I have copd and I have several side effects from the albuterol treatment in acombination with ipratropium bromide the name of it is Duonebs.I have at times exteme nervousness my body feels like it is constantly tingling, I get very light headed,have a headache. At times I feei a heavyness in my chest. I am taking this 3 times a day for 20-30 mins. I also get very little sleep about 4=5 hrs, per night.