Compare Xopenex vs. Atrovent

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Xopenex (levalbuterol)

Prescription only

Atrovent (ipratropium)

Prescription only
Makes it easier to breathe if you have asthma, bronchitis, or emphysema.

Xopenex (levalbuterol) inhaler is very effective at relieving acute asthma attakcs in more moderate to severe airway conditions, but is more expensive.

Controls COPD.

First choice inhaler for controlling mild chronic obstructive pulmonary disease (COPD).

Upsides
  • Xopenex (levalbuterol) works within minutes to help you breathe easier when you have breathing difficulty or an attack, especially in more severe conditions.
  • The inhaler can be used in children as young as 4 years old while the nebulizer solution can be used in children 6 years and older.
  • Xopenex (levalbuterol) may have less side effects such as rapid heartbeat than albuterol.
  • It is available as a generic.
  • The nebulizer solution is a good option for children and adults who have difficulty using a handheld inhaler.
  • The nebulizer is available in generic.
  • Available in combination with albuterol in case Atrovent (ipratropium) by itself is not enough to control your symptoms.
Downsides
  • Xopenex (levalbuterol) is only relieves immediate symptoms and doesn't work to prevent future attacks, unlike maintenance medicines.
  • May not be the best option if you have a history of seizures, heart problems, thyroid problems or diabetes.
  • Xopenex (levalbuterol) is similar to albuterol, but it can be more expensive, especially the nebulizer solution.
  • Children might find the inhaler and nebulizer difficult to use. Parents or adults may need to help children use this medicine.
  • Unlike albuterol, Xopenex (levalbuterol) nebulizer solution cannot be mixed with other nebulized medicines.
  • Effects don't last long so it needs to be used multiple times a day.
  • Doesn't work fast enough to be used as a rescue inhaler for COPD attacks.
  • The inhaler is only available in brand name.
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Used for
Dosage forms
  • Inhaler
  • Nebulizer solution
  • Inhaler
  • Nebulizer solution
Price
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Reviews
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Side effects
7possible side effects
  • Vomiting
    11%
  • Asthma symptoms
    9%
  • Accidental injury
    9%
  • Sore throat
    8%
  • Stuffy nose
    7%
  • Dizziness
    3%
  • Bronchitis
    3%
See more detailed side effects
10possible side effects
  • Bronchitis
    10%
  • COPD attack
    8%
  • Shortness of breath
    8%
  • Headache
    6%
  • Influenza like symptoms
    4%
  • Dry mouth
    4%
  • Nausea
    4%
  • Dizziness
    3%
  • Back pain
    2%
  • Urinary tract infection
    2%
See more detailed side effects
Risks and risk factors
  • Sudden lung spasms
    • First use of a new vial
  • Heart problems
    • History of heart problems
    • High blood pressure
  • Increased side effects
  • Worsening of asthma
  • Allergic reactions
  • Low potassium levels
    • Medicines that lower potassium levels
    • Taking certain diuretics
See more detailed risks and warnings
  • Not a rescue inhaler
  • Serious allergic reaction
  • COPD attack
  • Urination problems
    • Benign prostate hyperplasia
    • Urinary neck obstruction
See more detailed risks and warnings