Xopenex HFA

Generic Name: Levalbuterol

  • What is Xopenex HFA?

    Xopenex HFA treats and prevents airway tightness (bronchospasm) in adults and children ≥4 years with asthma. Xopenex HFA helps to relax the muscles that surround the airway passages in your lungs, to help you breathe easier.

  • What is the most important information I should know about Xopenex HFA?

    Rarely, instead of working the way it is intended, Xopenex HFA can cause a closing of the airway. This may occur with the first use of a new canister or vial. If this type of reaction occurs, stop using Xopenex HFA immediately and seek emergency medical attention.

    If you notice that you need more Xopenex HFA than usual, this may be a sign of your asthma worsening. If you experience this, contact your doctor right away.

    Use caution when taking this medication if you have high blood pressure, heart arrhythmia (irregular heartbeats), heart disease, or any other heart-related problems, due to the possible effects it may have on your heart or blood pressure.

    Xopenex HFA overdoses may be life-threatening. Do not take more Xopenex HFA than your doctor has prescribed.

    Xopenex HFA can sometimes cause an allergic reaction the first time you take it. Signs of this include rash, itching, trouble breathing, fluid buildup in the airway, or airway closure. Although rare, if this occurs, you should seek immediate emergency medical attention.

    High doses of Xopenex HFA may worsen diabetes and lead to other diabetic complications. If you are a diabetic you should monitor your blood sugar and report any changes to your doctor while taking Xopenex HFA.

  • Who should not take Xopenex HFA?

    You should not take Xopenex HFA if you have ever had an allergic reaction or sensitivity to Xopenex HFA or any of its ingredients.

  • What should I tell my doctor before I take the first dose of Xopenex HFA?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Xopenex HFA. Also, talk to your doctor about your complete medical history, especially if you have a history of heart disease, heart arrhythmia (irregular heartbeat), seizures, high levels of thyroid hormone, diabetes, high blood pressure, or low levels of potassium in your blood.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults and children ≥4 years: The recommended dose is 2 inhalations (90 mcg) repeated every 4-6 hours. In some patients, 1 inhalation every 4 hours may be enough.

  • How should I take Xopenex HFA?

    Shake well before using.

    Prime the inhaler before using it for the first time or if it has not been used for more than 3 days. Release 4 test sprays into the air, away from your face. Remove the cap from the mouthpiece. Breathe out fully through your mouth. While breathing in deeply and slowly through your mouth, fully depress the top of the metal canister with your finger. Hold your breath for 10 seconds, or as long as you comfortably can. If the doctor has prescribed more than a single puff, wait 1 minute between inhalations. Shake well and repeat.

    Keep the plastic actuator clean to maintain a good flow of medication, and prevent buildup or blockage. Wash by running warm water through the top and bottom for 30 seconds, shake to remove excess water, and air dry at least once a week. Do not submerge the metal canister in water.

    Throw away the canister after you have used 200 inhalations.

  • What should I avoid while taking Xopenex HFA?

    Do not take more Xopenex HFA or increase the frequency of your treatments without first checking with your doctor. Do not take Xopenex HFA within 2 weeks of taking MAOIs (monoamine oxidase inhibitors) or tricyclic antidepressants.

  • What are possible food and drug interactions associated with Xopenex HFA?

    If Xopenex HFA is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Xopenex HFA with the following: beta-blockers, digoxin, nonpotassium-sparing diuretics, MAOIs, and tricyclic antidepressants.

  • What are the possible side effects of Xopenex HFA?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: accidental injury, weakness, fever, headache, viral infection, muscle pain, asthma, sore throat, runny nose, eczema (an inflammation or irritation of the skin), rash, itching, vomiting, palpitations, chest pain, rapid heartbeat, nervousness

  • Can I receive Xopenex HFA if I am pregnant or breastfeeding?

    The effects of Xopenex HFA during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Xopenex HFA?

    If you forget to take Xopenex HFA, take it as soon as you remember. If it is closer to your next scheduled dose, skip the dose you missed and take Xopenex HFA according to your regular dosing schedule. Do not take two doses at once.

  • How should I store Xopenex HFA?

    Store at room temperature, and protect from freezing and direct sunlight. Store the inhaler with the mouthpiece down.

Meet the Pharmacists

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