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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever, Cough, Sore Throat And Breathlessness After Stopping Penidure Injection For Rheumatic Fever?

hi sir,
i was diagnosed with rheumatic fever when i was 16. my doctor had asked me to take penidure 1.2 LA injection till the age of 40. i used to take this injection but for the last 4-5 years, i have stopped taking it. right now, i have fever (varying from 100 to 102 F), cough, cold, slightly bad throat, and am also experiencing mild chest pains and breathlessness. what do you make of these symptoms. Should i resume the injection? till what age should i take this injection. I am 30 now.
Mon, 19 Jan 2015
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General & Family Physician,  's  Response
Hello
As you stated in you query that your doctor advised benzathine penicillin or penidure 12 lac unit at the age of 16 years till 40 years . Now you are only 30 years and stopped the injection . In my opinion,you should take these injections for up to 40 years age as these injection are most suitable for streptococcus infection , which is main cause of rheumatic disease.
Now about these symptoms as you mention may be due to some bronchoconstriction caused by some allergy or due to other infection .
So take some montelukast+bambuterol tablet ,once in day .
Also take some cough syrup like dextromethorphan + ammonium chloride+chlorpheniramine .
Since these are prescription drugs , so consult your treating doctor and get his opinion.
Once again for penidure , consult your treating physician and get his opinion regarding stopping of drugs.
Good luck.
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What Causes Fever, Cough, Sore Throat And Breathlessness After Stopping Penidure Injection For Rheumatic Fever?

Hello As you stated in you query that your doctor advised benzathine penicillin or penidure 12 lac unit at the age of 16 years till 40 years . Now you are only 30 years and stopped the injection . In my opinion,you should take these injections for up to 40 years age as these injection are most suitable for streptococcus infection , which is main cause of rheumatic disease. Now about these symptoms as you mention may be due to some bronchoconstriction caused by some allergy or due to other infection . So take some montelukast+bambuterol tablet ,once in day . Also take some cough syrup like dextromethorphan + ammonium chloride+chlorpheniramine . Since these are prescription drugs , so consult your treating doctor and get his opinion. Once again for penidure , consult your treating physician and get his opinion regarding stopping of drugs. Good luck.