Hi Cris, I have tried the Proventil HFA albuterol and it really did not help me. The Proair HFA works the best for me. I am just one of those lucky people who don't get the jitters from albuterol. Have you asked your dr. about symbicort for a long term inhaler? I don't think it uses an HFA propellant. I don't know how it works exactly but it has a counter on the top so you can easily track your uses. And It doesn't start counting immediately. You have to prime it 4 times and then start to use it. The counter will count down to zero but it will give you a warning part on the counter in yellow when you get down to 20 puffs so you can get your refills. I like it because I cleared up after my very first use. It has been a god send for me. I hope you find the best meds for you and do let me know how it is going for you. Will be glad to offer any suggestions or help if I can. Oh and while I think of it I do use my spacer with it. And if you switch to symbicort never use more than the 2 puffs at a time.