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TERBUTALINE SULPHATE 500MICROGRAM TURBOHALER

Active substance(s): TERBUTALINE SULPHATE

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PACKAGE LEAFLET: INFORMATION FOR THE USER

TERBASMIN TURBOHALER / TERBUTALINE SULPHATE 500 MICROGRAMS TURBOHALER
(terbutaline sulphate)
Your medicine is known by either of the above two names, but will be
referred to as Terbasmin Turbuhaler / Terbutaline Turbohaler throughout
this leaflet.
Read all of this leaflet carefully before you start using this medicine
because it contains important information for you.
 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 only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same as
yours.
 If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See section
4.

If you are to undergo surgery with general anaesthetics it is important that
you inform your doctor about all medicines you use, including Terbasmin
Turbuhaler / Terbutaline Turbohaler, to protect you from adverse effects
(e.g. irregular heart beat).

What is in this leaflet:

Terbasmin Turbuhaler / Terbutaline Turbohaler is not likely to affect you
being able to drive or use any machines.

Pregnancy, breast-feeding and fertility
 If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice
before using this medicine.
 If you become pregnant while you are using Terbasmin Turbuhaler /
Terbutaline Turbohaler, talk to your doctor straight away.
Driving and using machines

1. What Terbasmin Turbuhaler / Terbutaline Turbohaler is and what it is
used for
2. What you need to know before you use Terbasmin Turbuhaler /
Terbutaline Turbohaler
3. How to use Terbasmin Turbuhaler / Terbutaline Turbohaler
4. Possible side effects
5. How to store Terbasmin Turbuhaler / Terbutaline Turbohaler
6. Contents of the pack and other information

3. HOW TO USE TERBASMIN TURBUHALER / TERBUTALINE
TURBOHALER
Always use this medicine exactly as your doctor or pharmacist has told
you. Check with your doctor or pharmacist if you are not sure. If
Terbasmin Turbuhaler / Terbutaline Turbohaler is to be used by a child,
make sure that they use it correctly.

1. WHAT TERBASMIN TURBUHALER / TERBUTALINE
TURBOHALER IS AND WHAT IT IS USED FOR

How much to take
 The recommended dose is one inhalation as required.
 Do not take more than four inhalations in any 24 hour period.
 One inhalation from your Terbasmin Turbuhaler / Terbutaline
Turbohaler should last for up to six hours.

Terbasmin Turbuhaler / Terbutaline 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.
Terbasmin Turbuhaler / Terbutaline Turbohaler is used for asthma and
other breathing problems where you have a tight chest and difficulty
breathing.

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

2. WHAT YOU NEED TO KNOW BEFORE YOU USE TERBASMIN
TURBUHALER / TERBUTALINE TURBOHALER
Do not use Terbasmin Turbuhaler / Terbutaline Turbohaler:
 If you are allergic to terbutaline.
Warnings and precautions

Turbohaler is a multidose inhaler from
which very small amounts of powder are
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.

Talk to your doctor or pharmacist before using Terbasmin Turbuhaler /
Terbutaline Turbohaler if:
 You have diabetes. If so, you may need some extra blood sugar tests
when you start using Terbasmin Turbuhaler / Terbutaline 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 Terbasmin Turbuhaler / Terbutaline Turbohaler.
Other medicines and Terbasmin Turbuhaler / Terbutaline Turbohaler

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. Perform the procedure twice.

Tell your doctor or pharmacist if you are taking, have recently taken or
might take any other medicines. This includes medicines that you buy
without a prescription and herbal medicines. Terbasmin Turbuhaler /
Terbutaline Turbohaler can affect the way that some medicines work
and some medicines can have an effect on Terbasmin Turbuhaler /
Terbutaline Turbohaler.
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).

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.

(continued overleaf)

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How to take an inhalation

When to start using a new Turbohaler

Every time you need to take an inhalation, follow the instructions below.

 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.

1. Unscrew the white cover and lift it off.

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 TERBASMIN TURBUHALER / TERBUTALINE
TURBOHALER
2. Hold your Turbohaler upright with the blue grip at the bottom.
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.

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.

If you use more Terbasmin Turbuhaler / Terbutaline Turbohaler than
you should

6. CONTENTS OF THE PACK AND OTHER INFORMATION

If you use more Terbasmin Turbuhaler / Terbutaline Turbohaler than
you should, contact your doctor or pharmacist for advice.

What Terbasmin Turbuhaler / Terbutaline Turbohaler contains

If you forget to use Terbasmin Turbuhaler / Terbutaline 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.

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.

If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not
everybody gets them.
Important side effects to look out for:
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.

 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 Terbasmin Turbuhaler / Terbutaline Turbohaler and see
a doctor straight away.
 Sudden wheezing soon after inhaling your dose of Terbasmin
Turbuhaler / Terbutaline Turbohaler. It is not known exactly how often
this happens. If this happens to you, stop using Terbasmin
Turbuhaler / Terbutaline Turbohaler and see a doctor straight
away.

7. If you are to take a second inhalation, repeat steps 2 to 6.

Keep out of the sight and reach of children.
Do not store above 30°C.
Keep the cap screwed onto your Turbohaler when you are not using it.
Do not use Terbasmin Turbuhaler / Terbutaline 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.





Each actuation contains 500 micrograms of the active ingredient
terbutaline sulphate.
Terbasmin Turbuhaler / Terbutaline Turbohaler does not contain
propellants, lubricants, preservatives or any other additives.
What Terbasmin Turbuhaler / Terbutaline Turbohaler looks like and
the contents of the pack
Terbasmin Turbuhaler / Terbutaline Turbohaler is a breath actuated
metered dose powder inhaler with a blue twist base, white plastic body
and cover. A Braille code for Terbutaline sulphate is embossed on the
bottom of the turning grip.
Each Turbohaler contains 200 metered actuations.
Who manufactured your medicine
Manufactured by AstraZeneca Dunkerque Production., 224 Av.de la
Dordogne BP 41, 59944 Dunkerque, France. Procured from within the
EU and repackaged by Product Licence Holder: Beachcourse Limited,
20 Alliance Court, Alliance Road, London W3 0RB.
PL

16378/0097

POM

Revision date: 11.09.2015
Leaflet reference: TER 500

Other possible side effects:
Very Common (may affect more than 1 in 10 people)

Turbohaler is a trade mark of the AstraZeneca Group of companies.

 Trembling or shaking.
 Headache.

8. Replace the cover by screwing it back on tightly.

Common (may affect up to 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’.

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
Terbasmin Turbuhaler / Terbutaline Turbohaler.

Not known (frequency cannot be estimated from the available data)
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.

 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 Terbasmin
Turbuhaler / Terbutaline 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.

Cleaning your Turbohaler
Wipe the outside of the mouthpiece once a week with a dry tissue. Do not
use water or liquids.

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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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