BRICANYL RESPULES 2.5 MG/ML NEBULISER SOLUTION

Active substance: TERBUTALINE SULPHATE

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PS03275

PACKAGE LEAFLET: INFORMATION FOR THE USER

Bricanyl® Respules® 2.5 mg/ml Nebuliser Solution
terbutaline sulphate

Read all of this leaflet carefully before you start taking
this medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or
pharmacist.
• This medicine has been prescribed for you. Do not
pass it on to others. It may harm them, even if their
symptoms are the same as yours.
• If any of the side effects get serious, or if you notice
any side effects not listed in this leaflet, please tell your
doctor or pharmacist.
In this leaflet:
1. What Bricanyl Respules are and what they are
used for
2. Before you use Bricanyl Respules
3. How to use Bricanyl Respules
4. Possible side effects
5. How to store Bricanyl Respules
6. Further information
1. What Bricanyl Respules are and what they are
used for
Bricanyl Respules contain a medicine called
terbutaline. This belongs to a group of medicines called
‘beta‑agonists’. These work by relaxing certain muscles
and opening up the airways in the lungs.
• Bricanyl Respules are used for asthma and other
breathing problems where you have a tight chest and
difficulty breathing.
• A Respule is a small plastic container that contains
a liquid. The liquid is put into a machine called a
nebuliser. This machine turns the medicine into a fine
mist which you breathe in through a face mask or
mouthpiece.
2. Before you use Bricanyl Respules
Do not use Bricanyl Respules if:
• You are allergic (hypersensitive) to terbutaline or any
of the other ingredients of Bricanyl Respules (listed in
Section 6: Further information).
Take special care with Bricanyl Respules
Check with your doctor or pharmacist before using
Bricanyl Respules if:
• You have diabetes. If so, you may need some
extra blood sugar tests when you start using
Bricanyl Respules.
• You have a history of heart disease, irregular heart
rhythm or angina.
• You have an overactive thyroid gland.
If you are not sure if any of the above apply to you, talk to
your doctor or pharmacist before using Bricanyl Respules.
Taking other medicines
Please tell your doctor or pharmacist if you are taking, or
have recently taken, any other medicines. This includes
medicines that you buy without a prescription and
herbal medicines. Bricanyl can affect the way that some
medicines work and some medicines can have an effect
on Bricanyl.

In particular, tell your doctor or pharmacist if you are
taking any of the following medicines:
• Steroid medicines (such as prednisolone).
• Medicines called ‘xanthines’ (such as theophylline).
• Medicines called ‘beta‑blockers’ (such as atenolol or
propranolol) including eye drops (such as timolol).
• Water tablets (diuretics) such as furosemide (also
known as frusemide).
Pregnancy and breast-feeding
• Talk to your doctor before using Bricanyl Respules
if you are pregnant, might become pregnant or are
breast‑feeding.
• If you become pregnant while you are using
Bricanyl Respules, talk to your doctor straight away.
Driving and using tools and machines
Bricanyl is not likely to affect you being able to drive or
use any tools or machines.
3. How to use Bricanyl Respules
Always use Bricanyl Respules exactly as your doctor
has told you to. You should check with your doctor or
pharmacist if you are not sure.
The solution in a Respule must be put into a nebuliser
and made into a fine mist before it can be breathed in.
It is then inhaled through a face mask or mouthpiece.
Instructions for using your nebuliser are given after the
section ‘How much to take’.
How much to take
The usual dose is:
• Adults:
1 to 2 Respules, 2 to 4 times a day
• Children over 8 years: 1 Respule, 2 to 4 times a day
• Younger children are usually prescribed lower doses.
Instructions for using Bricanyl Respules
1. Break off a Respule from the strip. Leave the rest in
the foil envelope.
2. Hold upright. Twist off the top of the Respule to open.
3. Place the open end of the Respule firmly inside the
nebuliser cup. Squeeze slowly to put the liquid in the cup.
4. Throw the empty Respule away. Put the top back on
the nebuliser cup.
5. Connect the top of the cup to the face mask or
mouthpiece.
6. Connect the bottom of the cup to the air pump. The air
pump should be connected to the compressor unit.
7. Turn on the nebuliser and breathe in the mist calmly and
deeply using the face mask or mouthpiece. If you are
using a face mask, make sure the face mask fits tightly.
8. You will know when your treatment is complete
because the fine mist will stop coming out of your
mask or mouthpiece.
9. How long it takes to nebulise all the medicine depends
on the type of equipment you use. It will also depend
on the amount of medicine to be used.
10. After each use, you must wash the nebuliser cup and
mouthpiece (or face mask) in warm soapy water and
rinse well. After washing, dry these parts by turning on
the compressor and allowing air to blow through them.

Talk to your doctor straight away if:
• Your breathing is getting worse.
• You often wake at night with asthma.
• You start getting a tight chest.
• You are not getting relief from your current dose.
These are signs that your asthma is not being
controlled. You may need a different or additional
treatment straight away.
If you use more Bricanyl Respules than you should
If you use more Bricanyl Respules than you should,
contact your doctor or pharmacist.
If you forget to use Bricanyl Respules
• if you forget to have a dose, have it as soon as you
remember. However, if it is almost time for the next
dose, skip the missed dose.
• Do not have a double dose to make up for a
forgotten dose.
Stopping Bricanyl Respules
Do not stop taking your medicine without first discussing it
with your doctor.
4. Possible side effects
Like all medicines, Bricanyl Respules can cause side
effects, although not everybody gets them.
Important side effects to look out for:
• Allergic reactions. The signs may include a swollen
face, skin rash, breathing problems, low blood
pressure (feeling faint) and collapse. It is not known
how often this happens. If this happens to you,
stop using your nebuliser and see a doctor
straight away.
• Sudden wheezing soon after inhaling your dose
of Bricanyl Respules. It is not known how often
this happens. If this happens to you, stop using
Bricanyl Respules and see a doctor straight away.
Other possible side effects
Very Common (affects more than 1 in 10 people)
• Trembling or shaking.
• Headache.
Common (affects less than 1 in 10 people)
• Pounding or rapid heart beats (palpitations).
• Cramp or feeling tense.
• Low levels of potassium in your blood which may
cause muscle weakness, thirst, or ‘pins and needles’.
The following effects have sometimes been seen but it is
not known exactly how often they happen:
• Unusual or irregular heart beats.
• Chest pain (due to heart problems such as angina).
Tell your doctor if you develop this symptom whilst
receiving treatment with Bricanyl Respules, but do not
stop using this medicine unless told to.
• Feeling sick (nausea).
• Mouth and throat irritation.
• Changes in sleeping patterns and changes in
behaviour, such as feeling agitated, restless or
hyperactive.
• Lactic acidosis is caused by a build-up of lactic acid
in your blood. Symptoms of lactic acidosis include
recurrent nausea and vomiting, abdominal pain and
hyperventilation.
Do not be concerned by this list of side effects. You may
not get any of them. If any of the side effects get serious,
or if you notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.

5. How to store Bricanyl Respules
• Keep in a safe place, out of the reach and sight of
children.
• Once a foil envelope has been opened, the Respules
inside should be used within 3 months. Note: It is best
to mark the opening date on the foil envelope to help
you remember.
• Once you have opened a single Respule, any
remaining product cannot be regarded as sterile.
This must be considered if the intention is to use the
remaining content at a later occasion.
• Each single Respule should be used within 12 hours
after it is opened. After this time the Respule and any
remaining contents should be thrown away.
• Do not store above 30°C. Store Bricanyl Respules in
their original carton and foil, and out of direct sunlight.
• Do not use Bricanyl Respules after the expiry date
printed on the packaging.
6. Further information
What Bricanyl Respules contain
The active substance is terbutaline sulphate. Each
Bricanyl Respule contains 5 mg of the active ingredient,
terbutaline sulphate (equivalent to 2.5 mg/ml).
The other ingredients are sodium chloride, disodium
edetate, hydrochloric acid and water.
What Bricanyl Respules look like and the contents of
the pack
Respules are single dose plastic units containing
2 millilitres (ml) of solution.
The solution must be nebulised (made into a fine mist)
before it can be breathed in.
Bricanyl Respules are available in boxes of 20.
Marketing Authorisation Holder and Manufacturer
The Marketing Authorisation for Bricanyl Respules is held
by AstraZeneca UK Ltd, 600 Capability Green, Luton,
LU1 3LU, UK.
Bricanyl Respules are manufactured by AstraZeneca AB,
S‑151 85, Södertälje, Sweden.

To listen to or request a copy of this
leaflet in Braille, large print or audio
please call, free of charge:
0800 198 5000 (UK only)
Please be ready to give the
following information:
Product name
Bricanyl Respules 2.5 mg/ml
Nebuliser Solution
Reference number
17901/0114
This is a service provided by the Royal
National Institute of Blind People.
Leaflet prepared: August 2013
Bricanyl and Respules are trade marks of the
AstraZeneca group of companies.
© AstraZeneca 2013
RSP 13 0018

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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