@toni1132 @windwalker I too use levalbuterol, both in neb and inhaler, for the same reasons as Terri - albuterol and salumedrol gave me worse than "jitters" - unmanageable tremors, and a racing heart. Levalbuterol used to be only available under the brand name Xopenex, very expensive and not covered by many insurance plans. It is now available as a generic. Mine comes from Walgreens, and I have been able to get the generic all over the country, but have heard that a few chains still only have the more expensive name brand, so you might need to shop around. I especially find the levalbuterol helpful when I get bronchitis and have to neb every 4 hours - doing that with albuterol was impossible for me! Sue