Xopenex® Inhalation Solution (levalbuterol) is a short acting inhaled medicine, a rescue medicine, with fewer side effects than similar medicines used for the relief of acute asthma symptoms. It is not a medicine well-suited for long term, sustained asthma control.
There are other classes of asthma medicines, called controller medicines and these do not have the same excitatory side effects.
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280 Current Medications : amiodarone, coumadin, Allegra, levalbuterol, guaifenesen, metoprolol, paw-paw
Medical Conditions : emphasema, exercise induced asthma, COPD, chronic bronchitis And I've been in and out of afib at least 2 years and I suspect much longer. Recently having high blood pressure issues.
For starters, I'd see your doctor and let them know you are having exercise induced asthma problems. May I ask what controller asthma meds are? (Inhaler & pills, aside from albuterol or levalbuterol.) Prednisone should be a last resort anymore. Leukotriene inhibitors such as montelukast (Singulair), and Advair (diskus or HFA inhaler) are better choices for controller medications. There's other options, too, I'm just mentioning the two I use.
Do this anulom vilom (pranayam) morning and evening, and you will not need anything at night.Come back with your feedback so others can benefit.
Build up your timing gradually.If you feel tired or dizzy, stop and resume after one minute.
I just got my rx for it. "Incivek". NDC# 51167-100-01 or 02 (blister pack of by the bottle-168)
Depending on you RX provider, you need to find out if it is in their formulary so the insurance can process it and find out your co-pay. Im on blue cross and they had it within a week on their formulary. Drug store has to order it. Riteaide said it retails for about $9200 a month (ouch!)...luckily my co-pay is only $70 a month.
I am now using my nebulizer twice a day with a mixture of Levalbuterol and Hypertonic saline 7%. Mucus now all white again. Hopefully I can keep my lungs flushed now and prevent more recurrences of pneumonia and pseudonymous.
I have already had my heart checked because of shortness of breath just to be sure and my heart is good, no blockage, etc.
I appreciate the responses.
In the states we have several versions of albuterol - Proair, Proventil, Ventolin, Maxair (technically pributerol) and a purified version Xopenex (technically levalbuterol). All of them Xopenex is the only one that does not go by albuterol. No generics because of the cfc ban. We do have generic albuterol neb solution. The Xopenex doesn't cause the shakiness that the other versions do and can be more effective. I wonder if that is what part of my problem has been? hmmmmm...
It used to be availabe in both the US and the UK, but the patent expired and the company stopped making it. However, there is a generic version called Acidic Vaginal Jelly. The NDC code is 0603-7701-92. Any pharmacy in the U.S. should be able to find the product in their database using that code. But be prepared to wait a couple of days for them to order it because few pharmacies keep it in stock. I used it so often that my pharmicist began stocking just for me.
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