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Active substance(s): TERBUTALINE SULPHATE

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

The name of your medicine is Bricanyl 0.5 mg/dose Turbohaler, 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 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.
What is in this leaflet
1. What Bricanyl Turbohaler is and what it is used for
2. What you need to know before you use Bricanyl Turbohaler
3. How to use Bricanyl Turbohaler
4. Possible side effects
5. How to store Bricanyl Turbohaler
6. Contents of the pack and other 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.

3. How to use Bricanyl 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 Bricanyl Turbohaler is to be used by a child, make
sure that they use it correctly.
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 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
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

Bricanyl Turbohaler is used for asthma and other breathing problems where you have a tight
chest and difficulty breathing.
2. What you need to know before you use Bricanyl Turbohaler
Do not use Bricanyl Turbohaler:
• If you are allergic to terbutaline.
Warnings and precautions
Talk to 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.
Other medicines and Bricanyl Turbohaler
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. Bricanyl can affect the way that some medicines work and some medicines can
have an effect on Bricanyl.



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
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.

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.

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).

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.

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

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
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.

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 Bricanyl Turbohaler, talk to your doctor
straight away.
Driving and using machines
Bricanyl is not likely to affect you being able to drive or use any machines.

2. Hold your Turbohaler upright with
the blue grip at the bottom.

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

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:

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.

Very Common (may affect more than 1 in 10 people)
• Trembling or shaking.
• Headache.

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

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

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
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.

• 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
• 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
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.
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.

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’.

Do not be concerned by this list of side effects. You may not get any of them.
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: 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. Store in the original packaging.
• Protect from moisture.
• Important: Replace the cover properly after use.
• Do not use Symbicort 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. Contents of the pack and other 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. The inhalation powder is white in
colour. Each Turbohaler contains 100 inhalations, it has a white body and blue turning grip.
The inhaler contains a counter window and tamper evident seal.
Manufacturer and Product Licence Holder:
Bricanyl Turbohaler is manufactured by AstraZeneca Dunkerque Production, 224, avenue
de la Dordogne, B.P. 41, 59944 Dunkerque Cedex, France. 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.

PL No: 10380/1566

Leaflet revision date: 25/08/2015
Bricanyl® and Turbohaler® are trademarks of the AstraZeneca group of companies.


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