Xopenex® Inhaler

Chronic Conditions

Xopenex® Inhaler

starting at $149.99

Levalbuterol HFA inhaler (Xopenex®) is a bronchodilator used to treat or prevent bronchospasm in people with reversible obstructive airway diseases, such as asthma. It works by relaxing the muscles in the airways, allowing for easier breathing during asthma attacks or in cases of exercise-induced bronchospasm. Xopenex® is typically used on an as-needed basis for rapid relief of symptoms.

Xopenex HFA contains levalbuterol, the R-enantiomer of albuterol, which is considered to have fewer side effects

It is primarily used to treat bronchospasm in people with asthma and chronic obstructive pulmonary disease (COPD)

Levalbuterol begins working within minutes, providing fast relief from asthma symptoms

Compared to albuterol, levalbuterol may be less likely to cause rapid heart rate (tachycardia) as a side effect

The inhaler must be primed with 4 sprays away from the body before the first use or if not used for more than two weeks

HSA/FSA Eligible

H&P Certification

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Xopenex® Inhaler

I agree that I:

Am 18 years or older
Will use this medication for my own personal use and as indicated
Have not had a hypersensitivity reaction to levalbuterol, albuterol or any component of the formulation (More information about formulation components can be found at www.drugs.com)
Have a diagnosis of asthma or exercise-induced asthma
understand this medication may exacerbate symptoms in patients associated with the following conditions of cardiovascular disease, diabetes, glaucoma, hyperthyroidism, hypokalemia, and seizure disorder
will not exceed the recommended dose for intermittent symptoms relief unless recommended by a licensed healthcare provider
am not pregnant or breastfeeding
Do not have kidney or liver impairment
understand this medication may cause increase the risk of increased heart rate, arrhythmia, and cardiomyopathy, and other cardiovascular effects
understand this medication may affect the nervous system causing increased excitement, nervousness, tremor, anxiety, and insomnia
Understand that I must seek medical attention in cases where acute symptoms are not relieved or a previous level of response is diminished. The need to increase frequency of use may indicate deterioration of asthma.
Understand that levalbuterol can cause QT prolongation that could lead to cardiac arrhythmias (more information on drug interactions can be found at: https://www.drugs.com/drug_interactions.html)
Am not taking the following medications: beta blockers, linezolid, or loxapine
understand this is not a comprehensive list of precautions, risks, side effects, or details about taking this medication (More information about side effects can be found at www.fda.gov)
understand that major drug interactions are listed and have not been reviewed against the other medications, supplements, or herbal products I may be taking unless also filled by TelyRx
understand I can find more information regarding drug-drug interactions at https://www.drugs.com/drug_interactions.html

understand that TelyRx LLC does not provide medical care and the providers who use TelyRx to provide telehealth services (“Telehealth Providers”) should not replace your primary provider.
understand that the Telehealth Providers are not able to: (1) monitor ongoing health or lab values for side effects or efficacy, (2) observe how you (or your pet) tolerate any prescribed treatment, or (3) determine if the prescribed treatment is working as intended and assume any risks associated with this modality of care and waive any claim I may have in the future against TelyRx and/or the Telehealth Providers.
understand that by using this site, I have created a patient-client-doctor relationship and I am being directed by the Telehealth Providers to consult my primary provider soon after beginning any treatment prescribed by the Telehealth Providers.
understand that this is a supplemental mode of care for your convenience and the Telehealth Providers are not to be used, or relied on, as a replacement for in-person follow-up visits or interactions with your primary provider.

I agree that all statements above are true and my physician visit is complete.

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Xopenex® Inhaler Medication Description
Xopenex HFA® inhaler (levalbuterol) is a prescription bronchodilator commonly prescribed for the treatment or prevention of bronchospasm in patients with reversible obstructive airway disease, such as asthma or chronic obstructive pulmonary disease (COPD). It may also be prescribed to help prevent exercise-induced bronchospasm when used shortly before physical activity.

Levalbuterol is the active (R)-enantiomer of albuterol, designed to provide effective airway relaxation with potentially fewer side effects such as jitteriness or rapid heartbeat in some patients. Xopenex works by relaxing the smooth muscles around the airways, making it easier to breathe.

How to Use
- Xopenex HFA is typically prescribed as 2 inhalations (90 mcg per actuation) every 4 to 6 hours as needed for bronchospasm.
- Some patients may need only 1 inhalation every 4 hours; dosing is individualized based on symptoms and provider direction.
- Shake the inhaler well before each use.
- Prime the inhaler before first use, or if it has not been used for more than 3 days, by releasing 4 sprays into the air away from the face.
- Inhale the medication deeply into the lungs and hold your breath for several seconds before exhaling.
- Do not exceed the prescribed number of inhalations per day, as overuse can increase the risk of side effects.
Important Notes and Warnings
- Common side effects may include headache, dizziness, nervousness, tremor, or rapid heartbeat.
- Serious risks include chest pain, irregular heart rhythm, or paradoxical bronchospasm (worsening of breathing immediately after inhalation). Discontinue use and seek medical attention if these occur.
- Patients with heart disease, high blood pressure, seizures, thyroid disorders, or diabetes should use this medication with caution.
- Xopenex HFA is a rescue inhaler; it should not be used as a replacement for long-term controller medications such as inhaled corticosteroids.
- Inform your provider about all other medications you are taking, including other inhalers, beta-blockers, and diuretics, as interactions are possible.
- Overuse may reduce the medication’s effectiveness and increase the likelihood of adverse effects.
Xopenex® Inhaler Side Effects

Xopenex® (Levalbuterol HFA) Inhaler side effects may include rash, dryness, loss of normal skin markings, shiny skin, or folliculitis.
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 a healthcare provider has the knowledge and training to decide which medicines are right for you. TelyRx does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a limited summary of general information about the medicine’s uses from the patient education materials and is not intended to be comprehensive. This limited summary 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 intended to provide medical advice, diagnosis or treatment and does not replace information you may receive from your healthcare provider. For a more detailed summary of information about the risks and benefits of using this medicine, please review the entire patient education information you receive with the medication.