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Levalbuterol Tartrate

Levalbuterol tartrate is a bronchodilator used for the treatment of asthma and chronic obstructive pulmonary disease (COPD). It is the R-enantiomer of albuterol and works by relaxing the muscles in the airways, allowing for easier breathing.



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Frequently Asked Questions

How long does it take for levalbuterol tartrate to start working?
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Levalbuterol typically starts to relieve bronchospasm within 15 minutes, with peak effects occurring around 30 to 60 minutes after administration.

Can I take levalbuterol tartrate with other medications?
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Always consult your healthcare provider before combining levalbuterol with other medications, especially other bronchodilators or beta-blockers.

What should I do if I miss a dose of levalbuterol tartrate?
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If you miss a dose, use it as soon as you remember. If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Is it safe to use levalbuterol tartrate during pregnancy?
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Levalbuterol tartrate should be used during pregnancy only if clearly needed, and the risks and benefits should be discussed with a healthcare provider.

Can levalbuterol tartrate cause weight gain?
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Weight gain is not commonly associated with levalbuterol tartrate. Any significant changes in weight should be discussed with a healthcare provider.

Comprehensive Drug Guide

How Does Levalbuterol Tartrate Work?

Levalbuterol works by stimulating beta-2 adrenergic receptors in the smooth muscle of the airways. This leads to relaxation of the bronchial smooth muscle and dilation of the airways, resulting in improved airflow and relief from bronchospasm.



Common Dosages

  • Inhalation solution: Common dosage is 0.63 mg/3 mL or 1.25 mg/0.5 mL for nebulization.
  • Metered-dose inhaler (MDI): Common dosage is 45 mcg per actuation.

Typical Dosing

FDA Approved Indications

  • Treatment or prevention of bronchospasm in patients with asthma or COPD.
  • Prevention of exercise-induced bronchospasm.

Who Shouldn't Take Levalbuterol Tartrate?

  • Known hypersensitivity to levalbuterol, albuterol, or any components of the formulation.
  • History of severe hypersensitivity reactions to sympathomimetic drugs.


Advice From The Pharmacist

  • Patients should be advised on the proper technique for using inhalers or nebulizers to ensure effective delivery of the medication.
  • Discuss the importance of following the prescribed dosing regimen and not exceeding the maximum recommended doses.
  • Encourage patients to monitor for worsening symptoms or signs of paradoxical bronchospasm and to seek medical attention if they occur.


Side Effects of Levalbuterol Tartrate

Common Side Effects

  • Tremors
  • Nervousness
  • Headache
  • Dizziness
  • Palpitations


Uncommon/Severe Side Effects

  • Paradoxical bronchospasm
  • Increased heart rate (tachycardia)
  • Severe allergic reactions (anaphylaxis)


Risks and Warnings of Levalbuterol Tartrate

  • Cardiovascular Effects: Use with caution in patients with cardiovascular disease, as beta-agonists can increase heart rate and cause arrhythmias.
  • Potential for Overuse: Monitor patients to avoid over-reliance on rescue inhalers.

Interactions with Levalbuterol Tartrate

Common Drug Interactions

  • Other Bronchodilators: Caution is advised when used with other bronchodilators to avoid excessive stimulation of beta receptors.
  • Beta-blockers: May reduce the effectiveness of levalbuterol and should be used with caution.

Alternatives to Levalbuterol Tartrate

  • Other Bronchodilators: Such as albuterol or other short-acting beta-2 agonists for acute relief.
  • Long-acting beta agonists (LABAs): For long-term control of asthma and COPD.