Esmolol and Levalbuterol interaction
Esmolol and Levalbuterol: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.
Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.
What the FDA labels say
From the Esmolol (BREVIBLOC) label · effective 2025-03-14
• Sympathomimetic drugs: Dose adjustment needed ( 7 )
• Sympathomimetic drugs: Sympathomimetic drugs having beta-adrenergic agonist activity will counteract effects of BREVIBLOC injection.
From the Levalbuterol (XOPENEX HFA) label · effective 2025-06-02
In this setting, cardioselective beta-blockers should be considered, although they should be administered with caution.
Beta-blockers : May block bronchodilatory effects of beta-agonists and produce severe bronchospasm.
Patients with asthma should not normally be treated with beta-blockers.
Beta-blockers Beta-blockers: Beta-adrenergic receptor blocking agents not only block the pulmonary effect of beta-adrenergic agonists, such as XOPENEX HFA, but may produce severe bronchospasm in asthmatic patients.
Therefore, patients with asthma should not normally be treated with beta-blockers.
Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.
Open in the checkerNot medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.