic
Drug class
Inhaled bronchodilator / corticosteroid
Habit forming
No
Variants
respule respule 2.5ML
Delivery
Standard across India

References

The information on Combimist L Respules is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Combimist L Respules.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.