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This safety and warning information contains crucial details about the use of levalbuterol (Xopenex) inhalation solution. It is vital to understand these warnings and consult with your healthcare provider if you have any concerns.

• Breathing Problems: Although rare, this medication may cause bronchospasm, leading to breathing difficulties, wheezing, coughing, or chest discomfort. Seek immediate medical assistance if you experience trouble breathing after using the inhalation solution.

• Heart Problems: Use of levalbuterol (Xopenex) inhalation solution may affect blood pressure, heart rate, and rhythm, especially if taken in higher than recommended doses. If you have high blood pressure or heart conditions, regular monitoring at home may be advised by your provider. Report symptoms like dizziness, fatigue, tremors, rapid heartbeat, or weakness to your healthcare provider.

• Allergic Reactions: There is a possibility of allergic reactions, including severe reactions such as facial swelling, shock, or anaphylaxis. Seek emergency medical help if you notice hives, skin rash, swelling of lips or tongue, or breathing difficulties.

• Low Potassium Levels: This medication may cause a decrease in blood potassium levels, especially if used excessively. Symptoms include fatigue, weakness, muscle cramps, a rapid heartbeat, and a tingling sensation in hands and feet. Consult with your provider if you find yourself using the medication more frequently than recommended.

• Dosage Adherence: Always adhere to the prescribed dosage. Although extremely rare, there have been instances of fatalities associated with excessive dosages of medications similar to levalbuterol (Xopenex) inhalation solution. This is likely linked to heart complications.

Contraindications specify that this medication should be avoided if you have an allergy to levalbuterol (Xopenex) or albuterol. If this applies to you, discuss alternative treatments with your healthcare provider.

When using this medication, some common side effects may include headaches, nervousness, shaking (tremor), dizziness, trouble sleeping, dry mouth, nausea, upset stomach, diarrhea, and runny nose. It's important to note that these are generally mild, but if they persist or worsen, consult your healthcare provider for advice. Viral infections and sore throats have also been reported among users.

There are more serious side effects that, although rare, require immediate attention. These include a fast or pounding heartbeat, anxiety, swollen glands, and irregular heartbeat. In very serious cases, symptoms like chest pain, rapid breathing, confusion, or sudden wheezing (paradoxical bronchospasm) may occur, necessitating urgent medical help. Additionally, a severe allergic reaction, although uncommon, can manifest as rash, itching, swelling particularly of the face, tongue, or throat, severe dizziness, and trouble breathing. If any of these symptoms are experienced, seek medical assistance promptly.

This medication can also elevate blood pressure, so regular monitoring is advised. If high readings are detected, inform your healthcare provider. Always be vigilant for any effects not listed here and reach out to a medical professional should they arise.

When using levalbuterol, avoid taking inhaled medications containing albuterol, as both drugs are very similar. Levalbuterol (Xopenex) can interact with various medications or supplements, which may require adjustments to your treatment plan. Ensure your doctor and pharmacist are informed about all the medications and supplements you are currently using, including prescription, over-the-counter, vitamins, and herbal products.

Here is a list of medications that can potentially interact with levalbuterol: Acebutolol, Albuterol, Amineptine, Amitriptyline, Amitriptylinoxide, Amoxapine, Arotinolol, Atenolol, Befunolol, Betaxolol, Bevantolol, Bisoprolol, Bopindolol, Bucindolol, Bupranolol, Butriptyline, Carteolol, Carvedilol, Celiprolol, Clomipramine, Desipramine, Dibenzepin, Dilevalol, Dothiepin, Doxepin, Epinephrine, Esmolol, Fenoterol, Hexoprenaline, Imipramine, Iprindole, Labetalol, Landiolol, Levobunolol, Lofepramine, Melitracen, Mepindolol, Methacholine, Metipranolol, Metoprolol, Nadolol, Nebivolol, Nortriptyline, Opipramol, Oxprenolol, Penbutolol, Pindolol, Practolol, Propizepine, Propranolol, Protriptyline, Sotalol, Talinolol, Tertatolol, Tianeptine, Timolol, Trimipramine, Tulobuterol.

These interactions are typically not recommended, but may be necessary in specific cases. If prescribed together, your healthcare provider might adjust the dosage or frequency of one or both medications.