Is she being given the correct dosage????
Dosage... is very important... especially in children.
And per any inhaler... many adults and parents, tend to over-dose... because it is an inhaler and they think giving "more" works better. That is not the rationale, with an inhaler.
Xopenex, is a "levalbuterol"" type of medicine inhaler.
I take that myself, for my Asthma. I like it.
It does not cause me, issues or "hyperness" or irritability.
But for some, it may.
There are MANY different kinds of inhalers.
Levalbuterol... is not approved for children under 6 years of age.
Your Granddaughter is 6.
PERHAPS.... I would suggest, that, dosage needs to be re-evaluated.
OR... tell the Doctor and try another type of inhaler. And something else, besides... Singulair. There are other options.
Also as I said, there are many types of inhalers.
And each one, affects a person differently.
Also, it might be the combination of the Xopenex AND the Singulair... that is tweaking her.
I would consider that.
Also, there are other medicines/inhalers she can use. Not only the Xopenex or Singulair.
It is also about, finding the right "fit" of medicines, for the individual.