I use the Inhailer albu, just one puff b/c it gives me headaches and panic attacks at two puffs. My doctor said albuterol is a part of the saline routine because they used it in trials and it gets a little deeper in your lungs. He told me I didn't even have to take it, but that it made it work better. He never mentioned an albuterol neb -- I hate them anyway. I would ask your doc if it's necessary. I wouldn't want to spend time on -another- neb if you don't have to. Two is enough *laughs* I wouldn't want three, especially if I didn't have to. It's up to you, but my doc says the puffer is fine. Just my two cents. I love the saline though. Never will give it up.
Ceci
Ceci