BRICANYL TURBOHALER 0.5MG/DOSE INHALATION POWDER

Active substance: TERBUTALINE SULPHATE MICRONISED

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PACKAGE LEAFLET: INFORMATION FOR THE USER

Bricanyl® Turbohaler® 0.5 mg/dose
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 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.

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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
Mouthpiece
a multidose
Indicator
inhaler from
window
which very
small amounts
Grip
of powder are
Figure 1
administered
(Figure 1). When you breathe in through
Turbohaler the powder is delivered to your
lungs. It is therefore important that you
inhale forcefully and deeply through the
mouthpiece.
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
Figure 2
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.
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.
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’.

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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.
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 Turbohaler
• Keep out of the reach and sight of
children.
• Do not store above 30°C.
• When not in use, Bricanyl Turbohaler
should be stored with the cover
tightened.
• Do not use Bricanyl Turbohaler
after the expiry date printed on the
packaging. 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.
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
Bricanyl Turbohaler is a multi-dose, dry
powder inhaler. Each Turbohaler contains
100 inhalations.
Marketing Authorisation Holder and
Manufacturer
The Marketing Authorisation for
Bricanyl Turbohaler is held by
AstraZeneca UK Ltd, 600 Capability
Green, Luton, LU1 3LU, UK.
Bricanyl Turbohaler is manufactured by
AstraZeneca Dunkerque Production,
224, Avenue de la Dordogne,
59640 Dunkerque, France.

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 Turbohaler
Reference number
17901/0117
This is a service provided
by the Royal National
Institute of Blind People.
Leaflet prepared: December 2012
Bricanyl and Turbohaler are trade marks
of the AstraZeneca group of companies.
© AstraZeneca 2012
RSP 12 0052

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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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