Thanks Gabby for the response. I spoke with her pulmonologist today and he basically said the same thing you did (that this amount of xopenex should be given in emergency situations only). He also explained that the 10 mg. of xopenex was met by using up to 4-5 vials of maybe the 1.25 of xopenex in the nebulizer at once. My grand daughter is on quite a few meds now (prednisone, foradil, flovent, singulair, nose irrigation, nasonex, and sometimes asteline), but the asthma hasn't been stabilized for quite sometime now. She's had her second shot of Xolair so far so I guess we'll just have to pray and hope that this will eventually work for her.