Bricanyl Turbuhaler

The usual recommended adult dose of terbutaline is one inhalation when required. This is usually adequate to relieve symptoms. However, if a second dose is needed, it should be taken preferably 5 minutes after the first dose. If a second dose does not make it easier for you to breathe, seek immediate medical help.

The effects of Bricanyl Turbuhaler (Terbutaline-inh) should last 4 to 7 hours. If a previously effective dose fails to provide the usual relief, or if the effects of a dose last less than 3 hours, contact a doctor immediately, as this is a sign that your condition is getting worse. If you need to use terbutaline every day to relieve symptoms, consult your doctor. You should not need more than 6 inhalations in a 24-hour period.

Follow the package instructions carefully for proper use of your inhalation device. The amount of medication dispensed from the inhaler is very small, so you may not be able to taste the powder after inhalation. However, you can still be confident that the dose has been inhaled if you have followed the package instructions. Avoid exhaling into the inhalation device and always put the cover back on after use.

The terbutaline inhaler has a dose indicator. When a red mark first appears in the little window underneath the mouthpiece, it means that there are approximately 20 doses left and you should obtain your next inhaler. Clean the outside of the mouthpiece once a week with a dry tissue. Never use water or any other fluid. If fluid enters the inhaler, it may not work properly.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to use Bricanyl Turbuhaler (Terbutaline-inh) exactly as prescribed by your doctor. Do not take more than prescribed without consulting your doctor. Bricanyl Turbuhaler (Terbutaline-inh) is usually used only when required to relieve symptoms.

Store Bricanyl Turbuhaler (Terbutaline-inh) at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause agitation; it may cause dryness of the mouth; it may cause dizziness - use caution when getting up from a lying or sitting position and use caution if driving; it may cause nervousness or anxiety; it may cause palpitations (rapid and strong heart beat); it may cause shakiness. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

Each Turbuhaler contains 50 or 200 doses of micronized terbutaline sulfate. Each inhalation from the multiple-dose powder inhaler contains terbutaline sulfate 0.5 mg. No additives or carrier substances are included in the inhalation.

Do not use Bricanyl Turbuhaler (Terbutaline-inh) if you:

• are allergic to terbutaline or any ingredients of Bricanyl Turbuhaler (Terbutaline-inh)
• are allergic to other sympathomimetic amines (e.g., salbutamol, formoterol)
• are using Bricanyl Turbuhaler (Terbutaline-inh) to prevent premature labour or threatened abortion
• have abnormal heart rhythms associated with fast heart rate

There may be an interaction between terbutaline and any of the following:

• Alfuzosin
• Amiodarone
• amphetamines (e.g., Dextroamphetamine, Lisdexamfetamine)
• antipsychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
• Atomoxetine
• beta-blocker medications (e.g., Propranolol, Metoprolol)
• Betahistine
• caffeine
• cannabis
• certain kinase inhbitors (e.g., Lapatinib, Pazopanib, Sunitinib)
• chloroquine
• Citalopram
• decongestant cold medications (e.g., phenylephrine, Pseudoephedrine)
• decongestant eye drops and nose sprays (e.g., naphazoline, oxymetazoline, xylometazoline)
• Degarelix
• dipiverin
• Disopyramide
• diuretics (e.g., bumetanide, Furosemide, Hydrochlorothiazide, Metolazone)
• dofetilide
• Domperidone
• dopamine
• Dronedarone
• Epinephrine
• Flecainide
• Linezolid
• long-acting bronchodilators (e.g., formoterol, salmeterol)
• macrolide antibiotics (e.g., clarithromycin, erythromycin)
• Methadone
• Methylphenidate
• mifepristone
• MAO inhibitors (e.g., Phenelzine, Tranylcypromine)
• Nabilone
• other fast-acting bronchodilators (e.g., Indacaterol, salbutamol)
• Pimozide
• procainamide
• quinidine
• quinine
• quinolone antibiotics (e.g., ciprofloxacin, Ofloxacin, sparfloxacin)
• rilpivirine
• saquinavir
• serotonin antagonists (anti-emetic medications; e.g., Granisetron, Ondansetron)
• Sotalol
• Tetrabenazine
• theophyllines (e.g., Aminophylline, Oxtriphylline, Theophylline)
• Trazodone
• Voriconazole
• tricyclic antidepressants (e.g., Amitriptyline, Desipramine)

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Bricanyl Turbuhaler (Terbutaline-inh). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Bricanyl Turbuhaler (Terbutaline-inh).

Appropriate use of the medication: Terbutaline should not be used on a regular daily basis without appropriate regular daily use of an inhaled anti-inflammatory medication (e.g., budesonide, beclomethasone, fluticasone, triamcinolone).

Diabetes: Terbutaline may cause an increase in blood sugar levels (may cause a loss of blood glucose control) and glucose tolerance may change. People with diabetes may find it necessary to monitor their blood sugar more frequently while using Bricanyl Turbuhaler (Terbutaline-inh).

If you have diabetes or are at risk for developing diabetes, discuss with your doctor how Bricanyl Turbuhaler (Terbutaline-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Bricanyl Turbuhaler (Terbutaline-inh), and whether any special monitoring is needed.

Heart rhythm: Beta-agonists such as terbutaline can cause changes to the normal rhythm of the heart. If you are at risk for heart rhythm problems (e.g., people with heart failure, Angina, low potassium or magnesium levels), discuss with your doctor how Bricanyl Turbuhaler (Terbutaline-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Bricanyl Turbuhaler (Terbutaline-inh), and whether any special monitoring is needed.

Inhalation-induced bronchospasm: Inhaled forms of medications may cause spasms of the airways, which make breathing difficult. If you experience this problem when using terbutaline, stop using Bricanyl Turbuhaler (Terbutaline-inh) immediately. Speak to your doctor if you experience any problems with breathing while taking this or other inhaled medication.

Proper use of device: To ensure you receive the proper dosage from your inhaler, ask your doctor, pharmacist, or other health professional to instruct you on its use.

Seizures: If you have a history of Epilepsy or medical conditions that increase the risk of seizures, discuss with your doctor how Bricanyl Turbuhaler (Terbutaline-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Bricanyl Turbuhaler (Terbutaline-inh), and whether any special monitoring is needed.

Thyroid disease: People with an overactive thyroid gland may be more sensitive to the effects of terbutaline. If you have thyroid disease, discuss with your doctor how Bricanyl Turbuhaler (Terbutaline-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Bricanyl Turbuhaler (Terbutaline-inh), and whether any special monitoring is needed.

Worsening of symptoms: If your symptoms don't improve or seem to get worse, check with your doctor. You may need a new plan for treatment. Contact a doctor immediately if you have acute or suddenly worsening shortness of breath. Increasing use of Bricanyl Turbuhaler (Terbutaline-inh) to control symptoms, especially on a regular basis or in high amounts, indicates a worsening of asthma control. Under these conditions, your treatment plan needs to be changed. It is not enough simply to increase the use of terbutaline under these circumstances, particularly over extended periods of time.

Pregnancy: Bricanyl Turbuhaler (Terbutaline-inh) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Bricanyl Turbuhaler (Terbutaline-inh), contact your doctor immediately.

Breast-feeding: Bricanyl Turbuhaler (Terbutaline-inh) passes into breast milk. If you are a breast-feeding mother and are taking terbutaline, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Bricanyl Turbuhaler (Terbutaline-inh) have not been established for children less than 6 years of age.

This product must be inhaled by mouth. Carefully follow the package's instructions. If needed, ask your pharmacist for additional information or for a demonstration. Generally, this medication is used only as needed. Important: Follow the instructions on the label. Do not use more of this product, or more often, than prescribed.