Brand name:BRICANYL TURBUHALER 0.5 MG/AEM
Generic name:Terbutaline Sulfate
Terbutaline belongs to the class of medications called bronchodilators.
It helps to open airways and make breathing easier.
Terbutaline works quickly to relieve the symptoms of asthma, chronic bronchitis, and emphysema.
Brand name:BRICANYL TURBUHALER 0.5 MG/AEM
Generic name:Terbutaline Sulfate
How does Bricanyl Turbuhaler work? What will it do for me?
* Terbutaline belongs to the class of medications called bronchodilators.
* It helps to open airways and make breathing easier.
* Terbutaline works quickly to relieve the symptoms of asthma, chronic bronchitis, and emphysema.
* Your doctor may have suggested this medication for conditions other than the ones listed in these drug information articles.
If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor.
* Do not stop taking this medication without consulting your doctor.
How should I use Bricanyl Turbuhaler?
* The usual recommended adult dose of terbutaline is 1 inhalation when required.
* This is usually adequate to relieve symptoms.
* However, if a second dose is needed, it should be taken preferably five minutes after the first dose.
* You should not need more than 6 inhalations in a 24-hour period.
* If a previously effective dose fails to provide the usual relief, or if the effects of a dose last less than three hours, contact a doctor immediately, as this is a sign that your asthma condition is getting worse.
* If you need to use terbutaline every day to relieve symptoms, consult your doctor.
* 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 Bricanyl Turbuhaler 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 given here,
do not change the way that you are taking Bricanyl Turbuhaler without consulting your doctor.
* It is very important that Bricanyl Turbuhaler be used exactly as prescribed by your doctor.
* Do not take more than prescribed without consulting your doctor.
* Bricanyl Turbuhaler is usually used only when required to relieve symptoms.
What form(s) does Bricanyl Turbuhaler come in?
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. Turbuhaler cannot be refilled and should be discarded when empty.
Some medications may have other generic brands available.
Always ask your doctor or pharmacist about the safety of switching between brands of the same medication.
Who should NOT take Bricanyl Turbuhaler?
This medication should not be used by anyone who:
* is allergic to terbutaline or any of the ingredients of the medication
* is allergic to other bronchodilators (e.g., salbutamol, formoterol)
* has abnormal heart rhythms associated with fast heart rate
What side effects are possible with Bricanyl Turbuhaler?
* The side effects listed below are not experienced by everyone who takes this medication.
If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
Your health professional may be able to help you to deal with some of the effects.
- The following side effects may go away as your body becomes used to the medication;
check with your doctor if the following side effects continue or become bothersome.
More common:
* fast heartbeat;
* headache;
* nervousness;
* trembling;
Less common:
* coughing or other bronchial irritation;
* dizziness or lightheadedness;
* dryness or irritation of mouth or throat;
Rare:
* chest discomfort or pain;
* drowsiness or weakness;
* irregular heartbeat;
* irritation of throat or mouth;
* muscle cramps or twitching;
* nausea or vomiting;
* restlessness;
* trouble sleeping
Check with your doctor immediately if any of the following side effects occur:
Rare:
* dizziness (severe);
* feeling of choking, irritation, or swelling in throat;
* flushing or redness of skin;
* hives;
* increased shortness of breath;
* skin rash;
* swelling of face, lips, or eyelids;
* tightness in chest or wheezing, troubled breathing;
- Some people may experience side effects other than those listed.
- Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Are there any other precautions or warnings for Bricanyl Turbuhaler?
Appropriate use:
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).
Medical conditions:
Terbutaline should be used with caution by people with diabetes, high blood pressure, overactive thyroid, or a
history of seizures. It should also be used cautiously by people with heart conditions, especially those with
associated abnormal heart rhythms, and reduced heart function.
Because terbutaline may increase blood sugar levels, people with diabetes should monitor their blood sugar more frequently
while taking this 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.
Worsening of symptoms:
Some people using medications similar to terbutaline have developed a severe worsening of breathing problems.
The cause of this unexpected occurrence is unknown. If it occurs, discontinue the medication immediately and seek
medical help at once.
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 this medication 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 revision.
It is inadequate simply to increase the use of terbutaline under these circumstances, in particular over extended periods
of time.
Pregnancy:
The safety of terbutaline has not been established for use during pregnancy.
The use of terbutaline during pregnancy requires that the expected benefits be weighed against the possible hazards.
If you are or may be pregnant, talk to your doctor about the risks and benefits of this medication.
Breast-feeding:
Terbutaline passes into breast milk. Talk to your doctor about whether you should breast-feed
while taking this medication.
Children: Terbutaline is not recommended for children below 6 years of age.
What other drugs could interact with Bricanyl Turbuhaler?
The following medications may affect the way that terbutaline works or increase the risk of side effects:
* beta-blocker medications (e.g., propranolol, metoprolol);
* epinephrine;
* MAO inhibitors (e.g., phenelzine, tranylcypromine);
* other bronchodilators (e.g., salbutamol, formoterol);
* other sympathomimetic medications (e.g., pseudoephedrine);
* tricyclic antidepressants (e.g., amitriptyline, desipramine);
If you are taking any medications containing this drug, 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.
In many cases, interactions are intended or are managed by close monitoring.
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 this medication.
Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription) and herbal medications that you are taking. Also tell them about any supplements you take.
Since caffeine, alcohol, the nicotine from cigarettes, or illegal drugs can affect the action of many medications, you should let your prescriber know if you use them.
