BRICANYL RESPULES 2.5 MG/ML NEBULISER SOLUTION
Active substance: TERBUTALINE SULPHATE
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PACKAGE LEAFLET: INFORMATION FOR THE USER
Bricanyl Respules 2.5mg/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 itagain. 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 asyours. 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 BricanylRespules are and what they are usedfor 2.Before you use BricanylRespules 3.How to use BricanylRespules 4.Possible side effects 5.How to store BricanylRespules 6.Further information 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 betablockers (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 BricanylRespules if you are pregnant, might become pregnant or are breastfeeding. If you become pregnant while you are using BricanylRespules, talk to your doctor straightaway. 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 BricanylRespules
Always use BricanylRespules 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 aday Children over 8 years: 1 Respule, 2 to 4 times aday Younger children are usually prescribed lowerdoses. Instructions for using BricanylRespules 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 toopen. 3. Place the open end of the Respule firmly inside the nebuliser cup. Squeeze slowly to put the liquid in thecup. 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 compressorunit. 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. fter each use, you must wash the nebuliser cup and A 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 throughthem.
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1.What BricanylRespules are and what they are used for
BricanylRespules contain a medicine called terbutaline. This belongs to a group of medicines called betaagonists. These work by relaxing certain muscles and opening up the airways in thelungs. BricanylRespules 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 BricanylRespules
Do not use BricanylRespules if: You are allergic (hypersensitive) to terbutaline or any of the other ingredients of BricanylRespules (listed in Section 6: Further information). Take special care with BricanylRespules Check with your doctor or pharmacist before using BricanylRespules if: You have diabetes. If so, you may need some extra blood sugar tests when you start using BricanylRespules. You have a history of heart disease, irregular heart rhythm or angina. You have an overactive thyroidgland. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using BricanylRespules. 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.
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 currentdose. These are signs that your asthma is not being controlled. You may need a different or additional treatment straightaway. If you use more BricanylRespules than you should If you use more BricanylRespules than you should, contact your doctor or pharmacist. If you forget to use BricanylRespules 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 forgottendose. Stopping BricanylRespules Do not stop taking your medicine without first discussing it with your doctor.
5.How to store BricanylRespules
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 3months. Note: It is best to mark the opening date on the foil envelope to help you remember. Once you have opened a single Respule, it should be used within 12 hours. After this time the Respule and any remaining contents should be thrownaway. Do not store above 30C. Store BricanylRespules in their original carton and foil, and out of direct sunlight. Do not use BricanylRespules after the expiry date printed on the packaging.
6.Further information
What BricanylRespules contain The active substance is terbutaline sulphate. Each BricanylRespule contains 5mg of the active ingredient, terbutaline sulphate (equivalent to 2.5mg/ml). The other ingredients are sodium chloride, disodium edetate, hydrochloric acid and water. What BricanylRespules look like and the contents of the pack Respules are single dose plastic units containing 2millilitres (ml) of solution. The solution must be nebulised (made into a fine mist) before it can be breathedin. BricanylRespules are available in boxes of20. Marketing Authorisation Holder and Manufacturer The Marketing Authorisation for BricanylRespules is held by AstraZeneca UK Ltd, 600 Capability Green, Luton, LU13LU,UK. BricanylRespules are manufactured by AstraZeneca AB, S151 85, Sdertlje, Sweden.
4.Possible side effects
Like all medicines, BricanylRespules can cause side effects, although not everybody getsthem. 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 straightaway. Sudden wheezing soon after inhaling your dose of BricanylRespules. It is not known how often this happens. If this happens to you, stop using BricanylRespules and see a doctor straightaway. 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 feelingtense. 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 heartbeats. Chest pain (due to heart problems such as angina). Tell your doctor if you develop this symptom whilst receiving treatment with BricanylRespules, but do not stop using this medicine unless toldto. Feeling sick (nausea). Mouth and throat irritation. Changes in sleeping patterns and changes in behaviour, such as feeling agitated, restless or hyperactive. 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.
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 BricanylRespules 2.5mg/ml Nebuliser Solution Reference number 17901/0114 This is a service provided by the Royal National Institute of Blind People.
Leaflet prepared: September 2009 Bricanyl and Respules are trade marks of the AstraZeneca group of companies. AstraZeneca 2009 RSP 09 0063
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 drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

