I have been on both the albuterol solution and the inhalers for over 20 years now and I have been diagnosed with copd have been intubated twice, and and have potassium problems along with blood clots. I found this specialist who told me that albuterol was causing the potassium problems and possibly the clots. I was told by my dr to use this medication 4 times a day not as needed. now it has destroyed my health and my life. be careful with albuterol and also prednisone please