I am interested in this as well. We use nebulizers. I'm always nervous to change things as well. I like using a mask with the neb to get it in the sinuses. However, with the addition of Hypertonic saline(which is likely the only neb that my daughter really needs to use a mask for to get in her sinuses), I do plan on asking about getting an albuterol inhaler for her afternoon treatment only just to see if what their thoughts are on it, and if I notice any difference. Not ready to do it for am and pm treatments yet.