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Xopenex vs. Advair

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

Key takeaways

Xopenex (levalbuterol) and Advair (fluticasone/salmeterol) are both inhaled medications used to help with breathing problems, but they work in different ways and are used for different purposes. Xopenex is a short-acting beta agonist (SABA) that quickly relaxes the muscles in your lungs to open up your airways, making it easier to breathe during episodes of sudden wheezing or shortness of breath. It's typically used three times a day and is available as a lower-cost generic. On the other hand, Advair is a combination of an inhaled corticosteroid (ICS) and a long-acting beta agonist (LABA). It is used for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD) and is taken twice daily. Advair helps reduce inflammation and keeps airways open over a longer period. Unlike Xopenex, Advair is not used for sudden breathing problems. Common side effects of Xopenex include headache and sore throat, while Advair can cause upper respiratory infections and oral thrush.

Levalbuterol

(Xopenex)

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Advair

(fluticasone / salmeterol)

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Summary for Xopenex

Prescription only

Levalbuterol inhalation solution (also known by its brand name, Xopenex) is a short-acting beta agonist (SABA). It's used to treat and prevent sudden wheezing or shortness of breath in people with certain breathing problems, such as asthma. This medication is for adults and children ages 6 years and older. Levalbuterol (Xopenex) inhalation solution is inhaled through the mouth with a nebulizer machine. Side effects of this medication include headache, sore throat, and runny nose. It's available as a lower-cost generic.

Indications for Xopenex

  • Treatment or prevention of wheezing or tightening of airways in people ages 6 years and older with certain types of lung problems (e.g., asthma)

Pros and Cons for Xopenex

Pros

  • Works well for relieving wheezing or shortness of breath
  • Quickly opens up the airways
  • Can use for children as young as 6 years old

Cons

  • Takes about 5 to 15 minutes to take the whole dose
  • Need to use with a nebulizer machine, which isn't ideal for someone who is traveling
  • Need to inhale 3 times daily, so not a long-acting medication

Common Side Effects for Xopenex

Ages 12 years and older:

  • Viral infection (7-12%)
  • Runny nose (3-11%)
  • Nervousness (3-10%)

Ages 6 to 11 years:

  • Headache (8-12%)
  • Runny nose (6-10%)
  • Sore throat (3-10%)
  • Asthma (6-9%)
  • Viral infection (8-9%)
  • Rash (up to 8%)
  • Diarrhea (2-6%)

Warnings for Xopenex

  • Breathing problems
  • Heart problems
  • Allergic reactions
  • Low potassium in the blood
  • Only take as directed

Summary for Advair

Prescription only

Advair is a combination inhaler that contains fluticasone (an inhaled corticosteroid) and salmeterol (a long-acting beta agonist, or LABA). Advair Diskus is used for maintenance treatment of chronic obstructive pulmonary disease (COPD) and asthma in adults and children, where as Advair HFA is for asthma only. Advair (fluticasone / salmeterol) is inhaled through the mouth, typically 1 to 2 puffs twice daily. Some common side effects of this medication include upper respiratory tract infection, sore throat, and headache.

Indications for Advair

  • Maintenance treatment of asthma
  • Maintenance treatment of COPD - Advair Diskus 250/50 only

Pros and Cons for Advair

Pros

  • Works well to lower the risk of asthma or COPD symptoms
  • Combines two medications into a single inhaler for convenience
  • Available as two different types of inhalers (Advair Diskus and Advair HFA)

Cons

  • Can cause fungal infections (thrush) in your mouth and throat
  • Advair Diskus contains lactose, so it might not be safe for people with severe milk protein allergies
  • Doesn't replace your rescue inhaler

Common Side Effects for Advair

Advair Diskus:

  • Upper respiratory infection (up to 27%)
  • Sore throat (up to 13%)
  • Headache (up to 13%)
  • Bronchitis (up to 8%)
  • Cough (up to 6%)
  • Nausea and vomiting (up to 6%)
  • Hoarseness (up to 5%)

Advair HFA:

  • Upper respiratory infection (up to 24%)
  • Headache (up to 21%)
  • Throat irritation (up to 9%)
  • Muscle and bone pain (up to 7%)
  • Nausea and vomiting (up to 5%)

Warnings for Advair

  • Not for use in asthma attack or for worsening breathing
  • Fungal infection in the mouth
  • Narrowing of your airways (bronchospasm)
  • Higher risk of infections
  • Altered stress hormone levels
  • Delayed growth in children
  • Eye and vision problems
  • Heart problems
  • Low potassium levels in the blood
  • Allergic reactions

Prices with our coupons for Xopenex vs. Advair

Price Card Drug Icon
Levalbuterol25 vials / 3ml of 1.25mg/3ml
$24.25$170.01
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Fluticasone/Salmeterol1 diskus inhaler / 250mcg/50mcg
$65.46$314.99
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