Bromol 1 mg/5 ml Syrup

Short-acting bronchodilator (the active form of salbutamol) for:

• Relief and prevention of wheezing and breathlessness in asthma
• COPD and bronchitis with bronchospasm
• Exercise-induced bronchospasm

Adults and children over 12 years:

• Tablet: 1–2 mg three times daily.
• Syrup (1 mg/5 ml): 5–10 ml three times daily.
• Inhaler (50 mcg/puff): 1–2 puffs every 4–6 hours as needed.
• Nebuliser solution: 0.63–1.25 mg three times daily.

Children 6–12 years: tablet/syrup 1 mg (5 ml) three times daily; inhaler 1–2 puffs as needed.

Children 2–6 years: syrup 0.5–1 mg (2.5–5 ml) three times daily.

• If the inhaler is needed more than usual, asthma is uncontrolled — see a doctor.

• Allergy to levosalbutamol or salbutamol
• Threatened miscarriage (oral forms)

Common: tremor, palpitations, fast heartbeat, headache, nervousness, muscle cramps.

Less common: dizziness, nausea, sleep problems.

Rare but serious: low potassium (high doses), irregular heartbeat, paradoxical bronchospasm, allergic reactions.

• Heart disease, irregular heartbeat, high blood pressure, overactive thyroid, diabetes: use with caution.
• Severe asthma: check potassium with high-dose use.
• Not a substitute for preventer (steroid) inhalers.

Inhaled forms may be used in pregnancy and breastfeeding when needed; oral forms only on medical advice.

• Beta-blockers, especially non-selective (propranolol) — block its effect
• Diuretics, steroids, theophylline (low potassium)
• MAO inhibitors, tricyclic antidepressants (heart effects)
• Digoxin (levels may fall)

Fast heartbeat, tremor, chest pain, low potassium, high blood sugar. Seek medical care.

Store below 30°C. Inhaler: do not puncture or burn; protect from heat.