Sometimes the Albuterol makes me shaky so I'll take a low dose of Xanax to keep me calm. But then I'm pretty relaxed, still groggy from nights sleep and can take an hour or so nap before I have to get up. LOL! Also, I have to do these every 12 hours so if I do my next one at 4:00 in the afternoon, I can do my Amikacin treatment a few hours later at a convenient time before bed. Doing the Albuterol and Saline solution a couple/few hours before Amikacin allows everything to be cleared out of my lungs and opened up to make it easier for the Amikacin to get in there deeper.