Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
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levalbuterol

levalbuterol
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Xopenex HFA AEROSOL, INHALATION CFC free 45 mcg/inh    
Xopenex SOLUTION, INHALATION 0.31 mg, 0.63 mg, 1.25 mg    
VIEW MORE Selective B2-Adrenergic Agonists
CLASS
12120812
Comments:

Due to national shortage of the nebulization solutions, the formulary status of inhaler products has been temporarily adjusted to formulary, restricted to use during the albuterol/Duoneb shortage. Upon shortage resolution, these products will automatically return to their original formulary status. See Albuterol/Duoneb Shortage Mitigation for more information. (Updated Feb 2023)

ORDERED FORMULATION THERAPEUTIC INTERCHANGE
levalbuterol (Xopenex HFA) **PRN orders**
  • 1-2 puffs PRN
 albuterol (Proventil) **nebulizer**
  • 2.5 mg per nebulizer PRN
    • For q2h-q6h: at same dosage interval
    • For q8h-q12h --> q6h
levalbuterol (Xopenex HFA) **PRN orders—“NO SUB”**
  • 1-2 puffs PRN
 levalbuterol (Xopenex) **nebulizer**
  • 1.25 mg per nebulizer at same dosage interval
levalbuterol (Xopenex HFA) **scheduled orders** albuterol (Ventolin HFA, ProAir HFA)
  • same number of puffs and dosage interval
    • For q2h-q6h: same dosage interval
    • For q8h-q12h --> q6h
levalbuterol (Xopenex) **nebulizer**
  • 0.31 mg
  • 0.63 mg
  • 1.25 mg
 albuterol (Proventil, Ventolin) **nebulizer**
  • 1.25 mg per nebulizer
  • 1.25 mg per nebulizer
  • 2.5 mg per nebulizer
    • For q2h-q6h: at same dosing interval
    • For q8h-q12h --> q6h

The automatic interchange program from albuterol to levalbuterol was discontinued at the August 23, 2006 P&T meeting.

If no specific dose/strength and/or frequency is written, the drug order will be standardized to "levalbuterol 0.63 mg q 8 hours" scheduled, or "0.63 mg q 8 hours prn bronchospasms" for prn orders.

Common Nebulized Doses for Pediatrics

Reviewed: 23 Aug 2006 and 25 Oct 2010 and 25 Mar 2014

Last updated: Mar. 3, 2023






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