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Some commonly used brand names are:
In the U.S.—
Levalbuterol (lee-val-BYOO-ter-ole) belongs to the family of adrenergic bronchodilators. Levalbuterol is used to prevent or treat chest tightness, shortness of breath, troubled breathing and wheezing associated with bronchospasm.
This medicine is breathed in through the mouth by using a nebulizer and compressor or by using an inhaler. Levalbuterol opens up the bronchial tubes (air passages) of the lungs.
This medicine is available only with your doctor"s prescription, in the following dosage form:
Before Using This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For levalbuterol, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to levalbuterol, albuterol, or other inhaled asthma medicines. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy—Levalbuterol has not been studied in pregnant women. However, studies in animals have shown that albuterol, a very similar medicine, may cause birth defects or other problems. Levalbuterol has the potential to interfere with contractions during labor. Levalbuterol should not be used for preterm labor. Before taking this medicine, make sure your doctor knows if you are pregnant or may become pregnant.
Breast-feeding—It is not known whether levalbuterol passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who are taking this medicine and who wish to breast-feed should discuss this with their doctor.
Children—The inhalation solution has been tested in children 12 years of age and older. The inhalation aerosol has been tested in children 4 years of age and older. In effective doses, this medicine has not been shown to cause different side effects or problems than it does in other age groups.
Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same as they do in young adults. Although there is limited information comparing the use of levalbuterol in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults. Your doctor may want to begin with a lesser dose and increase the dosage as tolerated.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your doctor and pharmacist if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicines, including the following:
Other medical problems—The presence of other medical problems may affect the use of levalbuterol. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
These medicines come with patient directions. Read them carefully before using the medicine. If you do not understand the directions or if you are not sure how to use the medicine, ask your health care professional to show you what to do. Also, ask your health care professional to check regularly how you use the medicine to make sure you are using it properly.
Use this medicine only as directed. Do not use more of it and do not use it more often than recommended on the label, unless otherwise directed by your doctor. Using the medicine more often may increase the chance of serious unwanted effects. Deaths have occurred when too much of an inhalation bronchodilator medicine was used.
For patients using levalbuterol inhalation aerosol :
For patients using levalbuterol inhalation solution dosage form:
Dosing—The dose of levalbuterol will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average doses of levalbuterol. If your dose is different, do not change it unless your doctor tells you to do so.
Missed dose—If you miss a dose of this medicine, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
If your dosing schedule is different from all of the above and you miss a dose of this medicine, or if you have any questions about this, check with your doctor.
Storage—To store the inhalation solution of this medicine:
To store the inhalation aerosol of this medicine:
Precautions While Using This Medicine
It is important that your doctor check your progress at regular intervals to make sure that your medicine is working properly.
If you still have trouble breathing after using this medicine, if your condition becomes worse, or if you are using more medicine than the amount prescribed, check with your doctor at once .
Do not add or stop taking inhaled or other asthma medicines without first checking with your doctor .
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Less common or rare
Chest pain or tightness; dizziness; feeling “faint”; high or low blood pressure; hives; light-headedness; shortness of breath; troubled breathing; wheezing
Incidence not known
Cough; Difficult or labored breathing; difficulty swallowing; extra heartbeats; fainting; fast, pounding, slow, or irregular heartbeat or pulse; hives or welts; itching; large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, sex organs; noisy breathing; palpitations; puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue; rash; redness of skin; tightness in chest; unusual tiredness or weakness
Symptoms of overdose
Chest pain; dizziness; dry mouth; fatigue; general feeling of discomfort or illness; headache; high blood pressure; impaired consciousness; irregular or fast heartbeat; light-headedness; nausea; nervousness; seizures; sleeplessness; sweating; tremor
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Accidental injury (in children 4 to 11 years of age); anxiety; body aches or pain; chills; congestion; cough or hoarseness; dryness or soreness of throat; fever; general aches and pains; headache; hoarseness; increased cough; leg cramps; loss of appetite; migraines or other headaches; muscle tightness; nervousness; runny or stuffy nose
Less common or rare
Abdominal or stomach pain; abnormal growth filled with fluid or semisolid material; blemishes on the skin; blood in urine; bloody nose; burning, dry or itching eyes; burning or stinging of skin; cough producing mucus; cramps; diarrhea; difficulty breathing; difficulty having a bowel movement (stool); discharge from the eye; dry mouth or throat; ear pain; excessive tearing; eye itch; heavy menstrual bleeding; muscle pain; nausea; night sweats; numbness or decreased sensitivity of the hand; pain; painful cold sores or blisters on lips, nose, eyes, or genitals; pimples; redness, pain, swelling of eye, eyelid, or inner lining of eyelid; sleeplessness; tingling sensation in extremities; vaginal yeast infection; weight loss
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Other than the above information, there is no additional information relating to proper use, precautions, or side effects for use in preventing or treating bronchospasm.
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