Xopenex HFA

Adult Dosing .

Dosage forms:  MDI: 45 mcg per actuation

bronchospasm

[2 puffs inhaled q4-6h prn]

Max: 12 puffs/day; Alt: 1 puff inhaled q4h prn

asthma exacerbation

[4-8 puffs inhaled q20min 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

bronchospasm, exercise-induced (off-label)

[2 puffs inhaled x1]

Start: 5-30min before exercise

COPD exacerbation (off-label)

[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

bronchospasm

[<4 yo (off-label)]

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

[4 yo and older]

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

asthma exacerbation

[<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

[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

[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

bronchospasm, exercise-induced (off-label)

[<4 yo]

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

[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]