yeppers, albuterol is the american name for salbutamol (salbutamol is the recommended name according to WHO, but..well americans are unique)..And tremors are SOOOOO common, most people get them actually, but that goes away with use (supposed to anyway) I dont get them anymore with the inhaler, only with the nebulizer (slightly higher dose than 3 puffs of the inhaler) depends on the person of course, but that is actually "normal" If it's too frustrating for you ask about Maxair (pirbuterol i think it is..)