Xopenex (levalbuterol) prescription available online

If you are suffering from bronchospasm, Xopenex (levalbuterol) can help. Get a new prescription or refill of Xopenex from a board-certified doctor online.*

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Breathe better with doctor-recommended prescriptions

Available as an inhaler

Request Xopenex in as little as 15 minutes, with or without insurance*

*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.

About Xopenex (levalbuterol)

Xopenex is considered a bronchodilator, which relaxes muscles around the airways so you can breathe more easily. Xopenex is a short-acting bronchodilator that can provide quick relief from breathing problems.

Some conditions that Xopenex is known to treat include asthma, chronic obstructive pulmonary disease (COPD), and reversible obstructive airway disease. Xopenex is available only by prescription. It is available in a generic formulation as levalbuterol inhalation solution, as well as under different brand names.

Xopenex may be prescribed as an inhaler. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage that you are prescribed.

If you're prescribed Xopenex, be sure to complete the full course of the bronchodilator unless your doctor specifically tells you to stop. If you don’t complete your prescription, the bronchodilator may not fully treat your breathing problems.

Xopenex uses

There are several FDA-approved uses for Xopenex, but it may also be used off-label to treat other conditions. Your online medical professional may prescribe it for any of the following common reasons. It’s also possible that your healthcare provider may prescribe it for other reasons not listed here. If you have questions about why a medication is prescribed, ask your online doctor or pharmacist.

  • Bronchospasm

    The Xopenex HFA inhaler is FDA-approved to treat bronchospasm in adults and children over four years of age. Bronchospasm may be related to several lung conditions, including asthma, chronic obstructive pulmonary disease (COPD), and reversible obstructive airway disease.

Xopenex side effects

  • The side effects associated with taking Xopenex are typically mild. Most Xopenex side effects are associated with dizziness. Common side effects of Xopenex may include:

    • Dizziness, nervousness, or tremors

    • Runny nose or sore throat

    • Chest pain or irregular heartbeat

    Other side effects, which are less common but might be more severe, could include:

    • Trouble breathing after using the medicine

    • Allergic reactions to inhaled medications

    • Worsening asthma symptoms (paradoxical bronchospasm)

    You should call your doctor if any of these side effects occur, or if you develop any other new or concerning symptoms. The use of Xopenex is approved in children under four years of age. Call your doctor immediately if your breathing problems worsen.

How to take Xopenex

Your pharmacist will provide you with instructions on how to take your Xopenex prescription. Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Xopenex can come in different forms and doses, so be sure to follow the specific instructions on your prescription. Dosing instructions may include the following:

  • Before using the Xopenex HFA inhaler, shake the inhaler well.

  • Then, uncap the mouthpiece of the inhaler, breathe out fully, and place the mouthpiece against your mouth.

  • Breathe in slowly while pushing down on the canister, hold your breath for 10 seconds, and breathe out slowly.

What to avoid while taking Xopenex

Xopenex has 341 drug interactions. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. 

Possible drug interactions with Xopenex include:

  • Other inhaled medicines used to treat asthma or COPD symptoms

  • Certain antidepressants, including MAO inhibitors

  • Diuretics (water pills)

  • Medicine used to treat heart disease

It's safe to drink alcohol while taking Xopenex. However, if you have high blood pressure or you're at risk for cardiovascular disease, ask your doctor for medical advice before drinking alcohol while on Xopenex,

Medication alternatives to Xopenex

If your healthcare provider prefers to put you on another treatment altogether, they may suggest other bronchodilators or asthma medications in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

Xopenex prescription FAQs

  • How much does Xopenex cost?

    Depending on your pharmacy, Xopenex solution costs around $260 for 72 mL without insurance. Fortunately, generic brands, such as levalbuterol inhalation solution, offer an affordable alternative. Price also varies with insurance coverage. Our prescription discount card can help you save up to 80% on prescriptions as a member.

  • How can I refill my Xopenex prescription?

    Xopenex is only available by prescription, so you will need to see a board-certified doctor to get a refill on your prescription. To get started, book a virtual appointment with one of our top rated board-certified doctors. After a qualifying evaluation, your prescription will be sent to your local pharmacy for pickup.

  • Can Xopenex be given every 4 hours?

    Yes, Xopenex is typically taken every four to six hours.

  • How many puffs of Xopenex can I take?

    Take Xopenex as prescribed by your doctor. The recommended prescribed dose of Xopenex HFA inhaler is typically two inhalations (90 mcg) every four to six hours.

  • Does Xopenex raise blood pressure?

    Yes, Xopenex can raise your blood pressure, especially if you have a history of heart problems or high blood pressure. Your doctor will check your blood pressure regularly to make sure Xopenex is safe for you.

  • Who should not take Xopenex?

    To make sure Xopenex is safe for you, tell your doctor if you have:

    • Heart disease, high blood pressure, or congestive heart failure

    • A seizure disorder

    • Diabetes

    • Thyroid disorder

    • An allergic reaction to inhaled medicines

  • What happens if I miss a dose of Xopenex?

    If you miss a dose of Xopenex, take the missed dose as soon as you remember. Skip the missed dose if it’s almost time for your next dose. Avoid taking two doses to make up for a missed dose.

  • What happens if I take too much Xopenex?

    If you've taken too much Xopenex solution, seek immediate medical attention or contact your local poison control center. An overdose of Xopenex can be life-threatening.

3 simple steps to request your Xopenex prescription today

Step 1

Book a Xopenex prescription request appointment.

Book a same day appointment from anywhere.

Step 2

Talk to your medical provider regarding your Xopenex prescription.

Visit with a doctor on your smartphone or computer.

Step 3

Pick up your Xopenex prescription.

We can send prescriptions to any local pharmacy.

Xopenex prescription pricing details

How pricing works

To get a new or refill on your Xopenex prescription, join our monthly membership and get discounted visits.

Paying with insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • United Healthcare

Paying without insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

Book an appointment

If we're unable to treat you, we'll provide a full refund.


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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.