• 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.

1. What Bricanyl Respules are and what they are used for
2. What you need to know before you use Bricanyl Respules
3. How to use Bricanyl Respules
4. Possible side effects
5. How to store Bricanyl Respules
6. Contents of the pack and other information

• If you are allergic to terbutaline or any of the other ingredients of this medicine (listed in section 6).

Talk to your doctor or pharmacist before using Bricanyl Respules if:

• You have diabetes. If so, you may need some extra blood sugar tests when you start using Bricanyl Respules.
• 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 Respules.

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 Respules can affect the way that some medicines work and some medicines can have an effect on Bricanyl Respules.

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 medicine you use, including Bricanyl to protect you from adverse effects (e.g. irregular heart beat).

• 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 Respules, talk to your doctor straight away.
• If you are using Bricanyl Respules every day rather than as needed, then Bricanyl Respules should be used with caution at the end of pregnancy since it relaxes the womb.

Bricanyl Respules is not likely to affect you being able to drive or use machines.

This medicine contains less than 1 mmol sodium (23 mg) per respule, that is to say essentially ‘sodium-free’.

The recommended dose is:

• Adults: 1 to 2 Respules, 2 to 4 times a day
• Children over 8 years: 1 Respule, 2 to 4 times a day
• Younger children are usually prescribed lower doses.

1. Break off a Respule from the strip. Leave the rest in the foil envelope.
2. Hold upright. Twist off the top of the Respule to open.
3. Place the open end of the Respule firmly inside the nebuliser cup. Squeeze slowly to put the liquid in the cup.
4. Throw the empty Respule away. Put the top back on the nebuliser cup.
5. Connect the top of the cup to the face mask or mouthpiece.
6. Connect the bottom of the cup to the air pump. The air pump should be connected to the compressor unit.
7. Turn on the nebuliser and breathe in the mist calmly and deeply using the face mask or mouthpiece. If you are using a face mask, make sure the face mask fits tightly.
8. You will know when your treatment is complete because the fine mist will stop coming out of your mask or mouthpiece.
9. How long it takes to nebulise all the medicine depends on the type of equipment you use. It will also depend on the amount of medicine to be used.
10. After each use, you must wash the nebuliser cup and mouthpiece (or face mask) in warm soapy water and rinse well. After washing, dry these parts by turning on the compressor and allowing air to blow through them.

• 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.

If you use more Bricanyl Respules than you should, contact your doctor or pharmacist.

• If you forget to have a dose, have it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose.
• Do not take a double dose to make up for a forgotten dose.

Do not stop taking your medicine without first discussing it with your doctor.

• Allergic reactions. The signs may include a swollen face, skin rash, breathing problems, low blood pressure (feeling faint) and collapse. It is not known how often this happens. If this happens to you, stop using your nebuliser and see a doctor straight away.
• Sudden wheezing soon after inhaling your dose of Bricanyl Respules. It is not known how often this happens. If this happens to you, stop using Bricanyl Respules and see a doctor straight away.

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 beats (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 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 Respules, 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.
• Lactic acidosis is caused by a build-up of lactic acid in your blood. Symptoms of lactic acidosis include recurrent nausea and vomiting, abdominal pain and hyperventilation.

Do not be concerned by this list of side effects. You may not get any of them.

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. Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

The active substance is terbutaline sulfate. Each Bricanyl Respule contains 5 mg of the active ingredient, terbutaline sulfate (equivalent to 2.5 mg/ml).

The other ingredients are sodium chloride, disodium edetate, hydrochloric acid and water.

Respules are single dose plastic units containing 2 millilitres (ml) of solution.

The solution must be nebulised (made into a fine mist) before it can be breathed in.

Bricanyl Respules are available in boxes of 20.

The Marketing Authorisation for Bricanyl Respules is held by

Bricanyl Respules are manufactured by

To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge:

0800 198 5000 (UK only)

Please be ready to give the following information:

Product name Bricanyl Respules 2.5 mg/ml Nebuliser Solution

Reference number 17901/0114

This is a service provided by the Royal National Institute of Blind People.