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These chemicals may make the airways highly sensitive due to which inflammation from the air passage occurs. The sensation traveled in circles up my right arm and down my left arm. First you have to open it, that involves sliding the thumb grip back. I literally felt an ongoing travel up my right arm (electrical). Xopenex HFA: Overview: Xopenex HFA is a hand held fast acting relief inhaler for symptoms of asthma such as shortness of breath, tightness from the chest or coughing. Medications for example prednisone or prednisolone could be given by mouth to take care of acute asthma attacks. The pill kind of this COPD medication is administered in a very controlled environment (when an individual is hospitalized for COPD) or when the patient's COPD symptoms worsen. They stimulate the nerves supplying the muscles around your bronchial tubes, causing them to chill, thus reducing the the signs of an acute attack of asthma. 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