Please! Don't let the very small chance (1/10th of 1%) that you might develop MAC stop you from using a helpful medication. Especially, given that you already have an infection that I assume is being treated, the antibiotics will keep a new one from settling in.
As for the albuterol, yes, it is great at making me feel shaky. Instead I use levalbuterol, which does not have the same effect. By the way, albuterol & levalbuterol are not steroids.
Also, if you are nebulizing saline, it is helpful to use a puff of albuterol or levalbuterol first to open the airways.
Remember, with every health and medication decision there are tradeoffs. Being able to breathe deeply and comfortably usually means you will feel better, be more active, be more able to exercise, and thus generally be more healthy.
Sue
I use a nebulizer with Brovana twice daily but follow it up with a puff of Alvesco 160mcg. I noticed that you stated that if one is nebulizing saline it is helpful to use a puff of albuterol or levalbuterol prior to nebulizing. I only need the levalbuterol rescue inhaler perhaps one or two times per year, and use it at the docs office when doing the PFT. Have been on this protocol for almost 7 years and have an Allergy/Asthma Specialist for a pulmonary doc.