Terbutaline should not be used for more than 2-3 days when treating early labor. Using terbutaline for prevention or prolonged treatment (greater than 2-3 days) of early labor has risks to the mother that are greater than any possible benefits. Serious (sometimes fatal) side effects have infrequently occurred in mothers using terbutaline during labor, such as chest pain, fast/irregular heartbeats, and trouble breathing. Tell your doctor right away should any of these side effects occur. If you are pregnant or become pregnant and are using terbutaline for another medical condition (such as asthma), talk to your doctor or pharmacist about whether terbutaline is still right for you.

Terbutaline is used to treat wheezing and shortness of breath from lung problems (e.g., asthma, chronic obstructive pulmonary disease-COPD, bronchitis, emphysema). Terbutaline is a bronchodilator (beta-2 receptor agonist) that works by opening breathing passages to make breathing easier.
OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.
This medication is also used in pregnant women for no more than 2-3 days to stop early labor. See Warning Section.

How to use Brethine SubQ
This medication is given by injection under the skin, usually in the shoulder/upper arm area as directed by your doctor.
Do not use more than 0.5 milligrams of this medication over a 4-hour period.
If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.
If you take other asthma drugs by mouth or with inhaling devices, ask your doctor about how to correctly use this medication with your other asthma medicines.
Tell your doctor if your condition persists or worsens.

Nervousness, shaking (tremor), dizziness, drowsiness, headache, or pain at injection site may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: fast/pounding/irregular heartbeat, muscle cramps, weakness, seizures.
Get medical help right away if you have any very serious side effects, including: chest pain, rapid breathing, confusion.
A very serious allergic reaction to this drug is unlikely, but get medical help right away if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. See Warning Section.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Before using terbutaline, tell your doctor or pharmacist if you are allergic to it; or to similar bronchodilators (e.g., albuterol, metaproterenol); or to sympathomimetic drugs (e.g., epinephrine, pseudoephedrine); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (e.g., irregular heartbeat, coronary artery disease), high blood pressure, seizures, overactive thyroid (hyperthyroidism), diabetes, low blood potassium level (hypokalemia).
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.
Before having surgery, tell your doctor or dentist that you are using this medication.
Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug on the heart.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. See Warning Section.
Terbutaline passes into breast milk. Consult your doctor before breast-feeding.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor\'s approval.

If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe headache, severe dizziness, seizures, fast/irregular heartbeat, chest pain.

NOTES:
Do not share this medication with others.
Laboratory and/or medical tests (e.g., potassium levels, heart rate, blood pressure) may be performed regularly to monitor your progress or check for side effects. Consult your doctor for more details.
Avoid allergens, irritants, smoking, and other factors that make asthma worse.
Learn to use a peak flow meter, use it daily, and promptly report worsening asthma (such as readings in the yellow/red range or increased use of quick-relief inhalers).

MISSED DOSE:
Not applicable.

STORAGE:
Store in the original carton at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Discard any unused portion
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
MEDICAL ALERT: Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-800-854-1166 (USA) or 1-800-668-1507 (Canada).
Information last revised July 2012. Copyright(c) 2012 First Databank, Inc.