What is Xopenex used for. How does Levalbuterol Inhalation work. What are the potential side effects of Xopenex. How to properly use and store Levalbuterol Inhalation. Are there any precautions for pregnant or breastfeeding women using Xopenex. What drug interactions should be considered when taking Levalbuterol.

Understanding Xopenex: A Comprehensive Overview of Levalbuterol Inhalation

Xopenex, also known as Levalbuterol Inhalation, is a medication primarily used to treat respiratory conditions. This bronchodilator works by relaxing the muscles in the airways, making breathing easier for patients with various pulmonary issues. As we delve deeper into the specifics of this medication, it’s crucial to understand its uses, potential side effects, and proper administration techniques.

Primary Uses of Xopenex: Treating Respiratory Conditions

Xopenex is prescribed for several respiratory conditions, including:

• Chronic Obstructive Pulmonary Disease (COPD)
• Asthma
• Pulmonary Impairment
• Allergic Asthma

The active ingredient, levalbuterol, targets the smooth muscles in the airways, providing relief from bronchospasms and improving airflow. This makes Xopenex an essential medication for those struggling with breathing difficulties due to various respiratory conditions.

How does Xopenex work in treating these conditions?

Xopenex functions as a selective beta-2 adrenergic agonist. It stimulates beta-2 receptors in the lungs, which leads to the relaxation of bronchial smooth muscles. This action helps to open up the airways, allowing for easier breathing and reducing symptoms such as wheezing, coughing, and shortness of breath.

Important Safety Information and Precautions for Xopenex Users

Before using Xopenex, it’s crucial to be aware of certain safety considerations:

• Allergies: Do not use if you’re allergic to levalbuterol or albuterol
• Medical history: Inform your doctor about any history of heart disease, high blood pressure, congestive heart failure, seizure disorders, diabetes, or thyroid disorders
• Pregnancy and breastfeeding: The effects on unborn babies and nursing infants are not fully known
• Age restrictions: Not recommended for children under 4 years old (inhaler) or 6 years old (nebulizer solution)

These precautions ensure the safe and effective use of Xopenex, minimizing potential risks and maximizing therapeutic benefits.

Potential Side Effects of Levalbuterol Inhalation

While Xopenex is generally well-tolerated, it may cause certain side effects. These can range from mild to severe, and it’s important to be aware of them:

Common side effects of Xopenex

• Dizziness and nervousness
• Tremors
• Runny nose and sore throat
• Chest pain or tightness
• Irregular heartbeats
• Pain
• Vomiting

Severe side effects requiring immediate medical attention

• Signs of an allergic reaction (hives, difficulty breathing, swelling of face, lips, tongue, or throat)
• Wheezing or choking after using the medication
• Pounding or fluttering heartbeats
• Worsening asthma symptoms
• Symptoms of low potassium (leg cramps, constipation, irregular heartbeats, extreme thirst, increased urination, numbness or tingling, muscle weakness)

If you experience any of these severe side effects, it’s crucial to seek medical help immediately. Always report any unusual symptoms to your healthcare provider.

Proper Administration and Dosage Guidelines for Xopenex

Using Xopenex correctly is essential for its effectiveness and safety. Here are the key points to remember:

1. Follow your doctor’s instructions precisely
2. Do not alter the dosage without consulting your healthcare provider
3. Prime the inhaler before first use by pumping 4 test sprays into the air
4. Shake the inhaler for at least 5 seconds before each use
5. Clean the inhaler weekly and store it with the mouthpiece down
6. Keep the inhaler at room temperature, away from heat, sunlight, or freezing temperatures
7. Replace the inhaler when the dose indicator shows “0”

How to use the Xopenex inhaler correctly?

To ensure optimal delivery of the medication:

1. Shake the canister well before each spray
2. Uncap the mouthpiece and breathe out fully
3. Place the mouthpiece in your mouth, close your lips around it
4. Breathe in slowly while pushing down on the canister
5. Hold your breath for 10 seconds, then exhale slowly
6. Wait at least 1 minute before taking a second inhalation if prescribed

Following these steps ensures that you receive the full benefit of each dose of Xopenex.

Xopenex and Pregnancy: Understanding the Risks and Benefits

The use of Xopenex during pregnancy requires careful consideration. Current research hasn’t definitively determined whether levalbuterol can harm an unborn baby. Therefore, it’s crucial to discuss the potential risks and benefits with your healthcare provider if you’re pregnant or planning to become pregnant.

Can Xopenex be used while breastfeeding?

Similar to pregnancy, the effects of Xopenex on breastfeeding infants are not fully known. It’s unclear whether levalbuterol passes into breast milk or how it might affect a nursing baby. If you’re breastfeeding, consult your doctor before using Xopenex to weigh the potential risks against the benefits.

Drug Interactions and Lifestyle Considerations with Xopenex

When taking Xopenex, it’s important to be aware of potential drug interactions and lifestyle factors that could affect its efficacy or your overall health:

What substances should be avoided while using Xopenex?

While using Xopenex, it’s advisable to avoid:

• Smoking
• Exposure to cold, dry air during exercise
• Inhalation of dust
• Contact with allergens, such as pet fur

These factors can potentially exacerbate respiratory symptoms and counteract the beneficial effects of Xopenex.

Potential drug interactions with Xopenex

While specific drug interactions aren’t mentioned in the provided information, it’s crucial to inform your healthcare provider about all medications, supplements, and herbal products you’re taking. Some substances may interact with levalbuterol, potentially altering its effectiveness or increasing the risk of side effects.

Long-term Use and Monitoring of Xopenex Treatment

For patients using Xopenex as a long-term treatment for chronic respiratory conditions, regular monitoring is essential. This helps ensure the medication continues to be effective and safe over time.

How often should patients using Xopenex be evaluated?

The frequency of check-ups may vary based on individual patient needs, the severity of the condition, and any concurrent health issues. Typically, patients should have regular follow-ups with their healthcare provider to:

• Assess the effectiveness of the treatment
• Monitor for any side effects
• Adjust the dosage if necessary
• Evaluate overall lung function and respiratory health

These evaluations help ensure that Xopenex remains an appropriate and beneficial treatment option for each patient’s specific situation.

Xopenex vs. Other Bronchodilators: Comparative Analysis

While Xopenex (levalbuterol) is an effective bronchodilator, it’s not the only option available for treating respiratory conditions. Understanding how it compares to other medications can help patients and healthcare providers make informed decisions about treatment plans.

How does Xopenex differ from albuterol?

Xopenex and albuterol are closely related medications, but they have some key differences:

• Chemical composition: Xopenex contains only the active R-enantiomer of albuterol, while albuterol contains both R- and S-enantiomers
• Potency: Xopenex is generally considered more potent, allowing for lower doses
• Side effects: Some studies suggest Xopenex may have fewer side effects, particularly related to heart rate and tremors
• Cost: Xopenex is often more expensive than generic albuterol

The choice between Xopenex and albuterol often depends on individual patient response, side effect profiles, and cost considerations.

Emergency Situations: When to Seek Immediate Medical Attention

While Xopenex is designed to improve breathing, there are situations where immediate medical attention is necessary. Recognizing these scenarios is crucial for patient safety.

What symptoms indicate a medical emergency for Xopenex users?

Seek emergency medical help if you experience:

• Severe difficulty breathing or wheezing that worsens after using Xopenex
• Signs of an allergic reaction (hives, swelling of face/lips/tongue/throat, severe dizziness)
• Chest pain or irregular heartbeats
• Severe tremors or nervousness
• Worsening of asthma symptoms despite using Xopenex as prescribed

These symptoms could indicate a severe adverse reaction or insufficient control of the underlying respiratory condition, requiring immediate medical evaluation and potential adjustment of the treatment plan.

Patient Education: Maximizing the Benefits of Xopenex Treatment

Effective use of Xopenex goes beyond simply following dosage instructions. Patients can take several steps to enhance the medication’s effectiveness and manage their respiratory health more comprehensively.

What lifestyle changes can support Xopenex treatment?

To complement Xopenex therapy and improve overall respiratory health:

• Quit smoking and avoid secondhand smoke
• Maintain a healthy weight
• Exercise regularly, focusing on aerobic activities that improve lung function
• Manage stress through relaxation techniques
• Keep indoor air clean and free from allergens
• Stay up-to-date with vaccinations, especially flu and pneumonia shots

These lifestyle modifications, combined with proper use of Xopenex, can significantly improve respiratory function and quality of life for patients with chronic lung conditions.

Future Developments: Research and Innovations in Bronchodilator Therapy

The field of respiratory medicine is continually evolving, with ongoing research aimed at improving treatments for conditions like asthma and COPD. While Xopenex represents a significant advancement in bronchodilator therapy, scientists and pharmaceutical companies continue to explore new avenues for even more effective and targeted treatments.

What new bronchodilator therapies are on the horizon?

Some areas of current research and development include:

• Ultra-long-acting bronchodilators for once-daily or less frequent dosing
• Combination therapies that target multiple aspects of respiratory disease
• Novel delivery systems for more efficient medication administration
• Personalized medicine approaches based on genetic profiles
• Biologics that target specific inflammatory pathways in severe asthma

These advancements hold promise for more effective, convenient, and personalized treatments for respiratory conditions in the future. Patients currently using Xopenex should stay informed about these developments and discuss new options with their healthcare providers as they become available.

Xopenex (Levalbuterol Inhalation) – Side Effects, Interactions, Uses, Dosage, Warnings

uses

What is Xopenex (Levalbuterol Inhalation) used for?

• Chronic Obstructive Pulmonary Disease
• Asthma
• Pulmonary Impairment
• Allergic Asthma

warnings

What is the most important information I should know about Xopenex (Levalbuterol Inhalation)?

You should not use this medicine if you are allergic to levalbuterol or albuterol (Accuneb, ProAir, Proventil, Ventolin).

To make sure levalbuterol is safe for you, tell your doctor if you have:

• heart disease, high blood pressure, or congestive heart failure;
• a seizure disorder;
• diabetes; or
• a thyroid disorder.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether levalbuterol inhalation passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.

A levalbuterol inhaler should not be given to a child younger than 4 years old. Levalbuterol solution in a nebulizer should not be given to a child younger than 6 years old.

Side Effects

What are the side effects of Xopenex (Levalbuterol Inhalation)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• wheezing, choking, or other breathing problems after using this medicine;
• pounding heartbeats or fluttering in your chest;
• worsening asthma symptoms; or
• low potassium–leg cramps, constipation, irregular heartbeats, fluttering in your chest, extreme thirst, increased urination, numbness or tingling, muscle weakness or limp feeling.

Common side effects may include:

• dizziness, nervousness, tremors;
• runny nose, sore throat;
• chest pain or tightness, irregular heartbeats;
• pain; or
• vomiting.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Pregnancy & Breastfeeding

Can I take Xopenex (Levalbuterol Inhalation) if I’m pregnant or breastfeeding?

C

Risk cannot be ruled out

Based on FDA pregnancy categories

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether levalbuterol inhalation passes into breast milk or if it could affect the nursing baby. Tell your doctor if you are breast-feeding.

Interactions

What drugs and food should I avoid while taking Xopenex (Levalbuterol Inhalation)?

Avoid situations that may make your condition worse such as exercising in cold, dry air; smoking; breathing in dust; and exposure to allergens such as pet fur.

Dosage Guidelines & Tips

How to take Xopenex (Levalbuterol Inhalation)?

Use Xopenex (Levalbuterol Inhalation) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Any child using levalbuterol inhalation should be supervised by an adult while using this medicine.

Prime the inhaler device before your first use. Pump 4 test sprays into the air, away from your face. Shake the inhaler for at least 5 seconds before each spray. Prime again whenever the inhaler has not been used in longer than 3 days.

To use the inhaler:

• Shake the canister well just before each spray.
• Uncap the mouthpiece of the inhaler. Breathe out fully. Put the mouthpiece into your mouth and close your lips. Breathe in slowly while pushing down on the canister. Hold your breath for 10 seconds, then breathe out slowly.
• If you use more than one inhalation at a time, wait at least 1 minute before using the second inhalation and shake the inhaler again.
• Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Shake out the excess water and allow the parts to air dry completely before putting the inhaler back together.

Store the levalbuterol inhaler with the mouthpiece down. Keep the inhaler at room temperature away from heat, sunlight, or freezing temperatures. If your inhaler has a dose number indicator on it, throw away the inhaler when the number displays “0” to show that all sprays have been used.

Keep the inhaler canister away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.

Levalbuterol concentrate solution is given with a nebulizer. The concentrate must be mixed with a liquid (diluent) before using it. Ask your pharmacist about which diluent to use and where you can buy it. Be sure you understand how to properly mix the medicine and place it into the nebulizer.

To use the solution with a nebulizer:

• Open the foil pouch and empty the medicine into the chamber of the nebulizer. Add the correct amount of diluent as directed by your doctor.
• Attach the mouthpiece or face mask, then attach the drug chamber to the compressor.
• Sit upright in a comfortable position. Place the mouthpiece into your mouth or put on the face mask, covering your nose and mouth. Turn on the compressor.
• Breathe in slowly and evenly until no more mist is formed by the nebulizer and the drug chamber is empty.
• Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.

Do not use the nebulizer solution if it does not appear clear and colorless.

Store the levalbuterol concentrate vials in the protective foil pouch at room temperature, away from moisture, heat, and light. Keep each vial in the foil pouch until you are ready to prepare a dose in the nebulizer.

Each single-use plastic vial of levalbuterol concentrate is for one use only. Throw away after one use, even if there is still some medicine left in it after inhaling your dose.

Asthma is often treated with a combination of drugs. Use all medications as directed by your doctor. Do not change your doses or medication schedule without your doctor’s advice.

Using too much levalbuterol or using it too often can cause life-threatening side effects. Seek medical attention if you think your asthma medications are not working as well. An increased need for medication could be an early sign of a serious asthma attack.

What should I do if I missed a dose of Xopenex (Levalbuterol Inhalation)?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Overdose Signs

What happens if I overdose on Xopenex (Levalbuterol Inhalation)?

If you think you or someone else may have overdosed on: Xopenex (Levalbuterol Inhalation),  call your doctor or the Poison Control center

(800) 222-1222

If someone collapses or isn’t breathing after taking Xopenex (Levalbuterol Inhalation), call 911

911

Levalbuterol Tartrate (Xopenex HFA) for the Treatment of Bronchospasm

MICHELLE L. HILAIRE, PHARM.D., C.D.E., AND JANELL R. WOZNIAK, M.D., University of Wyoming School of Pharmacy, Laramie, Wyoming, and Fort Collins Family Medicine Residency Program, Fort Collins, Colorado

Am Fam Physician. 2007;75(2):247-248

Author disclosure: Nothing to disclose.

Levalbuterol tartrate (Xopenex hFa) is a beta₂-agonist, hydrofluoroalkane inhalation aerosol labeled for the treatment or prevention of bronchospasm in patients with reversible obstructive airway disease. Levalbuterol is the active R-isomer of albuterol (Proventil), which contains both the R- and S-isomers.

SAFETY

Levalbuterol tartrate shares the same safety concerns as albuterol and other drugs in this class. Class labeling on safety includes warnings about paradoxical bronchospasm, cardiovascular effects (because of the concern about a heightened risk of cardiovascular complications from long-acting beta₂ agonist use), and use in patients with worsening or deteriorating asthma. However, these effects have not been demonstrated with albuterol and levalbuterol tartrate specifically. Levalbuterol tartrate is a U.S. Food and drug administration pregnancy category C drug.

TOLERABILITY

Levalbuterol tartrate is well tolerated and seems to have a side-effect profile similar to that of albuterol; studies have not demonstrated any reduction in side effects with levalbuterol tartrate at equivalent doses. Dizziness (2.7 percent), pharyngitis (7.9 percent), and rhinitis (7.4 percent) occur infrequently but more often than with albuterol or placebo.¹

EFFECTIVENESS

Results from clinical trials in adults show levalbuterol tartrate to be as effective as albuterol in improving lung function as measured by percent change in forced expiratory volume in one second (FEV₁). ^1,2 The duration of action is approximately four hours in most persons and is similar to that of albuterol. Improved lung function is sustained over at least two months of continuous dosing. Based on one small study, the effect in children seems to be similar.¹ pre-dose FEV₁ values during chronic dosing (compared with baseline) have been significantly lower in patients receiving racemic albuterol compared with levalbuterol tartrate, suggesting a role of the S-isomer in the declining lung function observed during albuterol therapy.³

No research has compared levalbuterol tartrate inhalers and albuterol inhalers with regard to reduction in acute exacerbations, normalization of physical activity, symptom-free days, improvements in quality of life, control of airway hyperresponsiveness, normalization of chronic airway inflammation, or avoidance of adverse effects. However, there are studies that show comparable effectiveness in the nebulized forms of levalbuterol and albuterol. ⁴

One levalbuterol tartrate inhaler (200 metered actuations) will cost patients approximately $50 for a typical one-month supply. This is higher than the cost of a generic albuterol inhaler, which ranges from $5 to $30. Levalbuterol tartrate currently is considered a nonformulary medication by most managed care insurers.

SIMPLICITY

The usual dose of levalbuterol tartrate is two inhalations (90 mcg) every four to six hours in persons four years or older.² In some patients, one inhalation every four hours may be sufficient. As with all inhalers, it is important to remind patients to prime the inhaler before initial use and after three days of inactivity. The mouthpiece also should be washed weekly to maintain proper medication dosing.

Levalbuterol tartrate appears to be no more effective and offers no improvement in the side-effect profile compared with albuterol. The higher cost may make it appropriate for only a limited group of patients.

STEPS new drug reviews cover Safety, Tolerability, Effectiveness, Price, and Simplicity. Each independent review is provided by authors who have no financial association with the drug manufacturer.

This series is coordinated by Allen F. Shaughnessy, PharmD, assistant medical editor.

A collection of STEPS published in AFP is available at https://www.aafp.org/afp/steps.

Levalbuterol: Pediatric Medication | Memorial Sloan Kettering Cancer Center

Pediatric Medicine

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This document, provided by Lexicomp ^® , contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

Trade names: USA

Xopenex Concentrate [DSC]; Xopenex HFA; Xopenex [DSC]

What is this drug used for?

• It is used to open the airways in lung conditions where spasms can interfere with breathing.

What do I need to tell the doctor BEFORE my child takes this drug?

• If your child has an allergy to this drug, any of its ingredients, other drugs, foods, or substances. Tell the doctor about the allergy and how it manifested itself in the child.
• If your child is taking a similar drug. If in doubt, ask your child’s doctor or pharmacist for advice.
• If your child is using inhaled epinephrine.

This list of drugs and conditions that may interact with this drug is not exhaustive.

Talk to your doctor or pharmacist about all medicines your child is taking (prescription and over-the-counter, natural, and vitamins) and any health problems. You need to make sure that this drug is safe to use for your child’s illnesses and in combination with other drugs he or she is already taking. Do not start, stop taking, or change the dosage of any drug your child is taking without the doctor’s approval.

What do I need to know or do while my child is taking this drug?

All forms:

• Tell all health care providers who care for your child that your child is taking this drug. These are your child’s doctors, nurses, pharmacists and dentists.
• Make sure that the drug does not run out.
• Do not give this drug to your child at a higher dose or for longer than the doctor has told you. Taking this drug in too high doses has been fatal. Consult your doctor.
• Call your doctor right away if your child’s usual dose of the drug does not work, if the child’s condition worsens, or if the child has to use this drug more often than usual.
• If your child has high blood glucose (diabetes), check the child’s blood glucose regularly.

If your daughter is pregnant or breastfeeding:

• Consult physician if your daughter is pregnant, pregnant, or breastfeeding. The benefits and risks for your daughter and her baby will need to be discussed.

Inhalation solution:

• If the patient is a child under 6 years of age, seek medical advice. The safety and efficacy of this drug in children under 6 years of age have not been established.

Inhaler:

• If the patient is a child under 4 years of age, seek medical advice. The safety and efficacy of this drug in children under 4 years of age have not been established.

What side effects should I report to my child’s doctor right away?

WARNING/CAUTION: Although rare, some people may have very serious and sometimes deadly side effects of this drug. Call your child’s doctor right away or get medical help if your child has any of the following signs or symptoms that could be associated with a very bad side effect:

• Signs of an allergic reaction, such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly accompanied by fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat.
• Signs of high or low blood pressure, such as a very severe headache or dizziness, fainting, or changes in vision.
• Signs of low potassium, such as muscle pain or weakness, muscle cramps, or a feeling of irregular heartbeat.
• Chest pain, angina pectoris, tachycardia, or abnormal heart rhythm.
• This drug can sometimes cause severe breathing problems. This can be life threatening. When using the drug in an inhaler or as a liquid for inhalation, these disorders usually occur immediately after using the drug or when using a new cartridge or vial for the first time. If your child has difficulty breathing or wheezing or coughs, seek immediate medical attention.

What are some other side effects of this drug?

Any drug can cause side effects. However, for many people, side effects are either minor or non-existent. Contact your child’s doctor or seek medical attention if any of these or other side effects bother your child or if they persist:

• Nervous and exciting.
• Dizziness or headache.
• Runny nose.
• Shiver.
• Sore throat.
• Vomit.

This list of possible side effects is not exhaustive. If you have any questions about side effects, ask your child’s doctor. Talk to your child’s doctor about side effects.

You can report side effects to the National Health Board.

What is the best way to give this drug?

Give this drug to your child as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

Inhalation solution:

• For inhalation into the lungs only in the form of a liquid (solution) using a special device (nebulizer).
• Use only the type of nebulizer that you have been advised to use. If you are not sure which type of nebulizer to use, please consult your doctor.
• Do not use if solution is cloudy, leaking, or contains particles.
• Do not use if solution changes color.
• Some of these drugs must be mixed with saline before use. Ask your doctor or pharmacist if your child’s prescription needs to be mixed.
• Do not mix other medicines in the nebulizer.
• Do not allow the drug to get into the eyes of a child.
• If your child is prescribed not 1, but several inhaled drugs, check with the doctor which one should be used first.

Inhaler:

• For inhalation into the lungs.
• Shake well before use.
• If the inhaler will be used for the first time or has not been used for 3 days, it must be prepared. To do this, spray 4 doses of the drug into the air.
• After your child has finished taking the dose, close the cap.
• To facilitate the use of the inhaler, it can be used together with a spacer.
• Follow the cleaning instructions exactly.
• Some inhalers are equipped with a dose counter to keep track of how many doses are left. If this function is available, discard the inhaler when the dose counter shows “0”.
• Do not allow the drug to get into the eyes of a child.
• If your child is prescribed not 1, but several inhaled drugs, check with the doctor which one should be used first.

What if my child misses a dose of medication?

• If your child takes the drug regularly, give the missed dose as soon as you remember it.
• If it is time for your child to take the next dose, do not take the missed dose and then go back to your child’s normal schedule.
• Do not give a double dose at the same time or additional doses.
• In most cases, this drug is used as needed. Do not give your child the drug more often than prescribed by the doctor.

How do I store and/or discard this drug?

All forms:

• Store at room temperature. Don’t freeze.
• Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
• Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

Inhalation solution:

• Do not expose to heat and light.
• Store unused servings in foil pack until use.
• You should know how long and under what conditions you should store the drug after opening the foil package. If in doubt, consult your doctor or pharmacist.

Inhaler:

• Protect from light.
• Store with the mouthpiece.
• Protect from heat or open flame. Do not pierce or burn, even if it appears to be empty.

General information about medicines

• If your child’s symptoms or health problems do not improve, or worsen, contact your child’s doctor.
• Do not share your child’s medicine with others and do not give anyone else’s medicine to your child.
• Some medicines may come with other patient information leaflets. If you have questions about this drug, talk with your child’s doctor, nurse, pharmacist, or other health care professional.
• If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Consumer Use of Information and Limitation of Liability

This summary information includes a summary of the diagnosis, treatment, and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a particular patient. It should not be considered medical advice or a substitute for medical advice, diagnosis or treatment provided by a physician based on a medical examination and assessment of the patient’s specific and unique circumstances. Patients should consult with their physician for full information about their health, medical issues, and treatment options, including any risks or benefits regarding the use of medications. This information is not a guarantee that a treatment or drug is safe, effective, or approved for a particular patient. UpToDate, Inc. and its subsidiaries disclaim any warranties or liabilities related to this information or its use. The use of this information is subject to the Terms of Use found at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms.

Last revision date

2022-10-21

Copyright

© UpToDate, Inc. and its affiliates and/or licensors, 2023. All rights reserved.

Date last updated

Monday, December 12, 2022

Xopenex Hfa Aerosol / Xopenex Hfa Aerosol in English – Product

Xopenex Hfa Aerosol / Xopenex Hfa Aerosol in English – Product – TabletWise.com

About Us

• About Us
• Privacy Policy
• Terms of Use

• Overview
• Benefits
• Side Effects
• Precautions
• Interactions
• Contraindications

Overview

Xopenex Hfa Aerosol / Xopenex Hfa Aerosol is indicated for treatment of Bronchospasm in adults, Adolescents and children 4 years of age, Older with reversible obstructive airway disease and other conditions.

Xopenex Hfa Aerosol / Xopenex Hfa Aerosol contains the following active ingredients: Levalbuterol Tartrate. Available in aerosol form.

Detailed information regarding the use, composition, dosage, side effects of Xopenex Hfa Aerosol / Xopenex Hfa Aerosol, as well as user reviews are provided below:

Benefits the following diseases, conditions and symptoms:

• Bronchospasm in adults, adolescents and children 4 years old
• Older with reversible obstructive airway disease

Learn more: Benefits

Side effects

Below presents a list of possible side effects that can be caused by elements that are as part of Xopenex Hfa Aerosol / Xopenex Hfa Aerosol. This list is not final. These side effects have been recorded previously, but are not always recorded when using the drug. Some of these side effects may be extremely rare, but have incredibly severe consequences. If you notice any side effects, contact your doctor immediately. Especially in the case of observing side effects for a long time.

• Tremor
• Nervousness
• Pain
• Dizziness
• Choking
• Pharyngitis
• Rhinitis

9 0002 If you experience side effects not listed above, contact your healthcare provider for advice. In addition, you can report side effects to your local Food and Drug Administration.

Precautions

Before taking this drug, tell your doctor about any medications you are taking, dietary supplements (such as vitamins, natural supplements, etc.), allergies, existing medical conditions, and current health conditions (such as pregnancy, upcoming surgery, and etc.). The side effects of the drug may be more pronounced depending on the state of your body. Take this medicine as directed by your doctor, or follow the directions for use that come with your medicine. The dosage of the drug depends on your condition. Tell your doctor if there is no change or if your condition worsens. Important points to discuss with your healthcare provider are listed below.

• Cardiac arrhythmias
• Convulsive disorders
• hyperthyroidism
• hypokalemia
• coronary insufficiency
• high blood pressure
• diabetes mellitus
• choking

If you are taking other drugs or supplements at the same time as this drug, the performance of Xopenex Hfa Aerosol / Xopenex Hfa Aerosol may vary. Tell your healthcare provider about all medications, vitamins, and supplements you use. Your doctor will be able to make the right plan for taking the drug, which will avoid negative interactions. Xopenex Hfa Aerosol / Xopenex Hfa Aerosol may interact with the following drugs and products:

• Beta-blockers
• Digoxin
• Monoamine oxidase inhibitors
• Short-acting bronchodilators
• Thiazide diuretics
• Tricyclic antidepressants

Hypersensitivity to Xopenex Hfa Aerosol / Xopenex Hfa Aerosol is a contraindication. In addition, Xopenex Hfa Aerosol / Xopenex Hfa Aerosol should not be used if you have the following conditions:

• hypersensitivity

Composition and active ingredients

Xopenex Hfa / Xopenex Hfa Aerosol contains the following active ingredients (salts)

• Levalbuterol Tartrate

for each of the active ingredients listed above.

Packing options and strengths

Xopenex Hfa Aerosol / Xopenex Hfa Aerosol is available in the following packages and strengths

Available Packages Xopenex Hfa Aerosol / Xopenex Hfa Aerosol: EQ 0.045MG BASE/INH

FAQ

• Is it safe to drive or operate heavy machinery while using this product?

  If you experience drowsiness, dizziness, hypotension or a headache as side-effects when using Xopenex Hfa Aerosol / Xopenex Hfa Aerosol medicine then it may not be safe to drive a vehicle or operate heavy machinery. You should stop driving if taking this medicine makes you drowsy, dizzy, or hypotensive. Doctors recommend that you stop drinking alcohol with such drugs, because. alcohol greatly increases the side effects and drowsiness. Please check for these effects on your body when using Xopenex Hfa Aerosol / Xopenex Hfa Aerosol. Be sure to consult your doctor for advice based on the characteristics of your body and general health.

• Is this drug (product) addictive or addictive?

  Most drugs are not habit-forming or addictive. In most cases, the state classifies drugs that can be addictive as controlled dispensing drugs. For example, schedule H or X in India and schedule II-V in the USA. Please check the information on the drug packaging to make sure that this drug is not in the controlled category. Also, do not self-medicate or accustom your body to medications without consulting your doctor.

• Can I stop using this product immediately or do I need to slowly stop using it?

  Some medications need to be stopped gradually due to a rebound effect. Be sure to check with your healthcare provider for advice based on your body, general health, and other medications you may be taking.

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Xopenex Hfa Aerosol / Xopenex Hfa Aerosol

APA Style Citation

• Xopenex Aerosol Hfa / Xopenex Hfa Aerosol in English – Product – TabletWise.com. (n.d.). Retrieved April 29, 2023, from https://www.tabletwise.com/us-ru/xopenex-hfa-aerosol

MLA Style Citation

• “Xopenex Hfa Aerosol / Xopenex Hfa Aerosol in English – Product – TabletWise. com” Tabletwise.com . N.p., n.d. Web. 29 Apr. 2023.

Chicago Style Citation

• “Xopenex Hfa Aerosol in English – Product – TabletWise.com” Tabletwise. Accessed April 29, 2023. https://www.tabletwise.com/us-ru/xopenex-hfa-aerosol.

More information about Xopenex Hfa Aerosol / Xopenex Hfa Aerosol

• Uses of
• Reviews

• What are the uses of Xopenex Hfa Aerosol / Xopenex Hfa Aerosol?
• What are the side effects of Xopenex Hfa Aerosol / Xopenex Hfa Aerosol?
• What other medicines does Xopenex Hfa Aerosol / Xopenex Hfa Aerosol interact with?
• When should you not use Xopenex Hfa Aerosol / Xopenex Hfa Aerosol?
• What precautions should you take while using Xopenex Hfa Aerosol / Xopenex Hfa Aerosol?

Last updated date

This page was updated on 9/28/2020.