We found Albuterol to have too many side effects for the kiddo's. We use Xophenex for them. The pharmacist told me it's basically the same med but the Xophenex is purer, filtered a lot more. It has a lot less impurities in it so it doesn't cause the shaking and other visual side effects.
I always hated doing a breathing treatment but knowing they'd start coughing up junk and getting it out f their lungs....well, I'd weigh the results against them shaking off the bed in their sleep since I knew they'd be able to breath so much easier.
The Xophenex doesn't do that to them. They just lay there sleeping and I hold the dinosaur face mask really close to their faces so they will breath the med in. They do so much better.
One other thing you should do, I'm not saying this lightly, because it will make your life so much easier. Ask the doc to write you a prescription for a portable nebulizer.
I find the nebulizer so much better for getting more med in their lungs. Instead of using a hand held device with a tube you have a fine mist and it goes deeper and lasts longer.
We got a Pari for the kids, it also has a battery back up. You have to ask for a battery back up so don't forget.
We took the prescription to the local med supply place, this one is where my father in law gets his oxygen. They gave us the Pari right on the spot. It has it's own carrying case that holds the tube and face gear plus a plug for 110 house outlet, a charger/power cord to put in the cigarette lighter, and a battery back up so it can be used out in the wilderness. We're covered no mater where we are.
This is a picture of a nebulizer just like ours.
The first picture is the whole thing. The yellow part is the battery back up. The second picture is the device without the battery pack on it.
http://justnebulizers.com/pari-trek-s-compact-compressor-...
Be sure to watch the short video. It shows the lady putting it together and starting a breathing treatment. The med, it comes in a small plastic vial, goes in the part where she lifts the lid then closes it.
This nebulizer shoots the med deep in the lungs because it's just the right power to blow it there. I love using it for my own breathing treatments and it's just like having one at the hospital.
Our grand kids get bronchiolitis. Not plain out bronchitis. But a much more inflamed and stressful type called bronchiolitis. It starts out with just a cough then progresses to get deeper and deeper. Pretty soon they're wheezing and having a dry hacking cough.
This at home nebulizer is a God send because it gets the med where it needs to go, it's super easy to grab and hang off my shoulder with my purse strap, and I can give a breathing treatment at the football game, soccer game, on a hike in the hills, and in the backseat of the car on the way to the ER if they're having too much trouble breathing.
I hope you'll talk to the doc. Our state medical card paid fully for them. Both kids have one because they often go to different places.