Is there anything otc that has similar uses to albuterol?

No: The over the counter preparations like primatine mist have epinephrine in them, and due to deaths and the CFCs the drug was banned. if you have a known diagnosis of asthma call your doctor and ask for a prescription. If you are having trouble breathing right now, you may need to visit urgent care or the ER for assessment and treatment. If you don't have a new doc yet, ask your prior doc

Not really: Not really. There are many OTC cough medicines and additives for vaporizers, etc. But none of them really act the same way, or as well, as albuterol. There are several prescription bronchodilators , so albuterol isn't the only one. But nothing OTC is the same.

No: Until December 2011 there was a product by the name of Primitene Mist that was sold over the counter. This has been banned for several reasons. Mostly because it was dangerous and was felt to be responsible for deaths. Remember when you use albuterol you are just treating symptoms and not the asthma. This often leads to increased use which can be dangerous. See a knowledgeable asthma doctor.