whether to use levalbuterol (Xopenex) instead of albuterol

There is renewed controversy about whether to use levalbuterol (Xopenex) instead of albuterol.

Xopenex is often promoted as being better than albuterol...and there's less difference in cost now that generic albuterol inhalers are being phased out.

Some people claim that albuterol is more likely to increase heart rate...and that the S-isomer can cause pulmonary inflammation.

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