The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 17901/0114.
Bricanyl Respules 2.5 mg/ml Nebuliser Solution
Bricanyl® Respules® 2.5 mg/ml Nebuliser Solution
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
Bricanyl Respules contain 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.
Talk to your doctor or pharmacist before using Bricanyl Respules if:
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:
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).
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’.
Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Bricanyl Respules should be used as required rather than regularly.
Seek medical attention right away if your asthma symptoms (cough, breathlessness, wheezing or tight chest) are getting worse or if you are too breathless to speak, eat or sleep.
You must contact your doctor as soon as possible if you need higher doses of Bricanyl Respules than usual to relieve your breathing problems. You may then need extra medication to control your asthma.
If you use Bricanyl Respules more than twice a week to treat your asthma symptoms, this indicates poorly controlled asthma and may increase the risk of severe asthma attacks (worsening of asthma) that can have serious complications and may be life-threatening or even fatal. You should contact your doctor as soon as possible to review your asthma treatment.
If you use a medicine against inflammation of your lungs daily, e.g., “inhaled corticosteroid”, it is important to continue using it regularly, even if you feel better.
The solution in a Respule must be put into a nebuliser and made into a fine mist before it can be breathed in. It is then inhaled through a face mask or mouthpiece. Instructions for using your nebuliser are given after the section ‘How much to take.
Children under 18 years should only use a nebuliser to take reliever medications under the care of a doctor with expertise in the management of asthma so that deterioration in asthma control can be detected and treated without delay.
Only use the nebuliser recommended by your doctor and supervise your child while they are using the nebuliser.
Seek urgent medical assistance if the nebulised medication is not working, even if there is short-term recovery following use of prescribed nebulised medication.
The recommended dose is:
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.
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.
Do not stop taking your medicine without first discussing it with your doctor.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very Common (may affect more than 1 in 10 people)
Common (may affect up to 1 in 10 people)
Not known (frequency cannot be estimated from available data)
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
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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.
This leaflet was last revised in: December 2022
Bricanyl and Respules are trade marks of the AstraZeneca group of companies.
© AstraZeneca 2022
RSP 22 0115