I'm an ADHD adult male (38yo) and the GP gave me Albuteral for some kind of breathing problem and I noticed that I'm much calmer and patient.
This stuff is definitely having a profound impact on my temperament. What I don't know is if it's because I'm sleeping better or if breathing better during the day or what.
If you saw an immediate impact the morning of on the first day your child got the Albuteral, that pretty much removes sleep from the equation so that points to a breathing thing. For me, I noticed the improvement a few days later so I thought it was probably a sleep quality thing.
The other interesting outcome I've had is that taking Ritalin no longer seems to have much impact on my concentration. I can take double the dose and barely notice I took it. Had I doubled my dose prior to taking Albuteral, I would have been bouncing off the walls. I don't know if it makes me less sensitive to Ritalin so I need more or what, but I do know my focus is not better on Albuteral; just my temperament.
As for what my doctor told me, the Neurologist who writes Ritalin told me that this brings into question the diagnosis of ADHD alltogether. Not sure if I agree, but if what he said is true, maybe some kids don't need stimulants if their sleep or breathing is improved.
Lastly, I've been diagnosed with central sleep apnea but have never had much luck using CPAP. That's probably why I noticed it affecting my sleep so much. I think what the albuteral is doing is opening up the airway so I breath better and sleep better. I just don't really understand the whole story yet. I'd like it to improve concentration so I don't need stimulants, but so far, that hasn't been the case. If anything, I need a higher dose of Ritalin now that I'm breathing better. Very weird.