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Xopenex HFA

Generic Name: Levalbuterol Inhalation Aerosol (leve al BYOO ter ole)
Brand Name: Xopenex HFA

Medically reviewed by Drugs.com. Last updated on Aug 30, 2019.

Uses of Xopenex HFA:

  • It is used to open the airways in lung diseases where spasm may cause breathing problems.

What do I need to tell my doctor BEFORE I take Xopenex HFA?

  • If you have an allergy to levalbuterol, albuterol, or any other part of Xopenex HFA (levalbuterol inhalation aerosol).
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you are using another drug like this one. If you are not sure, ask your doctor or pharmacist.
  • If you are taking inhaled epinephrine.

This is not a list of all drugs or health problems that interact with Xopenex HFA (levalbuterol inhalation aerosol).

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Xopenex HFA (levalbuterol inhalation aerosol) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Xopenex HFA?

  • Tell all of your health care providers that you take Xopenex HFA (levalbuterol inhalation aerosol). This includes your doctors, nurses, pharmacists, and dentists.
  • Do not run out of Xopenex HFA (levalbuterol inhalation aerosol).
  • Do not take more of Xopenex HFA (levalbuterol inhalation aerosol) or use it more often than you have been told. Deaths have happened when too much of Xopenex HFA (levalbuterol inhalation aerosol) was taken. Talk with your doctor.
  • Call your doctor right away if your normal dose does not work well, if your signs get worse, or if you need to use Xopenex HFA (levalbuterol inhalation aerosol) more often than normal.
  • If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
  • If you are taking digoxin, talk with your doctor. You may need to have your blood work checked more closely while you are taking it with Xopenex HFA (levalbuterol inhalation aerosol).
  • If you are 65 or older, use Xopenex HFA (levalbuterol inhalation aerosol) with care. You could have more side effects.
  • This medicine is not approved for use in children younger than 4 years of age. The chance of side effects may be raised in children younger than 4 years of age. Talk with the doctor.
  • Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.

How is this medicine (Xopenex HFA) best taken?

Use Xopenex HFA (levalbuterol inhalation aerosol) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • Follow how to use as you have been told by the doctor or read the package insert.
  • Keep out of your eyes.
  • If you are using more than 1 inhaled drug, ask the doctor which drug to use first.
  • For breathing into the lungs.
  • Shake well before use.
  • Prepare the inhaler before first use or when the inhaler has not been used for 3 days. Spray 4 test sprays into the air.
  • Put the cap back on after you are done using your dose.
  • A spacer may be used with the inhaler for easy use.
  • Have your inhaler use checked with your doctor at each visit. Read and follow facts on how to use the inhaler. Make sure you use the inhaler the right way.
  • Follow how to clean carefully.
  • Some inhalers have a dose counter to keep track of how many doses are left. If your inhaler has a dose counter, throw the inhaler away when the dose counter has a 0 in it.

What do I do if I miss a dose?

  • If you use Xopenex HFA (levalbuterol inhalation aerosol) on a regular basis, use a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not use 2 doses at the same time or extra doses.
  • Many times Xopenex HFA (levalbuterol inhalation aerosol) is used on an as needed basis. Do not use more often than told by the doctor.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of high or low blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
  • Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal.
  • Chest pain or pressure or a fast heartbeat.
  • Very nervous and excitable.
  • This medicine may sometimes cause severe breathing problems. This may be life-threatening. When this happens with an inhaler or with liquid for breathing in, most of the time it happens right after a dose and after the first use of a new canister or vial of Xopenex HFA (levalbuterol inhalation aerosol). If you have trouble breathing, breathing that is worse, wheezing, or coughing, get medical help right away.

What are some other side effects of Xopenex HFA?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Feeling nervous and excitable.
  • Headache.
  • Dizziness.
  • Runny nose.
  • Shakiness.
  • Throat irritation.
  • Diarrhea.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Xopenex HFA?

  • Store at room temperature. Do not freeze.
  • Protect from light.
  • Store with the mouthpiece down.
  • Protect from heat or open flame. Do not puncture or burn even if it seems empty.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer information use

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Xopenex HFA (levalbuterol inhalation aerosol), please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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