Brand Name Actisal
Type Tablet
Weight 2 mg
Generic Levosalbutamol
Manufacturer Silva Pharmaceuticals Ltd.
Price Unit: ৳ 1.71 (10 x 10: ৳ 171.00) Strip: ৳ 17.10

About Actisal

Actisal Tablet (Silva Pharmaceuticals Ltd.) is a brand medicine containing the generic Levosalbutamol . Current listed price in Bangladesh: Unit: ৳ 1.71 (10 x 10: ৳ 171.00) Strip: ৳ 17.10.

Medical information for Actisal Tablet 2 mg

Uses, dosage, side effects, and safety details below apply to Actisal Tablet 2 mg (generic: Levosalbutamol). This is general information — consult a doctor before use.

Introduction

Actisal Tablet 2 mg, or levalbuterol, is a short-acting β2 adrenergic receptor agonist used in the treatment of asthma and chronic obstructive pulmonary disease (COPD). The enantioselective disposition of salbutamol and the possibility that (S)-salbutamol has adverse effects have led to the development of an enantiomerically pure (R)-salbutamol formulation known as levosalbutamol (levalbuterol).

Uses

Actisal Tablet 2 mg is a beta-2 adrenergic receptor agonist used to treat COPD and asthma.

Indicated for the management of COPD (chronic obstructive pulmonary disease, also known as chronic obstructive lung disease) and asthma.

Associated Conditions

  • Bronchospasm

Pharmacodynamics

It acts by relaxing smooth muscle in the bronchial tubes to increase air flow and relieve acute shortness of breath.

Mechanism of Action

β2 adrenergic receptors on airway smooth muscle are Gs coupled and their activation by levosalbutamol leads to activation of adenylate cyclase and to an increase in the intracellular concentration of 3',5'-cyclic adenosine monophosphate (cyclic AMP). Increased cyclic AMP activates protein kinase A which itself inhibits the phosphorylation of myosin produces lower intracellular ionic calcium concentrations, inducing muscle relaxation. Increased cyclic AMP concentrations are also associated with the inhibition of the release of mediators from mast cells in the airways, potentially contributing to its benefit in asthma attacks.

Absorption

Inhalation delivers the medication directly into the airways and lungs, thereby minimizing side effects because of reduced systemic absorption of the inhaled medications.

Protein Binding

plasma protein binding is relatively low.

Route of Elimination

excreted into the urine.

Half Life

3.3 - 4 hours

Food Interactions

No interactions found.

Frequently Asked Questions About Actisal Tablet 2 mg

1. What is Actisal Tablet 2 mg?

Actisal Tablet 2 mg (also called Levalbuterol) is a bronchodilator used to treat respiratory conditions like asthma and chronic obstructive pulmonary disease (COPD). It helps relax airway muscles and improve breathing.

2. How does Actisal Tablet 2 mg work?

Actisal Tablet 2 mg selectively stimulates beta-2 adrenergic receptors in the lungs, leading to smooth muscle relaxation and bronchodilation, which helps open up the airways.

3. What conditions is Actisal Tablet 2 mg used to treat?

  • Asthma
  • Chronic obstructive pulmonary disease (COPD)
  • Bronchospasm
  • Exercise-induced bronchoconstriction

4. What forms does Actisal Tablet 2 mg come in?

  • Inhaler
  • Nebulizer solution
  • Tablet
  • Syrup

5. How should Actisal Tablet 2 mg be used?

Actisal Tablet 2 mg is usually taken via inhalation using a nebulizer or inhaler. The dosage and frequency depend on the severity of the condition.

6. What is the usual dosage for adults?

  • Inhaler: 90 mcg per puff, 1-2 puffs every 4-6 hours
  • Nebulizer: 0.63 mg or 1.25 mg every 6-8 hours

7. Can Actisal Tablet 2 mg be used in children?

Yes, it is prescribed for children, but the dosage is adjusted based on age and weight.

8. What is the difference between Actisal Tablet 2 mg and Salbutamol?

Actisal Tablet 2 mg is the active "R-enantiomer" of Salbutamol, which is believed to cause fewer side effects like tremors and palpitations while maintaining the same bronchodilation effect.

9. How quickly does Actisal Tablet 2 mg work?

It starts working within 5-15 minutes, and its effects last for 4-6 hours.

10. Can Actisal Tablet 2 mg be used for an acute asthma attack?

Yes, it is a fast-acting bronchodilator and is used for quick relief during asthma attacks.

11. Can Actisal Tablet 2 mg be used for long-term asthma management?

It is mainly a rescue medication. Long-term management usually involves corticosteroids or other controller medications.

12. What are the common side effects of Actisal Tablet 2 mg?

  • Tremors
  • Palpitations
  • Nervousness
  • Headache
  • Dizziness

13. Can Actisal Tablet 2 mg cause allergic reactions?

Yes, though rare, allergic reactions such as rashes, swelling, and difficulty breathing can occur.

14. Can Actisal Tablet 2 mg cause high blood pressure?

It may cause a temporary increase in heart rate and blood pressure, but this is usually mild.

15. What should I do if I miss a dose?

Take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose and continue your schedule.

16. Can I overdose on Actisal Tablet 2 mg?

Yes, overdose symptoms include severe tremors, fast heartbeat, chest pain, and seizures. Seek immediate medical help in case of overdose.

17. Can Actisal Tablet 2 mg be used for COPD?

Yes, it is often used to relieve symptoms of COPD, such as shortness of breath.

18. Can I use Actisal Tablet 2 mg daily?

Yes, but frequent use may indicate poor asthma control, and your doctor may adjust your medication.

19. Can Actisal Tablet 2 mg be used with steroids?

Yes, it is often combined with corticosteroids for better asthma and COPD management.

20. Can pregnant women take Actisal Tablet 2 mg?

It is used if the benefits outweigh the risks. Consult your doctor before using it during pregnancy.

21. Can Actisal Tablet 2 mg be used during breastfeeding?

It can pass into breast milk in small amounts, so consult your doctor before use.

22. Can Actisal Tablet 2 mg cause insomnia?

Yes, since it stimulates the nervous system, it may cause trouble sleeping.

23. Is Actisal Tablet 2 mg addictive?

No, but overuse can lead to reduced effectiveness over time.

24. Can I drink alcohol while using Actisal Tablet 2 mg?

Alcohol may increase side effects like dizziness, so it is best to avoid it.

25. Can Actisal Tablet 2 mg be taken with other asthma medications?

Yes, it is often used with inhaled steroids or other long-acting bronchodilators.

26. Can Actisal Tablet 2 mg be used for exercise-induced asthma?

Yes, using an inhaler 15-30 minutes before exercise can help prevent asthma symptoms.

27. What should I do if Actisal Tablet 2 mg doesn’t work?

Seek medical attention if symptoms persist despite using the prescribed dose.

28. Can Actisal Tablet 2 mg be used in nebulizers?

Yes, it is available as a nebulizing solution for inhalation therapy.

29. Does Actisal Tablet 2 mg cause weight gain?

No, it does not cause weight gain.

30. Can Actisal Tablet 2 mg affect blood sugar levels?

Yes, it may cause temporary increases in blood sugar, especially in diabetics.

31. How should Actisal Tablet 2 mg be stored?

Keep it at room temperature, away from moisture and heat.

32. Does Actisal Tablet 2 mg interact with beta-blockers?

Yes, beta-blockers like propranolol may reduce its effectiveness.

33. Can children use Actisal Tablet 2 mg syrup?

Yes, syrup form is prescribed for young children under a doctor's supervision.

34. How often can I use a Actisal Tablet 2 mg inhaler?

Usually every 4-6 hours as needed, but do not exceed the prescribed dose.

35. Can Actisal Tablet 2 mg cause chest pain?

Rarely, but if chest pain occurs, seek medical attention immediately.

36. Is Actisal Tablet 2 mg a steroid?

No, it is a bronchodilator, not a steroid.

37. Can I use Actisal Tablet 2 mg with antibiotics?

Yes, but inform your doctor about all medications you are taking.

38. Can Actisal Tablet 2 mg be used for cough?

It is used if the cough is due to bronchospasm.

39. Can Actisal Tablet 2 mg be used in heart patients?

Caution is needed as it can increase heart rate.

40. What happens if I stop using Actisal Tablet 2 mg suddenly?

Stopping suddenly does not cause withdrawal, but symptoms may return.

41. Can I drive after using Actisal Tablet 2 mg?

Yes, unless you experience dizziness or tremors.

42. Can Actisal Tablet 2 mg be used for pneumonia?

It may help in pneumonia with bronchospasm but does not treat the infection.

43. Can I take Actisal Tablet 2 mg with antihistamines?

Yes, but consult your doctor.

44. Can Actisal Tablet 2 mg cause dehydration?

No, but drink plenty of fluids to avoid dry mouth.

45. Is Actisal Tablet 2 mg available over-the-counter?

No, it requires a prescription.

46. Can it be used in smokers?

Yes, but smoking worsens lung conditions.

47. Can it cause dizziness?

Yes, dizziness is a common side effect.

48. Can Actisal Tablet 2 mg be used in emergencies?

Yes, for acute bronchospasm.

49. Can Actisal Tablet 2 mg be used long-term?

It is mainly for short-term relief.

50. Can it be used for allergies?

Only if allergies cause bronchospasm.

Medical review

Last reviewed: 24 Jul 2026

Medically reviewed by:

This is general information, not personal medical advice. Consult a doctor before taking any medicine.

Taking medicines without doctor's advice can cause long-term problems.
Prof. Dr. Md. Rafiqul Islam

Prof. Dr. Md. Rafiqul Islam

Neurology & Medicine Specialist

Call Doctor
Dr. Obaydul Haque

Dr. Obaydul Haque

Orthopedic Specialist

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Dr. Harun Or Rashid

Dr. Harun Or Rashid

ENT (Ear, Nose, Throat) Specialist & Head Neck Surgeon

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