levalbuterol, an adrenergic β2-agonist. ▪ INDICATIONS: It is used in the treatment and prevention of bronchospasm (reversible obstructive airway disease). ▪ CONTRAINDICATIONS: Tachydysrhythmias, severe cardiac disease, or known hypersensitivity to sympathomimetics prohibits its use. ▪ ADVERSE EFFECTS: Among adverse effects are insomnia, headache, dizziness, stimulation, hallucinations, flushing, irritability, dry nose, irritation of the nose and throat, palpitations, tachycardia, hypertension, angina, hypotension, arrhythmias, heartburn, nausea, vomiting, and muscle cramps. Common side effects include tremors, anxiety, and restlessness.