Xopenex nebulized solution is super duper popular with pediatricians.  Xopenex (levalbuterol) is only available in brand.  It came out on the market with hopes that it would work better and with less side effects than good ole generic albuterol nebulized solution.

Unfortunately, Xopenex works only just as well as albuterol and has the same side effects.  There are a few patients that tell me that they feel Xopenex causes less aggitation but that hasn’t been proven.

So keep your money and stick with generic albuterol nebulized solution.  Did you know that Xopenex nebulized solution can be FIVE times more expensive than albuterol nebulized solution?  BTW -currently the albuterol 0.083% is on Walmart’s and Target’s $4 lists.

As for HFA inhalers, albuterol is not available in generic any longer but typically albuterol HFA inhalers are less expensive then Xopenex HFAs.

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