levalbuterol inhaled

Adult Dosing .

Dosage forms:  MDI: 45 mcg per actuation; NEB (0.021%): 0.63 mg per 3 mL; NEB (0.042%): 1.25 mg per 3 mL

bronchospasm

[MDI form]

Dose: 2 puffs inhaled q4-6h prn; Max: 12 puffs/day; Alt: 1 puff inhaled q4h prn

[NEB form]

Dose: 0.63-1.25 mg NEB tid prn

asthma exacerbation

[MDI form]

Dose: 4-8 puffs inhaled q20min for up to 4h, then 4-8 puffs inhaled q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

[NEB form]

Dose: 1.25-2.5 mg NEB q20min x3, then 1.25-5 mg NEB q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

bronchospasm, exercise-induced (off-label)

[MDI form]

Dose: 2 puffs inhaled x1; Start: 5-30min before exercise

COPD exacerbation (off-label)

[MDI form]

Dose: 1-2 puffs inhaled q1h x2-3, then 1-2 puffs inhaled q2-4h prn; Info: may give w/ ipratropium inhaled; search 'gold' for epocrates COPD GOLD decision tools

renal dosing

[not defined]

renal impairment: not defined; Info: caution advised if high-dose use

HD/PD: not defined

hepatic dosing

[not defined]

Peds Dosing .

Dosage forms:  MDI: 45 mcg per actuation; NEB (0.01%): 0.31 mg per 3 mL; NEB (0.021%): 0.63 mg per 3 mL; NEB (0.042%): 1.25 mg per 3 mL

bronchospasm

[MDI form, <4 yo (off-label)]

Dose: 1-2 puffs inhaled q4-6h prn; Max: 12 puffs/day; Alt: 1 puff inhaled q4h prn

[MDI form, 4 yo and older]

Dose: 2 puffs inhaled q4-6h prn; Max: 12 puffs/day; Alt: 1 puff inhaled q4h prn

[NEB form, <5 yo (off-label)]

Dose: 0.31-1.25 mg NEB q4-6h prn

[NEB form, 5 yo (off-label)]

Dose: 0.31-0.63 mg NEB tid prn; Max: 1.89 mg/day

[NEB form, 6-11 yo]

Dose: 0.31-0.63 mg NEB tid prn; Max: 1.89 mg/day

[NEB form, 12 yo and older]

Dose: 0.63-1.25 mg NEB tid prn; Max: 3.75 mg/day

asthma exacerbation

[MDI form, <4 yo (off-label)]

Dose: 4-8 puffs inhaled q20min x3, then 4-8 puffs inhaled q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

[MDI form, 4-12 yo]

Dose: 4-8 puffs inhaled q20min x3, then 4-8 puffs inhaled q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

[MDI form, 13 yo and older]

Dose: 4-8 puffs inhaled q20min for up to 4h, then 4-8 puffs inhaled q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

[NEB form, <6 yo (off-label)]

Dose: 0.075 mg/kg/dose (minimum 1.25 mg/dose) NEB q20min x3, then 0.075-0.15 mg/kg/dose up to 5 mg/dose NEB q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

[NEB form, 6-12 yo]

Dose: 0.075 mg/kg/dose (minimum 1.25 mg/dose) NEB q20min x3, then 0.075-0.15 mg/kg/dose up to 5 mg/dose NEB q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

[NEB form, 13 yo and older]

Dose: 1.25-2.5 mg NEB q20min x3, then 1.25-5 mg NEB q1-4h prn; Info: may give w/ ipratropium inhaled; search 'asthma' for epocrates Asthma Exacerbation NIH/NHLBI decision tools

bronchospasm, exercise-induced (off-label)

[MDI form, <4 yo]

Dose: 1-2 puffs inhaled x1; Start: 5-30min before exercise

[MDI form, 4 yo and older]

Dose: 2 puffs inhaled x1; Start: 5-30min before exercise

renal dosing

[not defined]

renal impairment: not defined; Info: caution advised if high-dose use

HD/PD: not defined

hepatic dosing

[not defined]