What do you know about Bricanyl (terbutalin) dry inhaler for bronchospasm?

What is Bricanyl (terbutaline)? Have you heard of this drug? What precautions should be taken when taking Bricanyl? Let's analyze the article with SignsSymptomsList below to better understand Bricanyl (terbutalin)!

Active ingredient: terbutaline sulfate.

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• 1. What is Bricanyl (terbutalin)?
• 2. Indications for taking Bricanyl (terbutaline)
• 3. Instructions for taking Bricanyl (terbutaline)
• 4. Side effects when taking Bricanyl 
• 5. Drug interactions with Bricanyl (terbutaline)
• 6. Precautions when taking Bricanyl (terbutaline)
• 7. For pregnant and lactating women 
• 8. Treatment of an overdose of Bricanyl 
• 9. What to do when you miss a dose of Bricanyl 
• 10. How to store medicine

1. What is Bricanyl (terbutalin)?

Bricanyl inhaler contains the active ingredient terbutalin sulfate - a synthetic sympathomimetic amine, a beta2-adrenergic agonist. 

2. Indications for taking Bricanyl (terbutaline)

Bricanyl is used to relieve spasms in bronchial asthma and in chronic bronchitis , emphysema and other lung diseases associated with bronchospasm.

3. Instructions for taking Bricanyl (terbutaline)

3.1. How to use spray

• Step 1: Remove the cap and lift the cap from the potion. Check the dose indicator on the bottle to avoid running out of medicine.

• Step 2: Hold the inhaler (turbohaler) upright with the blue grip at the bottom.

• Step 3: Turn the base to the back as far as possible, then turn it back until you hear a click, then the bottle is full. Note that with a new bottle, you should do it twice, once to evaluate the activity of the potion, only use the medicine for the second time.

• Step 4: Exhale but do not put the tip of the medicine in your mouth.

• Step 5: Close the mouthpiece of the mouthpiece.

• Step 6: Inhale strongly and deeply. Then, pull out the tip of the tube and exhale slowly.

• Step 7: If another dose is needed. Use the same inhaler following steps 2 to 6.

• Step 8: Clean the bottle mouthpiece with a soft, dry cloth. Then put the cap back on the tube. 

• Step 9: Gargle with water and spit it out.

3.2. Pay attention when using

• Do not open or remove the mouthpiece cap.
• Always remember to close the lid of the medicine after use.
• The amount of medicine in each dose is very low, so it is possible that the patient may not feel the taste when inhaled.
• If you miss more than one dose, there is no need to worry because you will only receive one dose. However, the dose window will show the number of doses you have loaded.

3.3. When to take medicine?

• The onset of symptoms of an exacerbation such as shortness of breath, wheezing, cough, chest pain.
• Use before entering an area with suspected allergens and irritants.
• Sudden exposure to asthma triggers .
• Before exercising if you have trouble breathing, or wheeze with exertion.

4. Side effects when taking Bricanyl 

Common side effects from taking the drug include:

• Trembling
• Headache
• Cramping or feeling stressed
• Fast or pounding heartbeat (palpitations)
• Low blood potassium levels can cause muscle weakness, muscle pain, etc.

Call your doctor right away if the following (rare) occur:

• Wheezing immediately after taking the medicine
• Occurrence of allergic reactions such as swollen face, skin rash, difficulty breathing,
  low blood pressure (feeling faint) and collapse

5. Drug interactions with Bricanyl (terbutaline)

• Anti-inflammatory steroids (prednisone).
• Theophylline.
• Atenolol or propranolol, including timolol eye drops.
• Furosemide.

6. Precautions when taking Bricanyl (terbutaline)

Before using Bricanyl inhaler, please inform your doctor / pharmacist about some medical conditions:

• Being in an overactive thyroid condition
• Have had heart disease, irregular heartbeat or angina in the past
• Have diabetes ( a blood sugar test is recommended to evaluate before taking the drug)

In addition, Bricanyl contains lactose. If you are intolerant to certain types of sugar, talk to your doctor before using the medicine. For those who drive or operate machinery, there is no need to worry, because the drug does not affect these subjects.

7. For pregnant and lactating women 

If you are pregnant, breast-feeding or planning to become pregnant in the future, talk to your doctor to weigh the benefits and risks of the drug before deciding to take it.

Also, if you have become pregnant while taking the drug. Immediately contact a team of specialists for advice and timely treatment of these problems.

8. Treatment of an overdose of Bricanyl 

If you overdose on Bricanyl Turbuhaler, call your doctor or pharmacist right away even if there are no signs of discomfort or toxicity. An overdose of Bricanyl Turbuhaler may require immediate medical attention for timely help and emergency care.

Possible symptoms of an overdose of Bricanyl:

• Hand tremors
• Tired
• Headache
• Nausea
• Muscle twitching or cramps
• Irregular heartbeat such as fast or irregular heartbeat
• Anxiety, stress, restlessness, excitement and not being able to sleep

9. What to do when you miss a dose of Bricanyl 

• Use as soon as you remember that you have missed a dose.
• If it is almost time for the next dose, skip the missed dose and take it on schedule.
• Never take a double dose to make up for a missed dose.

10. How to store medicine

• It is best to store the medicine at a temperature of ≤30ºC
• Keep medicine out of reach of children and young children
• Do not leave the medicine in a place exposed to direct light or in a humid place
• Unused drugs should be handled carefully before being released into the environment and should not be used with expired drugs, this information is clearly shown on the product packaging.

Bricanyl (terbutalin) dry inhaler is used in cases of bronchospasm. However, to get the best results, you need to know how to use the inhaler. Read the instruction manual carefully. If you have any questions or have any unusual symptoms, please immediately call a respiratory specialist for advice and instructions in the most clear and understandable way!

Pharmacist Nguyen Ngoc Cam Tien