Xopenex (Levalbuterol)

Name: Xopenex
Brand: Generic
SKU: 6630
Availability: InStock

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

There is no brand product of Xopenex.

Generic Equivalent of Xopenex

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Levalbuterol 20 Respules (Levolin - Cipla)

Manufacturer: Generic

Country: India

Dosage: 0.31 mg/2.5 ml

Qty-Price (USD):

Type:

Product: Levalbuterol 40 Respules (Levolin - Cipla)

Manufacturer: Generic

Country: India

Dosage: 0.63 mg/2.5 ml

Qty-Price (USD):

Type:

Product: Levalbuterol 40 Respules (Levolin - Cipla)

Manufacturer: Generic

Country: India

Dosage: 1.25 mg/2.5 ml

Qty-Price (USD):

Type:

Product: Levalbuterol CFC free Inhaler

Manufacturer: Generic

Country: India

Dosage: 50 mcg/200 dose

Qty-Price (USD):

Xopenex Information

medically reviewed by Dr. HaVy Ngo, Pharmacist on July 28, 2025.

Levalbuterol at CanadaPharmacyOnline.com

The brand Xopenex is currently unavailable (at this pharmacy).

Generic levalbuterol is available in many countries worldwide, including India. It is sourced from manufacturers that meet applicable regulatory standards. The specific manufacturer of your dispensed medication may vary.

Important Information about Generic Levalbuterol:

Generic levalbuterol contains the same active ingredient as brand-name Xopenex and is required to meet the same safety, effectiveness, and quality standards. This means it is designed to work in the same way as Xopenex. Studies have demonstrated bioequivalence between generic and brand-name levalbuterol, meaning they have comparable absorption rates and overall effects. However, individual responses to any medication can vary. If you have any questions about using generic levalbuterol, talk to your doctor or pharmacist.

For more information about generic drug approval and bioequivalence, you can visit the FDA website: https://www.fda.gov/drugs/buying-using-medicine-safely/generic-drugs

Dosage:

The generic levalbuterol is available in different forms and strengths:
• Respules (Nebulizer Solution): 0.31 mg/2.5 ml, 0.63 mg/2.5 ml, 1.25 mg/2.5 ml, for use in a nebulizer machine
• CFC-free inhaler (Metered-Dose Inhaler - MDI): the strength of 50 mcg (as levalbuterol tartrate, equivalent to approximately 45 mcg of levalbuterol base) per actuation, usually contains 200 doses

Your doctor will determine the appropriate dosage based on your individual needs and medical conditions.

Usage:

Xopenex (levalbuterol) is a prescription medication used to treat and prevent bronchospasm in adults, teenagers, and children with reversible obstructive airway disease (ROAD). Xopenex solution is for individuals six years of age and older; Xopenex HFA aerosol is for individuals four years of age and older. ROAD refers to lung conditions, such as asthma and COPD, where airway blockage can be reduced with treatment (e.g., airway-relaxing medications).

Mechanism of Action:
Xopenex (levalbuterol) is a selective beta2-adrenergic bronchodilator. It stimulates beta2-adrenergic receptors in airway smooth muscle, causing these muscles to relax. This widens the airways, improving airflow and relieving bronchospasm symptoms.

Xopenex Inhaler Use:
Prime the new inhaler. This means spraying it a few times into the air, away from your face. Shake the canister well just before each spray. Breathe out completely. Put the mouthpiece in your mouth. As you start to breathe in slowly, press the top of the inhaler. Breathe in deeply. Hold your breath for about 10 seconds. Breathe out slowly. If you use more than one inhalation at a time, wait at least 1 minute before using the second inhalation and shake the inhaler again.

Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Shake out the excess water and allow the parts to air dry completely before reassembling the inhaler.

Xopenex Solution for Nebulization Use:
Measure the right amount of Xopenex solution according to your doctor’s instructions. Pour it into a nebulizer cup. Connect the nebulizer to a source of air or oxygen. Sit up comfortably. Breathe normally through the mouthpiece until all the medicine has been administered (5-15 minutes). Keep the mist away from your eyes. Clean and disinfect the nebulizer after each use, following your doctor’s instructions.

Take Xopenex exactly as your doctor prescribes, following the instructions in Xopenex prescribing information | DailyMed. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking Xopenex, it is essential to discuss all potential side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below is a partial list of side effects; individual reactions can vary. Before starting Xopenex, it is crucial to discuss potential side effects and risks with your doctor or pharmacist.

Common side effects – The following are examples of some common side effects of Xopenex; other side effects may also occur. Contact your doctor promptly if any side effects persist, worsen, or concern you, or if you experience any other concerning symptoms.
• Cough
• Dizziness
• Headache
• Nausea
• Nervousness
• Tremor

Serious or rare side effects – Stop taking Xopenex and seek immediate medical attention right away if you experience any of the following:
• Allergic reactions, including angioedema, hives, and trouble breathing
• Cardiac arrhythmias
• Hypokalemia
• Paradoxical bronchospasm

Contraindications:

This is not an exhaustive list of contraindications. It is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist before starting Xopenex.

Xopenex should not be used if:
• Are allergic to levalbuterol or any of the inactive ingredients in Xopenex

Tell your doctor about all of your medical conditions, past and present, before starting Xopenex. This is crucial because certain conditions can affect whether Xopenex is right for you. These conditions may include, but are not limited to:
• Congestive heart failure
• Diabetes
• Heart disease
• Heart rhythm disorder
• High blood pressure
• Overactive thyroid
• Paradoxical bronchospasm
• Seizure disorder

Cardiovascular Effects:
Xopenex may induce cardiovascular effects like tachycardia, palpitations, angina, and blood pressure changes in susceptible individuals. Inform your doctor if you experience chest pain, cardiac arrhythmias, or other concerning cardiovascular symptoms.

Dizziness:
This medicine can make you dizzy. Do not drive, use machinery, or do any activities that require alertness or clear vision until you can do it safely. Do not drink alcohol when using Xopenex. Alcohol can make you more dizzy.

Hypokalemia:
Hypokalemia may occur when using Xopenex. Your doctor will monitor your potassium levels if you have severe asthma. Inform your doctor if you have signs of severe hypokalemia, such as muscle weakness, muscle cramping, and cardiac arrhythmias.

Persistent Condition:
Inform your doctor if Xopenex does not seem to work as well in treating or preventing attacks or if it seems like you need to use more of any of your medications in 24 hours. An increased need for medication could be an early sign of a severe asthma attack.

Drug Interactions:

Before taking Xopenex, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete information about potential drug interactions, please visit the Xopenex official website at https://www.xopenexhfa.com/.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. Xopenex can interact with other medicines, but is not limited to digoxin, albuterol, furosemide, and prednisone. Tell your doctor if you have used an MAO inhibitor in the past 14 days. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, and tranylcypromine, among others.

Pregnancy and Breastfeeding:

If you are pregnant or planning to become pregnant, inform your doctor. It is unknown if levalbuterol will harm an unborn baby. Discuss the benefits and risks of using this medicine in pregnancy with your doctor. If you are breastfeeding or plan to breastfeed, inform your doctor. It is unknown if levalbuterol will pass into breast milk or harm a nursing infant. Discuss the benefits and risks of using this medicine when breastfeeding with your doctor.

Use in Children:

Do not use the Xopenex inhaler in children under 4 years of age. Do not give Xopenex solution in a nebulizer to a child younger than 6 years old. Any child using Xopenex should be supervised by an adult while using this medicine.

Frequently Asked Questions about Xopenex at Canada Pharmacy Online

Why is Xopenex more affordable in Canada than in the United States?

Prescription drug prices, including Xopenex, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs compared to the US, where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

Can I cut or split an Xopenex respule?

Xopenex is a respule meant for use only with a nebulizer to create a mist for inhalation. Please do not take it by mouth or crush, cut, or split it. Use the respules only with a nebulizer.

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy is dedicated to providing you with the lowest prices on high-quality products.

How do I place an order with your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784. For additional information or to learn about the ordering process, visit our How to Order page.

Is there a limit on how many Xopenex respules I am allowed to order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of Xopenex at one time, as per your doctor's prescription.

Can I buy Xopenex over the counter from you?

No, Xopenex requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes between 7 and 18 business days to receive your order from our pharmacy.

How much Xopenex should I take?

The dosage for Xopenex is individualized and depends on the severity of your condition. A typical starting dose for adults and adolescents is 0.63 mg, administered every 6 to 8 hours. Children aged 4-11 years can be given 0.31 mg every 6-8 hours. Do not exceed the maximum dose and frequency prescribed by your doctor.

How quickly does Xopenex work?

Xopenex typically begins to take effect within 15 minutes, with peak effects occurring between 30 and 60 minutes.

How long does Xopenex last?

The effects of Xopenex usually last for about 4 to 6 hours.

Can Xopenex be used with other asthma medications?

Yes, Xopenex is often used in conjunction with other asthma medications, such as inhaled corticosteroids. However, it is crucial to consult with your doctor.

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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