Perhaps Xoponex would be a better fit for you. In order to open up the airways, a bronchodialater should be used. Albuterol, while proven extremely effective for many people, does have some side effects that are worse for some people than others. Xoponex acts as a very effective bronchodialater without some of the much dreaded side effects of albuterol. It does not cause the increased heart rate and increased blood pressure. As well as, it does not ususually cause you to feel anxious or jittery. It is certainly worth talking with your doctor about if you are not getting relief from your current regimen.