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Medically Approved

Levalbuterol inhalation solution dosage: A detailed guide

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Doctors prescribe levalbuterol inhalation solution to treat and prevent sudden tightening of your airway. You receive it by inhalation three times per day.
Medically reviewed by Fallon Mumford, PharmD
Updated on

This article describes the dosages and strengths of levalbuterol inhalation solution and gives details on administration. You’ll also find information on cost savings and coupon options for levalbuterol. To learn more about levalbuterol inhalation solution, talk with your doctor.

Levalbuterol inhalation solution is a generic medication. It’s not available in a brand-name version. Levalbuterol also comes as a brand-name inhaler (Xopenex), but this article doesn’t describe that form. To learn more about that form, talk with your doctor.

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Form and strengths of levalbuterol

Levalbuterol inhalation solution comes as follows:

  • Form: inhalation solution that you inhale using a nebulizer
  • Strengths: 0.31 milligrams (mg) per 3 milliliters (mL), 0.63 mg per 3 mL, 1.25 mg per 3 mL

Note: A concentrated levalbuterol solution (1.25 mg per 0.5 mL) is also available. You must dilute this solution before use.

Dosage of levalbuterol

Levalbuterol treats and helps prevent bronchospasm (sudden tightening of your airway) in people with reversible obstructive airway disease, such as asthma.

This article describes the recommended dosages for levalbuterol inhalation solution. The drugmaker provides these dosages.

If your doctor prescribes this medication, you should follow the dosage they prescribe. Your doctor will determine the dosage that best meets your needs. Do not change your dosage of levalbuterol inhalation solution without your doctor’s recommendation.

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Usual recommended dosages of levalbuterol in adults

The usual dosage of levalbuterol that doctors prescribe for adults is shown below. Your doctor will adjust your dose based on your response to the medication.

  • Dose: 0.63 mg
  • Frequency: three times per day
  • Maximum dosage: 1.25 mg three times per day

Dosages of levalbuterol in children

Levalbuterol is approved for use in children ages 6 years and older. For children ages 6–11 years, the dosage is as follows:

  • Dose: 0.31 mg
  • Frequency: three times per day
  • Maximum dosage: 0.63 mg three times per day

For children ages 12 years and older, the dosage is as follows:

  • Dose: 0.63 mg
  • Frequency: three times per day
  • Maximum dosage: 1.25 mg three times per day

Dosage adjustments for levalbuterol

Your doctor will prescribe a dosage of levalbuterol inhalation solution based on several factors. These include:

  • the specific condition being treated and how severe it is
  • your age
  • other health conditions you may have

Missed dose of levalbuterol

Talk with your doctor or pharmacist right away if you realize you forgot to take a dose of levalbuterol inhalation solution. They may advise you to take the missed dose. Or they may advise you to skip it and take your next dose as scheduled.

For tips on how to plan your doses of levalbuterol inhalation solution and avoid missing a dose, read this article. You could also try:

  • downloading a reminder app on your phone
  • setting an alarm
  • putting a note where you’ll see it, such as on your calendar, bathroom mirror, or bedside table

Frequently asked questions

Below are answers to some commonly asked questions about levalbuterol inhalation solution and its dosage.

How does the dosage of levalbuterol compare with the dosage of albuterol?

Bot levalbuterol and albuterol work similarly to treat and help prevent bronchospasm, but their dosing is slightly different. You will typically inhale a 0.63 mg to 1.25 mg dose of levalbuterol inhalation solution three times daily. If you take albuterol inhalation solution, you will typically inhale a 2.5 mg dose three to four times daily.

Talk with your doctor if you have questions about which drug and dosing regimen would be best for you.

Is levalbuterol used long term?

Doctors can prescribe levalbuterol for both short and long-term treatments. If you have a chronic lung condition that can tighten your airway, your doctor may want you to have levalbuterol available. This is so you can quickly manage a flair or sudden tightening of your airway.

If you have a short-term condition, like an infection, your doctor may only prescribe levalbuterol until your symptoms resolve.

If you have questions about how long you should use levalbuterol inhalation solution, talk with your doctor.

How levalbuterol is used

You’ll usually inhale levalbuterol inhalation solution through a nebulizer three times per day.

Your doctor may advise that you take this medication around the same time each day. This helps keep a consistent amount of the drug in your body. And that can help the drug work more effectively.

Also, be sure to talk with your doctor or pharmacist if you’re having difficulty taking your medication. They can offer recommendations about taking it.

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Overdose of levalbuterol

It’s important that you do not use more levalbuterol inhalation solution than your doctor prescribes. Doing so can lead to harmful effects.

Symptoms of levalbuterol overdose

Symptoms of an overdose can include:

  • seizures
  • chest pain
  • changes in blood pressure
  • fast or irregular heartbeat
  • headache
  • tremors
  • nervousness
  • nausea
  • dizziness
  • fatigue

What to do if you use too much levalbuterol

If you think you’ve used too much levalbuterol, call your doctor or pharmacist right away. Or you could call 800-222-1222 to speak with someone at America’s Poison Centers. You can also use its online resource. If you have severe symptoms, call 911 or a local emergency number immediately. You can also go to the closest emergency room.

What to ask your doctor

This article describes the usual recommended dosages for levalbuterol inhalation solution. If your doctor prescribes this medication, they’ll determine the dosage that’s best for you.

Do not change your dosage of levalbuterol inhalation solution without your doctor’s recommendation. You should take levalbuterol inhalation solution exactly as your doctor prescribes it. Let your doctor know if you have concerns or questions about your treatment plan.

Here’s a list of some possible questions you may want to ask your doctor:

  • Will you change my dosage of levalbuterol if my current dosage isn’t working for my condition?
  • Do you need to change my dosage of levalbuterol if I’m taking other drugs with it?
  • Can I use levalbuterol with my other inhaled solutions?

Disclaimer: Optum Perks has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

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