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Levalbuterol (leve al BYOO ter ole)

Pediatric Medication

Brand Names: U.S.

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

Warning

  • Sometimes drugs are not safe when your child takes them with other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.

What is this drug used for?

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

Is it safe for my child to take this drug?

  • Not if your child has an allergy to levalbuterol, albuterol, or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • Not if your child is taking or will be taking another drug like this one.
  • Not if your child is taking inhaled epinephrine.

What are some things I need to know or do while my child takes this drug?

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Have your child wear disease medical alert ID (identification).
  • If your child has high blood sugar (diabetes), talk with the doctor. This drug can raise blood sugar.
  • If your child has heart disease, talk with the doctor.
  • If your child has an overactive thyroid, talk with the doctor.
  • If your child has seizures, talk with the doctor.
  • Check all drugs your child is taking with your child’s doctor. This drug may not mix well with some other drugs.
  • Limit your child’s use of caffeine and chocolate. Use with this drug may cause nervousness, shakiness, and a fast heartbeat.

What are some side effects that I need to call my child’s 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 child’s doctor or get medical help right away if your child has 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 or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • If your child shows any signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color or sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
  • If your child has a fast heartbeat.
  • If your child is not able to get the breathing attack under control. Get help right away.
  • If your child shows signs of very bad dizziness or passes out.
  • If your child needs more doses than normal or doses seem less helpful with breathing.
  • If your child has a peak flow measurement that is low.
  • If your child has a bad headache.
  • If your child has muscle cramps or weakness.
  • If your child has a change in thinking clearly and with logic.
  • If your child is feeling very nervous and excitable.
  • If your child gets a rash.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Nervous and excitable.
  • Headache.
  • Cough.
  • Nose stuffiness.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.
  • Follow how to give this drug as you have been told by your child’s doctor. Do not give more than you were told to give.
  • For breathing in only by a puffer (inhaler) or as a liquid (solution) by a special machine (nebulizer) into the lungs.
  • Shake puffer (inhaler) well before use.
  • Prepare puffer (inhaler) before first use or when puffer has not been used for 3 days. Spray 4 test sprays into the air.
  • If your child is using more than 1 puffer (inhaler), ask the doctor which puffer to use first.
  • Have your child rinse out mouth after each use.
  • Check your child’s puffer (inhaler) use with the doctor at each visit. Read and follow facts on how to use the puffer. Make sure your child’s uses the puffer the right way.

What do I do if my child misses a dose?

  • Give a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not take 2 doses at the same time or extra doses.
  • Many times this drug is given on an as needed basis.

How do I store and/or throw out this drug?

  • Store solution in foil pouch at room temperature.
  • Throw away any part of opened pouch that is not used after 2 weeks.
  • Do not use if solution changes color.
  • Store puffer (inhaler) at room temperature.
  • Protect from light.
  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, 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.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.