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Seebri Breezhaler

Seebri Breezhaler

The Seebri Breezhaler is an inhaler which comes with powder capsules.   The powder contains an active substance called glycopyrronium bromide. It belongs to a group of medicines called bronchodilators.  Bronchodilators work by relaxing the muscles in the airways to stop them from becoming too narrow and this makes it easier for you to breathe. 

Chronic Obstructive Pulmonary Disease or COPD is the name given to a group of lung conditions that cause breathing problems. It usually occurs in people over the age of 35, especially people who are smokers. The breathing problems are caused because the airways have become narrower and damaged, sometimes they are also blocked by mucus. The main cause of COPD is inhaling harmful substances, like fumes or cigarette smoke, it can also be hereditary. When it comes to treatments there is no cure for COPD but there are lifestyle changes you can make to reduce the symptoms, for example getting help with breathing techniques and staying active, and if you are a smoker then you absolutely must stop smoking. There are also treatments available which will help you to manage the condition, these often come in the form of an inhaler that helps to open up the lungs.  

What is the Seebri Breezhaler? 

The Seebri Breezhaler is an inhaler which comes with powder capsules.  

The powder contains an active substance called glycopyrronium bromide. It belongs to a group of medicines called bronchodilators. 

Bronchodilators work by relaxing the muscles in the airways to stop them from becoming too narrow and this makes it easier for you to breathe. 

When is the Seebri Breezhaler used? 

The Seebri Breezhaler is used to treat adults with a lung condition called Chronic Obstructive Pulmonary Disease or COPD. 

  • If you have COPD the muscles around your airways tighten, making the airway narrower; 
  • The Seebri Breezhaler helps you to breathe easier by relaxing the muscles in the lungs so air can flow in and out more freely; 
  • The Seebri Breezhaler is a maintenance medication and not to be used for an attack of wheezing or coughing. 

How do you use the Seebri Breezhaler? 

Always follow the instructions of your doctor or pharmacist when it comes to taking medicine, and if you are unsure about anything check. 

  • The Seebri Breezhaler comes in a pack with a separate blister pack of capsules; 
  • Dispose of each inhaler when you are finished with the capsules in the pack and then use the new inhaler from the new pack for those capsules; 
  • To start, remove a capsule from the blister pack; 
  • Pull the cap off the inhaler; 
  • Open the inhaler and insert the capsule; 
  • Pierce the capsule once by firmly pressing the buttons on the side of the inhaler, you should hear a noise as the capsule is pierced; 
  • Release the buttons; 
  • Breathe out fully; 
  • Place the inhaler mouthpiece into your mouth and form a seal with your lips; 
  • Inhale deeply as quickly as you can; 
  • Hold your breath for 5 seconds; 
  • Take the inhaler out and open it to see if all the medicine has gone from the capsule; 
  • If there is still powder in the capsule, you will need to breathe in the medicine again to ensure you have taken it all; 
  • Once the capsule is empty, remove it and place it into the bin; 
  • Close the inhaler and put the cap back on to keep it clean. 

A few important points worth noting: 

  • Only remove the capsules from the blister pack immediately before you use them and do not push them through the foil to remove them; 
  • Do not use the capsules with any other inhaler; 
  • Do not use the Seebri Inhaler with any other capsules; 
  • Never place the capsule into your mouth or the mouth of the inhaler; 
  • Do not press the side buttons while inhaling; 
  • Do not press the side buttons more than once; 
  • Do not handle the capsules with wet hands; 
  • Do not wash your inhaler with water – wipe with a dry, lint-free cloth if necessary; 
  • Do not take the Seebri Breezhaler to stop an attack of coughing or wheezing as it is a maintenance medicine and will not work. 

What dosages are there? 

Your doctor will prescribe your dose for you and you should always follow their instructions and check with them if you are unsure about the dose you have been prescribed.  

  • Each Seebri Breezhaler capsule contains the active ingredient glycopyrronium bromide; 
  • You take one capsule once a day as the medication lasts twenty for hours; 
  • You can take this medicine with or without food or drink; 
  • Ideally, take this medicine at the same time every day; 
  • If you take too much of this inhaler, seek medical assistance as medical attention may be necessary; 
  • If you forget to take your inhaler at the right time, take it as soon as you remember unless it is almost time for your next dose, then just skip the missed dose; 
  • Never take a double dose to make up for missing a dose; 
  • The Seebri Breezhaler is a long- term medication so you will need to take it until your doctor tells you to stop, this is only likely to happen if this medicine is not working for you and you need to switch to an alternative type of medicine. 

What are the side effects of the Seebri Breezhaler? 

As with all medicines, the Seebri Breezhaler comes with a warning of some side effects, although not everyone taking it will experience them. 

The most serious side effects are uncommon, meaning they affect up to 1 in 100 people: 

  • Irregular heartbeat; 
  • Allergic reaction – signs to look out for include: 
    • Rapid heartbeat; 
    • Swelling around the face, eyes, mouth and throat;
    • Rashes, itching or hives; 
    • Feeling faint. 
  • High level of blood sugar – signs to look out for: 
    • Excessive thirst; 
    • Frequent urination. 
  • Swelling of the face, lips, tongue or throat – possible signs of angioedema; 
  • Signs of narrow-angle glaucoma – look out for: 
    • Eye pain or discomfort; 
    • Temporary blurred vision; 
    • Visual halos or coloured images along with red eyes. 

If you experience any of the side effects above, stop taking your Seebri Breezhaler seek immediate medical assistance. 

Some people taking the inhaler may also experience difficulty breathing and wheezing or coughing, however, the frequency of this is unknown. 

Common side effects that may affect up to 1 in 10 people include: 

  • Sleeping issues; 
  • Dry mouth; 
  • Diarrhoea; 
  • Stomach ache; 
  • Musculoskeletal pain; 
  • Runny or stuffy nose; 
  • Sore throat; 
  • Sneezing; 
  • Elderly patients, over the age of 75 may experience headaches and urinary tract infections. 

Uncommon side effects that are less serious are: 

  • Palpitations; 
  • Dental caries; 
  • Rashes; 
  • Pain when peeing; 
  • Difficulty peeing; 
  • Needing to pee frequently; 
  • Nose bleeds; 
  • Pain in muscles, bones or joints of the chest; 
  • Pain in arms and legs; 
  • A feeling of pressure or pain in the cheeks and forehead; 
  • Tiredness; 
  • Stomach discomfort after eating; 
  • Numbness; 
  • Weakness; 
  • Throat irritation; 
  • Hoarseness; 
  • Nausea; 
  • Vomiting; 
  • Itching. 

When shouldn’t you use the Seebri Breezhaler? 

No medication is suitable for everyone which is why it’s important for you to discuss your medical history with your doctor. Do not use the Seebri Breezhaler if any of the following apply to you: 

  • You are under the age of 18; 
  • You are allergic to glycopyrronium bromide or any of the other ingredients listed on the packet. 

You should also take special care when using the Seebri Breezhaler if any of the following apply: 

  • You are pregnant or breastfeeding; 
  • You have difficulty peeing; 
  • You have kidney problems; 
  • You have an eye problem called narrow-angle glaucoma; 
  • You are allergic to lactose. 

Does the Seebri Breezhaler interact with other medications? 

Always tell your doctor about any medication you are taking or have recently taken before starting a new treatment, this includes, vitamins, supplements and herbal remedies. Some medicines can affect how other medicine works and either make it less effective or cause problems. 

With the Seebri Breezhaler you should be particularly careful with: 

  • Similar medicines called anticholinergics used to treat COPD, for example, ipratropium, oxitropium and tiotropium; 
  • Codeine; 
  • Antihistamines.  

You can take the Seebri Breezhaler alongside some other treatments for COPD like a salbutamol inhaler on oral or inhaled steroid. 

Where can you buy the Seebri Breezhaler? 

You can buy a Seebri Breezhaler from any registered pharmacy. You will not be able to buy it in a shop where there is no pharmacist present to monitor the sale, even if they sell some over-the-counter medicines,  as a pharmacist must check this medicine before it is given to you. 

Can I get the Seebri Breezhaler without a prescription? 

No, you cannot get the Seebribreezhaler without a prescription, COPD is a serious condition and the Seebri Breezhaler has been specifically designed to treat it. You will need a clear diagnosis from your doctor to be prescribed this medicine as it shares symptoms with a variety of other breathing issues.  

Usually, COPD is confirmed via breathing and blood tests and also a chest X-ray. If you have COPD you will need to have regular check-ups and your medication and how well it is working for you will also need to be carefully monitored throughout your treatment. For this reason, you will only be able to buy a Seebri Breezhaler if you are given a prescription by your doctor. 

Sources 

British Lung Foundation, n.d. COPD (Chronic Obstructive Pulmonary Disease) – British Lung Foundation. British Lung Foundation. Retrieved 23 April 2020, from <https://www.blf.org.uk/support-for-you/copd?cmp_id=1486843426&adg_id=57808455979&kwd=copd&device=c&gclid=EAIaIQobChMI6t-vqqj-6AIVQe7tCh3hLApyEAAYASAAEgLd-PD_BwE

European Medical Agency, 2018. Ema.europa.eu. Retrieved 23 April 2020, from <https://www.ema.europa.eu/en/documents/overview/seebri-breezhaler-epar-medicine-overview_en.pdf>  

Novartis Pharmaceuticals UK Ltd, 2020. Medicines.org.uk. Retrieved 23 April 2020, from: <https://www.medicines.org.uk/emc/files/pil.2840.pdf>  

Rightbreathe.com. n.d. Seebri Breezhaler 44Microgram Inhalation Powder Capsules With Device (Novartis Pharmaceuticals UK Ltd) 30 Capsule 3 X 10 Capsules – Rightbreathe. Retrieved 23 April 2020, from: <https://www.rightbreathe.com/medicines/seebri-breezhaler-44microgram-inhalation-powder-capsules-with-device-novartis-pharmaceuticals-uk-ltd-30-capsule-3-x-10-capsules/>