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Active substance(s): TERBUTALINE SULPHATE

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Patient Information Leaflet

Bricanyl® 500 microgramTurbohaler®
(terbutaline sulphate)
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
• 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
The name of your medicine is Bricanyl 500 microgram Turbohaler, but
will be referred to as Bricanyl Turbohaler throughout the remainder of the
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.
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 Turbohaler can
affect the way that some medicines work and some medicines can have
an effect on Bricanyl 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).
If you are to undergo surgery with general anaesthetics it is important that
you inform your doctor about all medicines you use, including Bricanyl
Turbohaler to protect you from adverse effects (e.g. irregular heart beat).
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 Turbohaler is not likely to affect you being able to drive or use
any machines.
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

Please read the complete instructions carefully before you start to
take your medication
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
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.
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

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

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.

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.

6. Contents of the pack and other information
The active substance is terbutaline sulphate. Each actuation delivers 500
micrograms of terbutaline. Bricanyl Turbohaler does not contain any
other ingredients.
Bricanyl Turbohaler is a metered dose inhaler, with a white mouthpiece
and cover and a blue turn grip. A braille code for identification of Bricanyl
Turbohaler is embossed at the bottom of the turning grip and ‘Terbutaline
Sulfate 0.5mg/dose’ is also embossed at the bottom.
Each Turbohaler contains 100 actuations.


PL 20774/1315 Bricanyl 500 microgram 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 Turbohaler.
• If you load your Turbohaler more than once by mistake before taking
your dose, you will still only receive one dose.

Manufactured by: AstraZeneca AS, Boks 200, Vinderen 319 Oslo,
Norway or AstraZeneca, Dunkerque, France or AstraZeneca, Södertälje,
Sweden. Procured from within the EU. Product Licence Holder:
Quadrant Pharmaceuticals Ltd, Lynstock House, Lynstock Way, Lostock,
Bolton, BL6 4SA. Repackaged by Maxearn Ltd, Bolton, BL6 4SA.

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.

Leaflet revision Date: 25 October 2016

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.
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 (may affect more than 1 in 10 people)
• Trembling or shaking.
• Headache.
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’.
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.
Do not be concerned by this list of side effects. You may not get any of
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. 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 25°C.
When not in use, Bricanyl Turbohaler should be stored with the cover
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.

Bricanyl and Turbohaler are registered trademark of AstraZeneca AB


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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.