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Terbutaline inhaled

Post your experience
  • Terbutaline relieves chest tightness and wheezing in asthma.
  • The most common side effect is shakiness particularly of the hands.
  • You may inhale terbutaline up to four times a day. If you do not get relief from your symptoms after use, contact your doctor straight away.

About inhaled terbutaline

Type of medicine Bronchodilator (reliever)
Used for Relief of the symptoms of breathing disorders such as asthma
Also called Bricanyl®
Available as Turbohaler
Respules (for use with a nebuliser)

Terbutaline works by opening up the air passages in the lungs so that air can flow into the lungs more freely. In doing so it helps to relieve symptoms such as coughing, wheezing and shortness of breath.

Before using inhaled terbutaline

Before using inhaled terbutaline make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you suffer from hyperthyroidism (an over active thyroid gland).
  • If you suffer from heart disease or any other heart problems.
  • If you suffer from hypertension (high blood pressure).
  • If you suffer from diabetes.
  • If you are taking other medicines, including those available to buy without a prescription, herbal or complementary medicines.
  • If you have ever had an allergic reaction to this or any other medicine.

How to use inhaled terbutaline

  • Before beginning treatment, read the manufacturer's printed information leaflet.
  • Take your medication exactly as directed by your doctor. The direction commonly given is that one dose should be inhaled as required, up to a maximum of four times daily. Do not use terbutaline more often than this.
  • If you do not get relief from your symptoms after using terbutaline, contact your doctor straight away.
  • If you have been prescribed the respules, make sure you know what volume to use in the nebuliser. If you are not sure, ask your doctor, nurse or pharmacist for advice.

Instructions for using respules:

  1. Break off a respule from the strip. Holding it upright, open it by twisting off the wing tab.
  2. Place the open end inside the nebuliser cup and squeeze slowly. Throw the empty respule away.
  3. Connect the top end of the cup to the face mask or mouthpiece and the bottom end to the air pump. The air pump should be connected to the compressor unit.
  4. 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.
  5. The length of time it takes to nebulise all the medicine will vary with the type of equipment you use and the amount of medicine taken. You will know when your treatment is complete because the fine mist will stop coming out of your mask or mouthpiece.
  6. You must wash the nebuliser cup and mouthpiece (or face mask) in warm soapy water and rinse well after each use. Dry these parts by turning on the compressor and allowing air to blow through them.

Getting the most from your treatment

  • Do not smoke. Smoking causes severe irritation and damage to the lungs. It will make your condition worse and will reduce the beneficial effects of your medication.
  • If your usual dose of terbutaline does not provide at least three hours relief from asthma symptoms speak to your doctor.
  • If you are needing to use the maximum dose every day, or continue to have symptoms despite using the maximum dose, speak with your doctor as you may require additional treatment.
  • If you are diabetic you may need to check your blood glucose levels more regularly as this preparation can affect the levels of sugar in your blood. Ask your doctor or nurse for advice.
  • If you are using more than one inhaler you should leave about five minutes before using the other inhaler. Terbutaline opens the air passages to allow the other medicine to work more effectively.
  • Keep your regular doctor's appointment so your progress can be monitored.

Can terbutaline inhaled cause problems?

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this
Headache Ask your pharmacist to recommend a suitable pain killer
Shakiness, nervous tension, muscle cramps, fast or fluttering heartbeat, disturbed sleep, and behaviour changes in children If troublesome, speak with your doctor

Important: If your breathing gets worse or you wake up at night with chest tightness, speak with your doctor as soon as possible.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

How to store terbutaline inhaled

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • If you are having any treatment like an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking.
  • If you buy any medicines, check with a pharmacist that they are safe to take with your other medicines.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • Manufacturer's PIL, Bricanyl®, AstraZeneca UK Ltd. electronic medicines Compendium. Leaflet dated January 2004, accessed 18 March 2008.
  • Manufacturer's PIL, Bricanyl® Respules, AstraZeneca UK Ltd, electronic Medicines Compendium. Dated November 2003, accessed 18 March 2008.
  • British National Formulary; 54th Edition (September 2007) British Medical Association and Royal Pharmaceutical Society of Great Britain, London
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2008 DocID:
3583
DocRef:
dils3070
Last Updated:
21 Apr 2008
Date of Next Review:
21 Apr 2010
Version:
23

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