What med are you using in the neb?
Most of the meds- ( albuterol, etc.) are suppose to be used 3-4 times a day. In an acute state I've been told to use it more frequently but a standard every two hours seems a bit much and a risk for a bunch of side effects... just my opinion...
Do you have a consulting nurse or does your Dr. have someone covering his practice? I think I'd call if you are having to use a neb Q2 hours for relief.........

Yes it's albuterol pre-measured vials that go into the nebulizer. What kind of side effects are you talking about? My doc has nobody covering at this time. Thank you for your reply.

Here's some links for fast info:

http://www.drugs.com/albuterol.html

http://asthma.emedtv.com/albuterol-inhaler/albuterol-inhaler-overdose.html

Does your medical program have a "ask a Nurse " feature while your Dr. is gone?

i use a nebulizer ismixture now, when the albuterol wasn't working well she changed it to a duo neb it has two meds in one IPRATROIUM bromide and albuterol in one and it helped alot. i use mine 4x's a day. so maybe your need to upgrade to more then just the albuterol. lots of meds . i also use albuterol inhaler 4x's aday 2 puffs each time, on 02 24/7 now. plus 2 anti[depressives and i take an anti anxiety 3 times a day. and flovent 2x's a day. and can't forget spriva once a day too. talk to the doc and say i want to go over my meds and i think i need to upgrade. if they don't do it ask why? but up to 20 times a day i would think that is way to much to much. do breathing exercises to empty you lungs of useless air. andcarbon dioxide which you want to get out what you do is take a breathe in then, purse your lips like for a kiss and start blowing out as long as you can , and you can do it if i can, i do it several times a day it really helps losening the phlemp and it is amazing what that breating techique will do, will probably make you cough which is good because it is getting it up to the point you can spit it out, try it and let me know what happens. and i mean empty your lungs with the breathing, blow for a little longer then you think you can. cause you can. hope you have a great christmas. good luck joni

I have a neb too but don't use it but every now and then... I just use the inhaler unless I have a cold or something.. I'm no doc but it sure seems like a lot of what your using!! you can also call an advice nurse or the ER (not emergency line) and ask them...... I would hold off on using that much until you speak to a doc... be careful please...hugs Janet

I don't know why the doctor told you to use your albuterol so much?
Mind tells me he wants me to use it at least twice a day. I don't use it only when I am having trouble breathing. It makes me caugh a lot.
My doctor tells me that is what it is suppose to do? I guess get the junck out of my lungs.
Well don't do what I do, but do what lisa says and get a hold of someone even an ER.
I'm surprize there isn't a doctor on call to cover your doctors calls.
But then again I get the recording that says, "if this is a emgency call 911." Here?

I guess it all depends where you live and who your doctor is I guess?

My pulm doc said I could use my neb or rescue inhaler every 2 hours if needed.

"If needed" are probably the key words there....

I only use it once a day when not too bad....more on bad days.

Take care and God Bless.

I also use albuterol in my nebulizer, but on a routine basis I only use it 2-3 times a day. But if I'm having trouble, then I can use it more often.

That said, I suspect that your symptoms are not being well controlled, and that you probably need other medications, inhaled, or otherwise. And if you are coughing up mucus that has a color to it, such as yellow or green, then you have an infection that needs to be treated.

One other thing I should mention. I don't know if this is common or not, but several years ago, I got into a situation where I needed my albuterol nebulizer much more often. And then it seemed like it wouldn't do me any good, and that I had to "recover" for a bit after using the neb. What was happening was that I was hyper-inflating while I was using the neb. My pulmonologist made sure I had sufficient inhalers on hand, and then he had me stop the neb completely. I was completely amazed, because for about 2 weeks I felt like my chest was "deflating!" The muscles in my chest wall could finally relax, and I was breathing better than ever. I stayed off the nebulizer for about 2 years, but had to resume using it this past year. But now I'm very careful not to routinely use it too much.

If you are seriously having breathing problems and your doctor is not available, go to the ER, and have them check you out. Hope you feel better soon.

Sounds like to me that the albuterol is not working for you.Once my Dr put me on xopenex in the neb but it didnt work and I didnt feel like I was getting any relief so she switched me to the albuterol which did work. I was always told to use my neb every 4 hours. So sounds like you need to contact a Doctor or just go to the ER so you dont end up with a toxicity to the albuterol.