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<DOCUMENT author="perl program" datec=020199 title="leaflet" book="ABPI" edition="1996-97" section="company">
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WHAT YOU SHOULD KNOW ABOUT
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Bricanyl terbutaline
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TURBOHALER
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<BLOCK>
Please read this carefully before you start to take your medicine.  This leaflet does not contain the complete information about your medicine.  If you hove any questions or are not sure about anything ask your doctor or pharmacist.
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<BLOCK>
The name of your medicine is 
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Bricanyl Turbohaler.  
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It contains terbutaline sulphate.  This is one of a group of medicines called bronchodilators.  These can help you to breathe more easily. 
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Things to remember about 
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Bricanyl Turbohaler. 
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Make sure it is suitable for you to have Bricanyl Turbohaler. (see
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 &quot;Before taking your medicine&quot;
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). 
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Take your medicine at the right times. Look at the label on your medicine. If you are not sure ask your doctor or pharmacist to help. 
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Bricanyl Turbohaler sometimes causes problems. You can find these listed on the back of this leaflet. 
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Keep your medicine out of reach of children. 
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<BLOCK>
You will find more about Bricanyl Turbohaler on the back of this leaflet.  Bricanyl Turbohaler contains terbutaline sulphate. This is a bronchodilator which can help you obtain relief during an attack of wheezing. When taken regularly it can help prevent attacks of wheezing and help you breathe more easily. Turbohaler is an inhaler which is designed to deliver a measured dose of Bricanyl. When you breathe in the medicine is delivered to the lungs where it acts. Bricanyl Turbohaler contains no additives.
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Before taking your medicine
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Are you already taking any other bronchodilator medicines? 
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Have you had an adverse reaction to other bronchodilators? 
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Are you pregnant, thinking of becoming pregnant or breast    feeding? 4. Do you have heart failure? 
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Do you have thyroid problems? 
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Do you have diabetes? 
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If the answer is YES to any of these questions then talk to your doctor or pharmacist before taking the medicine. If you are taking other medicines make sure Your doctor knows about these. 
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Taking your medicine - Important
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When loading the inhaler, KEEP UPRIGHT with the blue grip at the bottom, as shown.
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As with all inhalers DO NOT breathe out through the inhaler.
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If necessary the outside of the mouthpiece may be cleaned with a dry tissue.
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ALWAYS replace the cover properly after use.
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Instructions for use
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Please follow the instructions carefully.  Turbohaler is very easy to use.
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Unscrew and lift off the white cover.
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Load by holding the inhaler UPRIGHT as shown and turning the blue grip fully in one direction as far as it will go. Then twist the blue grip back again as far as it will go.
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Breathe out gently THEN place the mouthpiece between your lips and breathe in through your mouth as deeply and as hard as you can.
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Remove the inhaler from your mouth and hold your breath for about 10 seconds or for as long as is comfortable. Then breathe out slowly. (As the amount of drug inhaled is small, there may be no sensation in the mouth even though the full dose has been inhaled).
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If you are to take a second dose repeat steps 2, 3 and 4.
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Replace the cover after use <CB n=2> <FIGURE></FIGURE> <FIGURE></FIGURE>
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Dosage
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<BLOCK>
If this inhaler is used by a child you should make sure it is used correctly.  It is important to take your medicine as you were told to by your doctor. The instructions on the label will remind you of what the doctor said.  Usually this will be one puff when you feel it is necessary.  You should not need to take more than 4 puffs in 24 hours.  One puff from your Bricanyl Turbohaler should last for up b 6 hours.
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The amount of drug in a dose is very small and there are no additives.  Even if you do not taste anything you can still be confident that you hove received the dose.
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Contact your doctor as a matter of urgency if:
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Your breathing is getting worse.
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You are not obtaining relief with the current dose.
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You frequently wake up at night with asthma.
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You develop chest tightness in the morning or if it persists for longer than usual.
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You may need other treatment immediately.
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After taking your medicine
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<BLOCK>
This medicine can sometimes cause side effects in some people.  For the first few days of treatment you may feel slightly shaky or tense.  Do not worry about this, it will disappear in time.
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If you get any of the following side effects, tell your doctor:
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Cramp.
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Skin troubles such as rash.
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Palpitations.
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Storing your medicine
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<BLOCK>
Store below 30°C.
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<BLOCK>
Keep the cap screwed onto your Turbohaler when you are not using it.
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What is in your medicine
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<BLOCK>
Bricanyl Turbohaler contains 100 doses of 500 micrograms of terbutaline sulphate.  It does not contain any excipients or propellants, preservatives or other additives 
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Remember!  This medicine is for YOU.  Only a doctor can prescribe it for you.  Never give it to others.  It may not be suitable for them or may interfere with other medicines they are taking.
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Consult your doctor at regular intervals, even in the absence of problems, for a check-up.
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The Product Licence and Product Authorisation for Bricanyl Turbohaler are held by Astra Pharmaceuticals Ltd, Home Park, Kings Langley, Herts, WD4 8DH.
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<BLOCK>
The Product Licence number is PL 0017/0241 and the Product Authorisation number is PA 9/4/4.  Bricanyl Turbohaler is manufactured by Astra AB, S-15-85 S&ouml;dert&auml;lje, Sweden.
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This leaflet is produced in accordance with guidance issued by the Association of the British Pharmaceutical Industry.
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The information in it applies only to Bricanyl Turbohaler.
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How do I know when the inhaler is empty?
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<BLOCK>
When a red mark appears in the little window under the mouthpiece as shown, there are approximately 20 doses left.
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When the red mark has reached the lower edge of the window, the inhaler is empty.
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Astra Respiratory Care Service
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<BLOCK>
The Astra Respiratory Care Service can provide information for anyone who has been prescribed Turbohaler by their doctor for asthma or other breathing difficulties.
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The aim of the service is to complement the support and advice provided by your doctor, nurse and pharmacist <PB n=4> <CB n=1> <FIGURE></FIGURE> <CB n=2>
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If you would like further information about asthma and your treatment please complete and return the reply section receive a copy 'Asthma: Understanding Your Treatment’.  Information can also be obtained from the National Asthma Campaign and the Junior Asthma Club at
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<BLOCK>
300 Upper Street, London N1 2XX.
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Asthma Helpline: 0345 010203 (Mon–Fri, 1-9pm).
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The Asthma Society of Ireland,
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24 Anglesea Street, Dublin 2.
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Telephone: Dublin 676551
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