We were told the X
openex did not cause as much side-effects as albuterol even though both medications are in the same drug class. My Husband cannot take Albuterol because of heart rhythm issues from the drug, but has had no trouble on the X
openex. Azmacort is a steroid inhaler, thus is a different medication class entirely from Albuterol or X
openex. So you should be able to stay on the Azmacort and switch from Albuterol to X
openex fine...but if I were you, I'd only bother switching to X
openex if you are having side-effects from Albuterol...otherwise, why fix something that isn't broken? Make sure to discuss this with your doctor before making any changes in your medications or doses.