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If you're using an inhaler, be sure to shake the inhaler before using it.

The next step is to use an inhaler called a bronchodilator such as albuterol which is sold under a number of brand names including( Proventil, Ventolin, or Pro Air which immediatelyopens the lungs up, but should not be used more than twice aweek without other asthma medications.

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Rare instances of congenital anomalies, including cleft palate and limb defects, were reported in newborns of women treated with racemic albuterol in which the levalbuterol isomer (active drug substance of XOPENEX HFA) is present.

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The purpose of this study is to determine in a large, double-blind, randomized, prospective pediatric clinical trial whether the use of continuous levalbuterol (Xopenex) in addition to standard emergency department treatment for acute asthma exacerbations will improve the Forced Expiratory Volume in 1 sec (FEV 1) compared to the use of continuous racemic albuterol.

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