As far as I'm concerned (ie: someone who practices medicine), TheSenator is the one with the best advice. I know everyone is trying to help, but bottom line, if you start having an attack, you need to either get an inhaler or a nebulizer treatment. Ambulances (at least the advanced life support units), do carry inhalers in their drug boxes. Granted, your insurance company will get hit with a $700-1000 bill, but screw 'em. If you don't have insurance, go to the drug store like TheSenator said, or call your doc and have him call in a prescription to a pharmacy near your office, or one that will deliver to your office. Now, I'm going to say something that I really don't want to say, and know that this is for absolute emergency use only- There is an over the counter product called Primatene Mist that you can use if absolutely necessary. The reason for the caution for an over the counter product is that it is dangerous. It is essentially inhaled epinephrine. It will work, and open your lungs. And also your heart will race, and you'll feel shaky. If there is underlying heart disease, it can actually precipitate a heart attack. That's why I say it is for emergency use only. If you know CPR, Airway and Breathing comes before circulation. If it's so dangerous, why is it still on the market? It was grandfathered in, since it was on the market long before FDA regulations came into play. A new product like this wouldn't be allowed. And I know that in 2006 the FDA was considering banning the product. And eventually, I'm sure that they will. Personally, I would like to see albuterol would be made OTC. Then, the argument that Primatene shouldn't be banned because there are people who can't afford to see a doctor to get it would be moot.