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Real members of MyCOPDTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
August 20, 2025
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A MyCOPDTeam Member

Hi Debbie. This is a known side effects of the nebulizer med. You should know that Albuterol also comes in a PILL form, but the Docs like to keep this in the toolbox for emergency use only.

Another option is the "cousin" to Albuterol described in the article below:
https://www.goodrx.com/compare/levalbuterol-vs-...
It is designed just for the side effects you point out, but comes at a higher price. Your Doc will help you understand why she insists on one or the other based on ALL your conditions.

be Well 🌞

Levalbuterol vs. Albuterol for Asthma and COPD: Important Differences and Potential Risks.
Levalbuterol vs. Albuterol for Asthma and COPD: Important Differences and Potential Risks.
August 21, 2025
A MyCOPDTeam Member

You may need to graduate to a different medication daily and just use your albuterol as a rescue. Fun bit of knowledge: my daily medication is, cash price,
$787.36πŸ˜”. Thank God for medicaid and disability.

August 25, 2025
A MyCOPDTeam Member

I was hospitalized twice after using a nebulizer. It was not the medication but I realized I can't use the nebulizer. I could not breathe at all. The nurses had to chart my reaction to any nebulizer treatments. I actually threw mine away.

August 26, 2025
MyCOPDTeam

Yes, there are alternative medications that can be used in nebulizers. The shaking and muscle spasms you're experiencing are known side effects of albuterol. Some alternative options include:

β€’ Levalbuterol - a different type of bronchodilator that may have fewer side effects
β€’ Corticosteroids - help reduce inflammation in Show Full Answer

Yes, there are alternative medications that can be used in nebulizers. The shaking and muscle spasms you're experiencing are known side effects of albuterol. Some alternative options include:

β€’ Levalbuterol - a different type of bronchodilator that may have fewer side effects
β€’ Corticosteroids - help reduce inflammation in the airways
β€’ Long-acting bronchodilators - work throughout the day rather than just for immediate relief

It's important to discuss these symptoms with your healthcare provider, as they can adjust your medication or dosage to find what works best for you. When using any nebulizer treatment, proper technique is essential for getting the full benefit while minimizing side effects. Consider working with a respiratory therapist who can ensure you're using the device correctly and help determine the most appropriate medication for your specific situation.

August 20, 2025
A MyCOPDTeam Member

I have an allergy to abuterol. Makes me short of breath. Leverbuteral inhaler did nothing for me. So I don't have one. I use my nebulizer with Duo Neb. Carefully. Makes me shaky. I have ET also. And short of breath. It's a total nightmare every day for me with medication. I'm also on BREZTRI. Some days great.some days not so great. Every day is a challenge with meds. I'm on that Ohtuvayre study also. Hope things improve just alittle would be nice.

August 25, 2025

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