Brand Name Letol
Type Tablet
Weight 2 mg
Generic Levosalbutamol
Manufacturer Globe Pharmaceuticals Ltd.
Price Unit: ৳ 1.70 (100s pack: ৳ 170.00)

About Letol

Letol Tablet (Globe Pharmaceuticals Ltd.) is a brand medicine containing the generic Levosalbutamol . Current listed price in Bangladesh: Unit: ৳ 1.70 (100s pack: ৳ 170.00).

Medical information for Letol Tablet 2 mg

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

Introduction

Letol 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

Letol 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 Letol Tablet 2 mg

1. What is Letol Tablet 2 mg?

Letol 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 Letol Tablet 2 mg work?

Letol 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 Letol Tablet 2 mg used to treat?

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

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

  • Inhaler
  • Nebulizer solution
  • Tablet
  • Syrup

5. How should Letol Tablet 2 mg be used?

Letol 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 Letol 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 Letol Tablet 2 mg and Salbutamol?

Letol 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 Letol Tablet 2 mg work?

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

10. Can Letol 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 Letol 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 Letol Tablet 2 mg?

  • Tremors
  • Palpitations
  • Nervousness
  • Headache
  • Dizziness

13. Can Letol Tablet 2 mg cause allergic reactions?

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

14. Can Letol 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 Letol 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 Letol 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 Letol Tablet 2 mg daily?

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

19. Can Letol 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 Letol Tablet 2 mg?

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

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

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

22. Can Letol Tablet 2 mg cause insomnia?

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

23. Is Letol Tablet 2 mg addictive?

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

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

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

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

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

26. Can Letol 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 Letol Tablet 2 mg doesn’t work?

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

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

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

29. Does Letol Tablet 2 mg cause weight gain?

No, it does not cause weight gain.

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

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

31. How should Letol Tablet 2 mg be stored?

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

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

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

33. Can children use Letol Tablet 2 mg syrup?

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

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

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

35. Can Letol Tablet 2 mg cause chest pain?

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

36. Is Letol Tablet 2 mg a steroid?

No, it is a bronchodilator, not a steroid.

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

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

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

It is used if the cough is due to bronchospasm.

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

Caution is needed as it can increase heart rate.

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

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

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

Yes, unless you experience dizziness or tremors.

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

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

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

Yes, but consult your doctor.

44. Can Letol Tablet 2 mg cause dehydration?

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

45. Is Letol 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 Letol Tablet 2 mg be used in emergencies?

Yes, for acute bronchospasm.

49. Can Letol 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

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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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