BRICANYL TURBOHALER 0.5 MG/DOSE

Active substance: TERBUTALINE SULPHATE MICRONISED

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T04811

Bricanyl® Turbohaler® 0.5 mg/dose
(terbutaline sulphate)

The name of your medicine is Bricanyl Turbohaler 0.5 mg/dose, but will be referred to as
Bricanyl Turbohaler throughout the rest of this leaflet.
Patient Information Leaflet
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 Turbohaler is and what it is used for
2. Before you use Bricanyl Turbohaler
3. How to use Bricanyl Turbohaler
4. Possible side effects
5. How to store Bricanyl Turbohaler
6. Further information
1. What Bricanyl Turbohaler is and what it is used for
Bricanyl Turbohaler is an inhaler. It contains 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 Turbohaler is used for asthma and other breathing problems where you have a tight
chest and difficulty breathing.
2. Before you use Bricanyl Turbohaler
Do not use Bricanyl Turbohaler if:
• You are allergic (hypersensitive) to terbutaline or any of the other ingredients of Bricanyl
Turbohaler (listed in Section 6: Further information).
Take special care with Bricanyl Turbohaler
Check with your doctor or pharmacist before using Bricanyl Turbohaler if:
• You have diabetes. If so, you may need some extra blood sugar tests when you start
using Bricanyl Turbohaler.
• 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 Turbohaler.
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 Turbohaler if you are pregnant, might become
pregnant or are breast-feeding.
• If you become pregnant while you are using Bricanyl Turbohaler, 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 Turbohaler
Always use Bricanyl Turbohaler exactly as your doctor, nurse or pharmacist has told you.
Ask one of them for advice if you are not sure. If Bricanyl Turbohaler is to be used by a child,
make sure that they use it correctly.

How much to take
• The usual dose is one inhalation as required.
• Do not take more than four inhalations in any 24 hour period.
• One inhalation from your Bricanyl Turbohaler should last for up to six hours.
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.
Please read the complete instructions carefully before you start to take your
medication
Cover
Turbohaler is a multidose inhaler from
which very small amounts of powder are
Mouthpiece
administered (Figure 1).
When you breathe in through Turbohaler
Indicator
the powder is delivered to your lungs. It is
window
therefore important that you inhale
forcefully and deeply through the
mouthpiece.

Grip

Figure 1

How to prepare a new Turbohaler for use
Before using Turbohaler for the first time you need to prepare the inhaler for use.
Unscrew and lift off the white cover.
Hold the Turbohaler upright with the blue
grip downwards (Figure 2). Do not hold
the mouthpiece when you turn the blue
grip.
Turn the blue grip as far as it will go in
one direction, and then back again in
the opposite direction as far as it will
go. It does not matter which way you turn
first. During this procedure you will hear
a click.

Figure 2

The turbohaler is now prepared for use, and you should not repeat the above procedure
again. To take a dose, please continue according to the instructions below.
How to take an inhalation
Every time you need to take an inhalation, follow the instructions below.
1. Unscrew the white cover and lift it off.
2. Hold your Turbohaler upright with
the blue grip at the bottom.
3. Do not hold the mouthpiece when you
load your Turbohaler.
To load your Turbohaler with a dose,
turn the blue grip as far as it will go
in one direction. Then turn it as far
as it will go in the other direction (it
does not matter which way you turn it
first).
You should hear a click sound. Your
Turbohaler is now loaded and ready
to use. Only load your Turbohaler
when you need to use it.
4. Hold your Turbohaler away from your
mouth. Breathe out gently (as far as
is comfortable). Do not breathe out
through your Turbohaler.

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5. Place the mouthpiece gently between
your teeth. Close your lips.
Breathe in as deeply and as hard as
you can through your mouth.
Do not chew or bite on the
mouthpiece.
6. Remove your Turbohaler from your
mouth. Then breathe out gently.
The amount of medicine that is inhaled
is very small. This means you may not
be able to taste it after inhalation. If
you have followed the instructions,
you can still be confident that you have
inhaled the dose and the medicine is
now in your lungs.
7. If you are to take a second inhalation,
repeat steps 2 to 6.
8. Replace the cover by screwing it back
on tightly.
With each inhalation some medication may stick to the inside of your mouth and throat. To
reduce the risk of side effects it is advised that you, when possible, rinse your mouth with
water after using Bricanyl Turbohaler.
Do not try to remove or twist the mouthpiece. It is fixed to your Turbohaler and must not be
taken off. Do not use your Turbohaler if it has been damaged or if the mouthpiece has come
apart from your Turbohaler.
Cleaning your Turbohaler
Wipe the outside of the mouthpiece once a week with a dry tissue. Do not use water or
liquids.
When to start using a new Turbohaler
• When a red mark first appears in the indicator window under the mouthpiece, there are
about 20 doses left. You will need to see your doctor for another prescription.
• When the red mark reaches the bottom of the indicator window, your Turbohaler is empty
and you must start using your new Turbohaler.

Note:
• The grip will still twist and ‘click’ even when your Turbohaler is empty.
• The sound that you hear as you shake your Turbohaler is produced by a drying agent and
not the medicine. Therefore the sound does not tell you how much medicine is left in your
Turbohaler.
• If you load your Turbohaler more than once by mistake before taking your dose, you will
still only receive one dose.
If you use more Bricanyl Turbohaler than you should
If you use more Bricanyl Turbohaler than you should, contact your doctor or pharmacist for
advice.
If you forget to use Bricanyl Turbohaler
• If you forget to take a dose, take it as soon as you remember. However, if it is nearly time
for your next dose, skip the missed dose.
• Do not take a double dose to make up for a forgotten dose.
4. Possible side effects
Like all medicines, Bricanyl Turbohaler 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 exactly how often this
happens. If this happens to you, stop using Bricanyl Turbohaler and see a doctor
straight away.

• Sudden wheezing soon after inhaling your dose of Bricanyl Turbohaler. It is not known
exactly how often this happens. If this happens to you, stop using Bricanyl
Turbohaler 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 beat (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 Turbohaler, 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.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any
possible side effects not listed in this leaflet. You can also report side effects directly via the
Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this
medicine.
5. How to store Bricanyl Turbohaler
• Keep out of the sight and reach of children.
• Do not store above 30°C.
• Replace the cover properly after use.
• Do not use Bricanyl Turbohaler after the expiry date printed on the carton or on the label
of your Turbohaler. The expiry date refers to the last day of that month.
• Medicines should not be disposed of via wastewater or household waste. Ask your
pharmacist how to dispose of medicines that are no longer required. This will help to
protect the environment.
• If the medicine become discoloured or show any other signs of deterioration, you should
seek the advice of your doctor or pharmacist who will tell you what to do.
6. Further information
What Bricanyl Turbohaler contains
The active substance is terbutaline sulphate. Each inhalation contains 0.5 mg of terbutaline
sulphate. Bricanyl Turbohaler does not contain any other ingredients.
What Bricanyl Turbohaler looks like and the contents of the pack
A metered dose inhaler, with a white mouth-piece and cover and a blue turn grip. A Braille
code for identification of Bricanyl Turbohaler is embossed at the bottom of the turning grip.
Contains 100 metered doses.
Manufacturer and Product Licence Holder:
Bricanyl Turbohaler is manufactured by AstraZeneca AB, Sodertalje, Sweden. It is procured
from within the EU by the Product Licence Holder: Swinghope Ltd, Brandon House,
Marlowe Way, Croydon CR0 4XS and repackaged by Interport Ltd, Marlowe Way, Croydon
CR0 4XS.
POM

PL No: 10380/1570

Leaflet revision date: 26/06/2014
Bricanyl® and Turbohaler® are trademarks of the AstraZeneca group of companies.

T04811

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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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