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

bronchospasm, acute (off-label)

[MDI form, mild-moderate exacerbation]

Dose: 4-8 puffs inhaled q20min up to 4h, then 4-8 puffs inhaled q1-4h prn

[MDI form, severe exacerbation]

Dose: 4-12 puffs inhaled q20min up to 4h, then 4-12 puffs inhaled q1-4h prn

[NEB form, mild-moderate exacerbation]

Dose: 1.25-2.5 mg NEB q20min x3, then 1.25-5 mg NEB q1-4h prn

[NEB form, severe exacerbation]

Dose: 2.5 mg NEB q20min x3, then 5 mg NEB q1-4h prn

bronchospasm, exercise-induced (off-label)

[MDI form]

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]

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

bronchospasm, acute (off-label)

[MDI form, <12 yo, mild-moderate exacerbation]

Dose: 4-8 puffs inhaled q20min x3, then 4-8 puffs inhaled q1-4h prn

[MDI form, 1-11 yo, severe exacerbation]

Dose: 4-8 puffs inhaled q20min x3, then 4-8 puffs inhaled q1-4h prn

[MDI form, 12 yo and older, mild-moderate exacerbation]

Dose: 4-8 puffs inhaled q20min up to 4h, then 4-8 puffs inhaled q1-4h prn

[MDI form, 12 yo and older, severe exacerbation]

Dose: 4-12 puffs inhaled q20min up to 4h, then 4-12 puffs inhaled q1-4h prn

[NEB form, <12 yo, mild-moderate exacerbation]

Dose: 0.075 mg/kg/dose (min 1.25 mg) NEB q20min x3, then 1.25-5 mg NEB q1-4h prn

[NEB form, <12 yo, severe exacerbation]

Dose: 0.075 mg/kg/dose (min 1.25 mg) NEB q20min x3, then 1.25-5 mg NEB q1-4h prn

[NEB form, 12 yo and older, mild-moderate exacerbation]

Dose: 1.25-2.5 mg NEB q20min x3, then 1.25-5 mg NEB q1-4h prn

[NEB form, 12 yo and older, severe exacerbation]

Dose: 2.5 mg NEB q20min x3, then 5 mg NEB q1-4h prn

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]