Hi fred - welcome and thanks for your post. I see my colleagues and fellow community members ( and @Tlee), have already shared their own thoughts here. I also have something to add.
I have used albuterol, as a rescue inhaler, since its first came out, many years ago. In the beginning, I used it more often than I do currently, as my own condition was as well controlled then as it is now.
I have found it to be an extremely effective medication when I use it.
Are you using albuterol now? Do you find it works for you?
All the best,
Leon (site moderator COPD.net)