unfortunately, years of searching and asking has failed to locate a substitute for albuterol/levalbuterol. Before bronchiectasis complicated my life, I used to just tough out shortness of breath - and I was pretty miserable. Now, just to function, I find it necessary to use it at least twice a day, in combination with Flovent morning and night. I find my reaction much less severe if I have food in my stomach & am well-hydrated. Unfortunately, now with levalbuterol constantly in my system, and unable to use a beta-blocker, my resting heart rate is 90, with mild exertion it's over 120, and it often hits 150 - with no apparent cause.
Neither my pulmonologist nor cardiologist can suggest an alternative, so I too would love to hear if anyone else has a solution.
Sue