Xopenex; Xopenex Concentrate; Xopenex HFA
- It is used to open the airways in lung diseases where spasm may cause breathing problems.
- If you have an allergy to levalbuterol, albuterol, or any other part of this drug.
- 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 taking or will be taking another drug like this one.
- If you are taking inhaled epinephrine.
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
- Do not run out of this drug.
- Do not take more of this drug or use it more often than you have been told. Deaths have happened when too much of this drug 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 this drug more often than normal.
- If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
- If you are 65 or older, use this drug with care. You could have more side effects.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
Liquid for breathing in:
- This drug is not approved for use in children younger than 6 years of age. The chance of side effects may be raised in children younger than 6 years of age. Talk with the doctor.
- This drug 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.
- 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 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 bad dizziness or passing out.
- Very nervous and excitable.
- Very bad headache.
- This drug may sometimes cause very bad breathing problems. This may be life-threatening. When this happens with a puffer (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 this drug. If you have trouble breathing, breathing that is worse, wheezing, or coughing, get medical help right away.
- Feeling nervous and excitable.
- Runny nose.
- Throwing up.
- Throat irritation.
- Follow how to use as you have been told by the doctor or read the package insert.
- Keep out of your eyes.
Liquid for breathing in:
- For breathing in only as a liquid (solution) by a special machine (nebulizer) into the lungs.
- Do not use if the solution is cloudy, leaking, or has particles.
- Do not use if solution changes color.
- Some of these products must be mixed with saline before use. Check with your doctor or pharmacist to see if your product needs to be mixed.
- Do not mix other drugs in nebulizer.
- For breathing into the lungs.
- Shake 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.
- Put the cap back on after you are done using your dose.
- A spacer may be used with the puffer (inhaler) for easy use.
- If using more than 1 type of puffer (inhaler), ask the doctor which puffer to use first.
- Have your puffer (inhaler) use checked with your doctor at each visit. Read and follow facts on how to use the puffer. Make sure you use the puffer the right way.
- Follow how to clean carefully.
- This puffer (inhaler) has a dose counter to keep track of how many doses are left. Throw the inhaler away when the dose counter has a 0 in it.
- If you take this drug on a regular basis, take 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 take 2 doses at the same time or extra doses.
- Many times this drug is taken on an as needed basis. Do not take more often than told by the doctor.
- Store at room temperature. Do not freeze.
- Protect from light.
- 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.
Liquid for breathing in:
- Protect from heat.
- Store unused containers in foil pouch until use.
- Check with your pharmacist about when you need to throw away this drug.
- Store with the mouthpiece down.
- Protect from heat or open flame. Do not puncture or burn even if it seems empty.
- 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. If you have any questions about this drug, 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.