Xopenex HFA (Levalbuterol Tartrate Inhalation Aerosol) Patient Information: Missed a Dose and What Should I Avoid at RxList

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May 27, 2012

Xopenex HFA

Asthma Complexities »

Unusual symptoms of asthma

Patients suffering from episodes of asthma do not always have the typical symptoms of asthma such as shortness of breath, chest tightness, and wheezing (symptoms of airway narrowing). Instead, patients can have symptoms that may not appear to be related to asthma. These "unusual" asthma symptoms include

rapid breathing,
sighing,
fatigue and inability to exercise properly,
difficulty sleeping,
anxiety and difficulty concentrating,
chronic cough without wheezing,
protracted cough after an upper respiratory illness,
recurrent diagnosis of walking pneumonia, and
noises emanating from the chest usual during exhalation.

To complicate matters, symptoms of asthma are not consistent and often vary from time to time in an individual. In some patients, symptoms are influenced by diurnal factor...

Read the Asthma Complexities article »

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Xopenex HFA Patient Information including If I Miss a Dose

What happens if I miss a dose (Xopenex HFA)?

Use the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and use the next one as directed. Do not use a double dose of this medication.

What happens if I overdose (Xopenex HFA)?

Seek emergency medical attention.

Symptoms of a levalbuterol overdose include angina or chest pain, irregular heartbeats or a fluttering heart, seizures, tremor, nervousness, weakness, headache, dry mouth, dizziness, sleeplessness, nausea, and vomiting.

What should I avoid while using levalbuterol inhalation (Xopenex HFA)?

Avoid situations that may make your condition worse such as exercising in cold, dry air; smoking; breathing in dust; and exposure to allergens such as pet fur.

What other drugs will affect levalbuterol inhalation (Xopenex HFA)?

Before using levalbuterol inhalation, tell your doctor if you are taking any of the following medicines:

a beta-blocker such as atenolol (Tenormin),acebutolol (Sectral), bisoprolol (Zebeta), carteolol (Cartrol), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), and others;
a tricyclic antidepressant such as amitriptyline (Elavil), amoxapine (Asendin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Pamelor), and others;
a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
a diuretic (water pill) such as hydrochlorothiazide (HCTZ, HydroDiuril, Microzide, others), chlorothiazide (Diuril), chlorthalidone (Hygroton, Thalitone), furosemide (Lasix), bumetanide (Bumex), ethacrynic acid (Edecrin), torsemide (Demadex), and others;
digoxin (Lanoxin);
another inhaled bronchodilator; or
caffeine, diet pills, or decongestants.

You may not be able to use levalbuterol inhalation, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with levalbuterol inhalation or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Where can I get more information?

Your pharmacist has additional information about levalbuterol inhalation written for health professionals that you may read.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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