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Old 06-25-2004, 02:35 AM
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Join Date: Jun 2004
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Default Concerned parent .

Hello ,

I am writing this in hope of getting some more information in regards to a prescription I had filled today for my 25 month old daughter . She has had a very nast cough for 3 weeks now which seems to be just a mucus build up in her airways which wont give up. Is much worse at night and morning as it is cold here this time of year.

The drug in question is Terbutaline Sulfate 0.3mg/ml . Here in Australia it is called Bricanyl but looking around on the net the popular name is Brethine .

I have just read some detail on brethine which amongst other things stated it should not be prescribed to children under 12 years of age and another site said that its safety in children has not yet been proven.

Why would I have this medicine for my daughter if this is the case ?

Can anybody please help out an anxious father.

Thanks in advance.

Ty
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Old 06-27-2004, 09:24 AM
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Hi..
My daughter was given Brethine (the generic form) when she was having problems with coughing and congestion. She was 3yr old then.
I gave it to her one time and never would again. She was very cranky after taking it and it didn't seem to help.
I kept it and used it again for myself.. I have an inhaler for bronchitis and I had a very nasty congestion problem. My inhaler was out and I decided to use the liquid form.
Well I apparently took too much..thought I was going to die!
I dumped the bottle down the drain and will never allow it in the house again! I would question a doctor if you have any concerns about certain medication. I just know from my own experience that this one will not be used again!
JoPayne
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Old 07-01-2004, 07:59 PM
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Here is a copy of the Consumer Information for Bricanyl Elixir and Injection taken from the APP Guide Online, which may help...

CONSUMER MEDICINE INFORMATION
What is in this leaflet
This leaflet answers some of the common questions people ask about Bricanyl. It does not contain all the information that is known about Bricanyl.
It does not take the place of talking to your doctor or pharmacist.

All medicines have risks and benefits. Your doctor will have weighed the risks of you taking Bricanyl against the benefits they expect it will have for you.

If you have any concerns about taking this medicine, ask your doctor or pharmacist.

Keep this leaflet with the medicine.

You may need to read it again.

What Bricanyl is for
Bricanyl is used to open up the airways in people with asthma, bronchitis and other breathing problems so that they can breathe more easily. It can also be used before exercise to keep the airways open if you start to wheeze or have trouble breathing each time you exert yourself.
Bricanyl injection is usually only given in hospital in cases of severe breathing difficulties.

Bricanyl elixir and injections are available only with a doctor's prescription.

Your doctor will have explained why you are being treated with Bricanyl and told you what dose to take.

Follow all directions given to you by your doctor carefully.

They may differ from the information contained in this leaflet.

However, your doctor may prescribe this medicine for another use. Ask your doctor if you want more information.

Bricanyl is not addictive

Before you use Bricanyl
When you must not use it
Do not use Bricanyl if you are pregnant or breastfeeding unless your doctor says so. Ask your doctor about the risks and benefits involved.

There is no evidence available at the moment to show that taking Bricanyl under your doctor's instructions is harmful to unborn babies.

Your baby can take in Bricanyl from breast milk if you are breastfeeding, although the amount is so small it is unlikely to affect the baby.

Do not use after the use by (expiry) date printed on the pack.

It may have no effect at all, or worse, an entirely unexpected effect if you take it after the expiry date.

Do not use Bricanyl if the packaging is torn or shows signs of tampering.

Do not use it to treat any other complaints unless your doctor tells you to.

Do not give this medicine to anyone else.

Before you start to use it

You must tell your doctor if:

1. you have any allergies to

• other medicines used to treat breathing problems
• ingredients listed at the end of this leaflet
• any other substances

If you have an allergic reaction, you may get a skin rash, hayfever, a worsening of your asthma or feel faint.

2.you have any of these medical conditions

• heart disease
• diabetes
• thyroid problems

It may not be safe for you to take Bricanyl if you have any of these conditions.

Taking other medicines

Tell your doctor if you are taking any other medicines, including:

• medicines used to treat heart problems or high blood pressure
• medicines for glaucoma, including eye drops
• other medicines to treat asthma, bronchitis or breathing problems
• any other medicine that you buy at the chemist, supermarket or health food shop.

These medicines may affect the way Bricanyl works.

Your doctor or pharmacist can tell you what to do if you are taking any of these medicines.

If you have not told your doctor about any of these things, tell them before you take any Bricanyl.

Using Bricanyl
How to take it
Bricanyl Elixir:

Adults

The dose can range from 10 to 15 mL (3 to 4.5mg), up to three times a day.

Children

Children are usually considered to be aged 12 or less, but check with your doctor if you are at all worried about the dose that has been prescribed for your child.

The dose is worked out by the weight of the child. It is 0.25mL (0.075mg) for every Kg the child weighs for each dose. Doses are given when needed up to every 6 hours.

If you find that the usual dose of Bricanyl is not giving you as much relief as before, or you are needing to use it more often, please contact your doctor so that your condition can be checked.

This is most important to make sure that your breathing problem does not get out of control.

If you have a personal Action Plan be sure to follow it closely.

Bricanyl Injection:

Your doctor or a specially trained nurse will give you or your child the injection. It will be given just under the skin, and repeated when needed, up to every 6 hours.

If you forget to take it

If you forget to take Bricanyl elixir, do so as soon as you remember unless it is less than 4 hours until your next dose.

In that case skip the missed dose, and take the next dose when it is due. Don't double the dose.

If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.

Bricanyl injection will be given to you when required so you will not 'miss' a dose.

Overdose

Telephone your doctor or the Poisons Information Centre (13 11 26), or go to casualty at your nearest hospital immediately if you think that you or anyone else may have taken too much Bricanyl even if there are no signs of discomfort or poisoning.

If you take too much Bricanyl you will probably have shaky hands (tremor), a headache, feel sick (nausea), anxious, tense, restless, excited and be unable to sleep, muscle twitching or cramps, or fast or irregular heartbeats.

Side effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Bricanyl.
Bricanyl helps most people with asthma, bronchitis and other breathing problems, but it may have unwanted side-effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor if you notice any of the following and they worry you:

• tremor (shaky hands)
• nervousness or agitation
• increased heart rate or palpitations
• nausea (feeling sick) and vomiting
• a bad taste in your mouth
• diarrhoea
• sweating, muscle twitching or cramps
• drowsiness, dizziness or headache
• disturbed sleep
• skin rash

These are all mild side effects of Bricanyl.

Tell your doctor or pharmacist immediately if you notice any of the following:

• difficulty breathing or worsening of your breathing problems
• fast or irregular heart beat

These may be serious side effects. You may need urgent medical attention. Serious side effects are rare.

Tell your doctor if you notice anything else that is making you feel unwell.

Some people may get other side effects while taking Bricanyl.

Storage
Bricanyl elixir:
Should be kept below 30°C.

Keep your elixir in the bottle until it is time to take it.

If you take Bricanyl out of the bottle it will not keep well.

Keep it in a cool dark place.

Bricanyl injection:

Should be kept below 25°C and protected from light.

Do not store Bricanyl or any other medicine in the bathroom or near a sink.

Heat and dampness can destroy some medicines.

Keep it where young children cannot reach it.

A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

Do not leave it in the car on hot days.

Disposal
Ask your pharmacist what to do with any Bricanyl you have left over if your doctor tells you to stop taking it, or you find that the expiry date has passed.
Product description
Bricanyl elixir:
A colourless, clear liquid containing 0.3 mg/mL of terbutaline sulfate plus,

• Sorbitol (E 420)
• Glycerol (E 422)
• Citric acid- anhydrous (E 330)
• Sodium hydroxide
• Sodium benzoate (E 211)
• Disodium edetate
• Ethanol (E1510)
• Raspberry flavour
• Lemon-lime flavour
• Purified water in 300ml bottles.

Bricanyl injection:

Contains 0.5 mg/mL of terbutaline sulfate plus;

• Sodium chloride
• Hydrochloric acid (for pH adjustment)
• Water for Injections.

Bricanyl paediatric injection:

Contains 0.1 mg/mL terbutaline sulfate; plus

• Sodium chloride
• Hydrochloric acid (for pH adjustment)
• Water for injections

Both injections are available in 1mL ampoules in boxes of 5.

Manufacturer
AstraZeneca Pty Ltd
ABN 54 009 682 311
Alma Road
NORTH RYDE NSW 2113
AstraZeneca Information Service
Tel: 1800 805 342

This leaflet was prepared June 2003.

Australian Registration Numbers
Elixir 12067
Injection 0.5mg/mL 12068
Injection 0.1mg/mL 12070

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