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Levalbuterol

Brand names: Xopenex, Xopenex HFA

Levalbuterol is a quick-relief inhaler or nebulizer medicine, closely related to albuterol, for asthma and COPD symptoms.

Brand namesXopenex, Xopenex HFA
Type of medicineRescue inhaler (short-acting bronchodilator)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

Some people find it causes a little less shakiness than albuterol.

What it's used for

  • Quick relief of wheezing and shortness of breath

How to take it

  • Shake the inhaler and use as directed when symptoms start.
  • Keep it with you.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Shakiness
  • Nervousness
  • Fast heartbeat
Call 911Breathing gets worse or it isn't helping during an attack
Call 911Chest pain or a very fast heartbeat

Warnings

  • Needing it more than 2 days a week is a sign to see your provider.

Other medicines, foods, and alcohol

  • Beta blockers can block its effect.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

This medicine is often taken only when needed. If you take it on a schedule, take a missed dose when you remember, unless it's almost time for the next one. Don't double up.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.