Albuterol is some pretty strong stuff. It is typically used for emergency, from what I have been told, though some doctors have patients use it for maintenance.

If I'm wrong, someone please correct me.

Anyway, a friend of mine, as well as myself, rarely use Albuterol because it IS so strong, and irritates our airways. She and I both use Azmacort. Pulmicort is also very good, and stronger than Azmacort, though the powder in Pulmicort is a heavier grain, and I cannot use it because I cough it right back up into my mouth and throat.

Some inhalers have ingredients that can cause tremors.
Definitely talk to your doctor about anything unusual you experience after taking any medications.

Hope this will be of help. Take Care now.
Sincerely,
Caring