Do not use Bricanyl Injection:

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

Do not use Bricanyl Injection (in the treatment of premature labour):

• If you are less than 22 weeks pregnant.
• If you suffer from or have a known risk of developing ischaemic heart disease (disease characterised by reduced blood supply to your heart muscle, causing symptoms such as chest pain (angina)).
• If you have ever experienced miscarriage in the first two trimesters of your pregnancy.
• If you are pregnant and you or your baby have certain conditions when prolongation of your pregnancy would be dangerous (such as severe high blood pressure, infection of the womb, bleeding, placenta is covering the birth canal or is detaching, or your baby has died inside the womb).
• If you suffer from heart disease with palpitations (for example heart valve disorder) or longstanding lung disease (for example chronic bronchitis, emphysema) causing an increase of blood pressure to your lungs (pulmonary hypertension).

Warnings and precautions

Talk to your doctor or nurse before using Bricanyl Injection:

• If you have had any problems with your pregnancy.
• If you are diabetic. If so, you may need some additional blood sugar tests when you are given Bricanyl Injection.
• If you have an overactive thyroid gland.
• If you have a history of heart disease characterised by breathlessness, palpitations or angina (see Do not use Bricanyl Injection if).

Warnings and precautions (in the treatment of premature labour):

Talk to your doctor or nurse before using Bricanyl Injection:

• If during pregnancy, your waters have broken.
• If you have too much fluid in the lungs causing breathlessness (pulmonary oedema).
• If you have high blood pressure.

If you are not sure if any of the above apply to you, talk to your doctor or nurse before using Bricanyl Injection.

Your doctor will monitor your heart and your unborn baby. Your doctor may also take blood tests to monitor for changes in your blood (see section 3).

Other medicines and Bricanyl Injection

Tell your doctor, nurse or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription. This includes herbal medicines. Bricanyl Injection can have an effect on the way some medicines work, and some medicines can effect how Bricanyl Injection works.

In particular, tell your doctor, nurse or pharmacist if you are taking:

• Medicines for an irregular or fast heartbeat (such as digoxin).
• Other beta-blocker medicines (such as atenolol or propranolol), including eye drops (such as timolol).
• Xanthine medicines (such as theophylline or aminophylline).
• Steroid medicines (such as prednisolone)
• Water tablets, also known as diuretics (such as frusemide).
• Medicines for diabetes to reduce your blood sugar (such as insulin, metformin, or glibenclamide).

If you are scheduled for surgery with general anaesthetics it is important that you inform your doctor of all medicines you use, including Bricanyl. Your doctor will stop the administration of Bricanyl Injection 6 hours before surgery whenever possible to protect you from adverse effects (e.g. irregular heart beat or bleeding of your womb).

Pregnancy, breast-feeding and fertility

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 taking this medicine.

Driving and using machines

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

Sodium content

This medicine contains less than 1 mmol sodium (23 mg) per 0.5mg/ml, that is to say essentially ‘sodium-free’.