Hello and hope you are doing well.
Albuterol is a short-acting bronchodilator, it eases symptoms by opening the airways during an asthma flare-up. It is a β-adrenergic agonist. Side effects are restlessness, irritability and nervousness. Ipratropium blocks the effect of acetylcholine on airways (bronchi) and nasal passages. This is used as an alternative to Albuterol if the side effects are severe with Albuterol. This could also be used in conjunction with Albuterol, to relieve acute flare ups of Asthma.
Hope this helped and do keep us posted.