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Xopenex Concentrate

Generic Name: levalbuterol inhalation Inhalation of levalbuterol (leh-val BYOO-ter-all) [ leh-val-BYOO-ter-all
Names of brands: Xopenex, Xopenex HFA, and Xopenex Concentrate
Drug class: Adrenergic bronchodilators

What is Xopenex Concentrate?

Levalbuterol Levalbuterol is an anti-bronchodilator with short-acting effects that relaxes the muscles of the airways and improves the flow of air to the lungs.

Xopenex Concentrate can be used to treat or stop the occurrence of asthma attacks among adults as well as children as young as 4 years old.

Xopenex concentrate can also be used to treat conditions not mentioned in this medication guide.

Side effects of Xopenex Concentrate

See a doctor immediately. Get medical attention immediately if you notice symptoms that are warning signs of an allergic response, such as hives, difficulty breathing, and swelling of your lips, face, or tongue.

Xopenex concentrate could cause severe adverse effects. Consult your physician immediately in the event that you experience:

  • Wheezing, choking, or breathing issues following the use of Xopenex Concentrate
  • Beats of your heart, or the sound of fluttering your chest
  • Worsening asthma symptoms;
  • Low potassium: leg cramps, constipation, irregular heartbeats, fluttering around your chest, intense thirst, frequent urination, tenderness or tingling in your muscles, weakness, or a feeling of limpness

Common negative results of Xopenex Concentrate include:

  • Dizziness, nervousness, and tremors;
  • Runny nose, sore throat;
  • Chest tension or tightness; irregular heartbeats;
  • Discomfort

It's not a comprehensive listing of all possible adverse consequences, but other consequences could also occur. Consult your physician to seek medical advice on the effects. If you experience any side negative effects to the FDA by calling 1-800-FDA-1088.


Follow the directions on the label of your medication and the package. Inform your health care providers about your medical issues, allergies, and any other medications you take.

Consult a doctor. If you believe your asthma medication isn't working as it should,

Before you take this drug

It is not recommended to make use of Xopenex Concentrate if you are allergic to levalbuterol or albuterol (Accuneb, ProAir, Proventil, or Ventolin).

To ensure that levalbuterol is suitable for you, inform your physician if you suffer from:

  • Heart diseases, high blood pressure, and congestive heart failure;
  • A seizure disorder;
  • Diabetes
  • Thyroid disorders are a common problem.

It isn't known if this medication will cause harm to a baby who is not yet born.Tell your physician if you are expecting or plan to become pregnant.

It is unclear if the inhalation of levalbuterol can be absorbed into breast milk or whether it can affect nursing infants. Ask your doctor for advice if are nursing.Levalbuterol inhalers should not be administered to children younger than four years old. Levalbuterol solution in the form of a nasalizer is not recommended for a child who is less than six years old.

How to take Xopenex Concentrate?

Follow the directions on the prescription label. Do not take this medication in greater or lesser amounts or for a longer time than prescribed.

Check all information about your patient, such as medication guides and instructions provided to you. Talk to your pharmacist or doctor about any additional concerns.

Every child who uses Xopenex Concentrate should be watched by an adult during the use of this drug.

Inhaler devices should be primed prior to the first time you use them. Spray four test sprays in the air off your face. Shake the inhaler at least 5 seconds prior to each spray. Re-prime the inhaler if it has not been used for more than 3 days.

Inhaler use:

  • Shake the container vigorously prior to each spray.
  • Cap the mouthpiece of your inhaler. Breathe deeply. Place the mouthpiece in your mouth, and then close your lips. Inhale slowly, and then push into the mouthpiece. Keep the breath for 10 minutes, and then take a deep breath and exhale slowly.
  • If you are using several inhalations at the same time, you should wait at least one minute before taking the second one and shake the inhaler once more.
  • Make sure your inhaler is dry and clean, and keep it in a safe place by putting the cap on the mouthpiece. Clean your inhaler every week by taking the canister off and placing the mouthpiece in running warm water for a minimum of 30 minutes. Shake the excess water out and let the components dry completely before attaching the inhaler.

The levalbuterol inhaler with the mouthpiece closed The inhaler should be kept at room temperature, away from the sun's heat or temperatures that are freezing. If the inhaler is equipped with an indicator of dose on it, discard the inhaler once the indicator shows "0" to show that the sprays are all used.

The inhaler's canister should be kept out of direct flames or high temperatures, for example, in an automobile during a hot summer day. The canister might explode if it becomes too hot. Avoid burning or puncturing an empty inhaler container.Levalbuterol concentrate is delivered with the help of a nebulizer. Concentrate must be mixed with a liquid (diluent) prior to use. Consult your pharmacist about which diluting agent to use and where to purchase it. Make sure that you know how to mix the medication and then place it in the nebulizer.

To apply the solution using a nebulizer:

  • The pouch should be opened, and then the medication should be emptied into the nebulizer's chamber. Inject the proper quantity of diluent, as instructed by your physician.
  • Attach the face mask or mouthpiece. Then, attach the chamber for drugs to the compressor.
  • Relax and sit upright in a comfortable place. Put the mouthpiece in your mouth or wear the face mask that covers your mouth and nose. Switch on the compressor.
  • Breathe slowly and slowly until no further mist has been created by the nebulizer and the chamber of the drug is empty.
  • Clean the nebulizer after every use. Follow the cleaning instructions on the nebulizer's packaging.

Nebulizers should not be used as a solution if it doesn't appear clean and non-coloured.

Keep the levalbuterol concentrate vials in the packaging at room temperature and away from heat, moisture, and light. Store each vial in the pouch until you're ready to make a nebulizer dose.Each plastic single-use bottle of levalbuterol concentrate is intended for use once only. Dispose of it after one usage, even if there's still medicine within it after you have taken the dose.

Asthma is typically treated with several medications. Take all medications as instructed by your physician. Don't change your doses or schedule of medication without consulting your physician.Levalbuterol that is taken too high or for too long can result in life-threatening adverse negative effects. Get medical attention. If you suspect that your asthma medicines aren't performing as well, An increased need for medications could be a warning sign of a serious asthma attack.In-depth Xopenex information on dosage for concentrates

What happens if I miss a dose?

Utilise the dose you missed when you remember. Avoid any missed doses if you are nearing the time for the next dose. Avoid using any other medicine to substitute for your missed dosage.

Make use of Xopenex regularly to get the maximum benefits. Refill your prescription prior to the expiration date of your medication.

What happens if I overdose?

For medical emergencies, seek emergency treatment or contact the Poison Help line at 1-800-222-1222. A levalbuterol-related overdose can cause death.

What should be avoided?

Beware of situations that can cause your condition to worsen, for example, working out in cold, dry air, smoking or breathing in dust, and exposure to allergens like fur from pets.

Interaction with other drugs

Discuss with your physician if you have taken an MAO inhibitor within the last 14 days. MAO inhibitors are isocarboxazid, the linezolid drug, Methylene Blue injection, rasagiline, phenelzine, and tranylcypromine, among others.

Discuss with your physician your current medications and all the ones you are about to start or stop taking, particularly:

  • Any other inhaled medication used to manage asthma and COPD (chronic obstructive pulmonary disorder);
  • An antidepressant
  • Diuretic, also known as "water pill";
  • Medication for treating a heart problem

This list isn't complete. Other drugs can interact with levalbuterol. These include prescription and over-the-counter medicines, vitamins, and herbal products. The interactions of all potential drugs are mentioned in this drug guide.