Perhaps your specialist can recommend a new rescue, like Xopenex for nebs, or Combivent. Yes, Combivent does contain Albuterol, but not in large doses. Xopenex does the same thing as Proventil or Ventolin without most of the side effects. Use your peak flow meter. If the tightness continues despite normal flows, call your doctor.
Stress can cause attacks.
High emotion is a valid trigger for attacks. It is not in your head dear, it's in your lungs, and if you are stressed it will bite you in the fanny. All rights reserved.