
8X Cream
Cipla Limited - Cream - 30 G
Prescription required
Levosalbutamol (as Levosalbutamol Sulphate) 50 mcg + Ipratropium Bromide 20 mcg per actuation (inhalation aerosol)
Levolin R/C is used for relief and prevention of bronchospasm in asthma and chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; used when combination bronchodilation is required.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Levolin R/C contains Levosalbutamol (as Levosalbutamol Sulphate) 50 mcg + Ipratropium Bromide 20 mcg per actuation (inhalation aerosol). It belongs to the Beta-2 adrenergic agonist + Anticholinergic (SABA + SAMA) class of medicines.
Relief and prevention of bronchospasm in asthma and chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; used when combination bronchodilation is required.
Levosalbutamol is a selective beta-2 agonist that relaxes bronchial smooth muscle and widens the airways. Ipratropium is an anticholinergic that blocks muscarinic receptors in the lungs, reducing bronchoconstriction and mucus secretion. Together they provide additive bronchodilation and improve breathing.
For inhalation use only. Use exactly as prescribed. Shake well before use; exhale fully, seal lips around mouthpiece, press canister and inhale deeply, then hold breath ~10 seconds. Typical adult dosing is 1–2 puffs up to 3–4 times daily as directed; wait ~1 minute between puffs. Can be used with or without food; rinse mouth after use and clean mouthpiece regularly.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
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.
Most side effects of Levolin R/C are mild and settle as the body adjusts. Reported side effects include:
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.
| Pregnancy | Use with caution / Consult doctor |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | No known interaction |
| Driving | Not expected to affect your ability to drive. |
| Kidney | No dose change is usually needed in kidney disease. |
| Liver | Use with caution if you have liver disease — your doctor may adjust the dose or monitor your liver function. |
| Habit forming | No |
Use with caution in heart disease (arrhythmia, ischemic heart disease), hypertension, hyperthyroidism, diabetes, seizure disorders and glaucoma; avoid spray in eyes (may worsen narrow-angle glaucoma). May cause paradoxical bronchospasm—stop and seek medical help if wheezing/breathlessness worsens after use. Do not exceed prescribed dose. If symptoms are not controlled or rescue use increases, consult a doctor. Use caution in prostatic hyperplasia/urinary retention. Not a substitute for anti-inflammatory controller therapy if prescribed (e.g., inhaled steroids).
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.
Other beta-agonists or sympathomimetics (increased side effects), beta-blockers (may reduce effect and precipitate bronchospasm), MAO inhibitors/tricyclic antidepressants (enhanced cardiovascular effects), diuretics/corticosteroids/xanthines like theophylline (risk of hypokalemia), anticholinergics (additive anticholinergic effects)
Store below 25°C, protect from heat/direct sunlight. Do not freeze. Pressurized container: do not puncture or burn even when empty. Keep away from moisture and out of reach of children.
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.

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The information on Levolin R/C 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.