So I have used my albuterol rescue inhaler for many years, 2-5 times a day, plus neabs for asthma attacks.
Then cam MAC and airway clearance-nabs at least twice a day . I hated it! Made my tremors so much worse, and took so much time.
About 3 years ago, my primary said "2 puffs of the inhaler are as good as a neb" Now I take 2 puffs, wait 15 minutes, neb saline and do my Aerobika. Saves a lot of time, much less shaky...
Last year my pulmonologist switched my inhaler fro albuterol to Symbicort because I also have asthma. Even better! No flare for a year, and less shortness of breath.

That's my story - an ever changing picture, but if albuterol doesn't bother you, many use it for years.
Sue