Do you need ketofin with albuterol?

I know itís needed for clen and both being beta 2 agonists it would make sense but then I think of all the asthmatic patients out there who donít take it with their daily albuterol dosages.

Iíve been albuterol for over 4 weeks and still get the elevated heart rate. Just curious if itís needed.

Appreciate the help.