I use a nebulizer - and I am an adult without geriatric issues! I'm not sure how I got it - I was grumbling to my pulmonologist about my breathing problems (had a rough time getting the asthma under control) and in frustration asked him for a "switch" that I could use to turn the cough off. Next thing I knew, he'd ordered the equipment for me - and yes, it has a "switch", although not what I'd had in mind!:jester:

At any rate, I think it might help a bit more than the inhaler form of Xopenex...maybe because it's over a longer duration (the treatment), and I relax more while I'm using it? I have adult friends who say the same thing about their machines. But I still couldn't see using a nebulizer for anything more than a "rescue" treatment.

Oh, to the OP - you really should find a different pulmonologist. I have moderate - severe asthma also; so I also need long term relief. But I use a long acting bronchodialtor (Serevent) and an inhaled steroid (Asmanex). Two long acting controllers. So my symptoms are mostly gone; I still use the rescuer (Xopenex for me), but not nearly as often as you are using the albuterol. There are probably other meds that will control your symptoms, but without the hassle of the nebulizer.