Precautions and Warnings With Levalbuterol

Precautions and warnings with levalbuterol include the risk of worsening airway spasms, possible drug interactions, and the potential for allergic reactions. Prior to taking it, tell your healthcare provider about any medical conditions you may have and if you are pregnant or breastfeeding. Precautions and warnings with levalbuterol also extend to people who have certain allergies, such as to ingredients used to make the medicine or to albuterol.

Levalbuterol: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking levalbuterol hydrochloride (Xopenex®) if you have:
Also, let your healthcare provider know if you are:
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
Make sure to tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Specific Precautions and Warnings With Levalbuterol

Warnings and precautions to be aware of prior to taking levalbuterol include the following:
  • Tell your healthcare provider immediately if you are using the drug more frequently than usual. Asthma symptoms can worsen very quickly and become a medical emergency.
  • Using levalbuterol alone is rarely the best asthma treatment. Your healthcare provider should consider prescribing additional asthma medications.
  • In rare cases, the drug can make bronchospasms (spasms of the airways) worse, which is exactly the opposite of what should happen. Tell your healthcare provider immediately if levalbuterol makes your asthma worse.
  • Levalbuterol can have a stimulatory effect on the heart and blood pressure. A fast heart rate (tachycardia), high blood pressure (hypertension), and an irregular heart rhythm (arrhythmia) may occur, although low blood pressure (hypotension) is also possible. If you have heart disease or high blood pressure, make sure your healthcare provider is aware of it. He or she may wish to use particular caution if recommending levalbuterol in your case.
  • People with an overactive thyroid (hyperthyroidism), diabetes, or epilepsy should use caution when using levalbuterol, as the drug may make these conditions worse or increase the risk of side effects.
  • Do not puncture the levalbuterol canister or keep it near an open flame, as the contents are under pressure.
  • Levalbuterol can interact with other medications (see Drug Interactions With Levalbuterol).
  • Levalbuterol is considered a pregnancy Category C medication. This means that it may not be safe to use during pregnancy. Talk to your healthcare provider about the risks and benefits of using the drug while pregnant (see Xopenex and Pregnancy).
  • It is not known if levalbuterol passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider before starting treatment (see Xopenex and Breastfeeding).
ADHD and Girls

Levalbuterol (Xopenex)

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