[HINTS: Contd-To be continued, M- Month, ±M- Before or After Meal, AM- After Meal, ½HBM- ½ Hour Before Meal,W- Week, D-Day.2HAM- 2 Hour After Meal,bid-Twice daily, tid-Three times daily,qid-Four times daily.]

1.Tab. Phenoxymethyl Penicillin (250 mg)
1 tab – 6 hourly ( 1 HBM)—————10 D
Or,
Cap.Cefradine (500 mg)
1 cap – 6 hourly (AM)—————10 D
Or,
Tab. Erythromycin (500 mg) [If Patient is sensitive to Penicillin]
1tab – 6 hourly (1 HBM or 2 HAM)—————10 D
Or,
Inj. Benzathine Penicillin (30 Kg – 12 lac U/vial)
1 vial Deep IM (in buttock) – Stat
Then,
* Tab.Phenoxymethyl Penicillin (250 mg)
1 tab – 12 hourly
Or,
* Inj.Benzathine Penicillin (30 Kg – 12 lac U/vial)
1 vial Deep IM (in buttock)—————————3 Wkly
for following duration:
*RF without Carditis – Upto 21 yrs or 5 yrs – whichever is longer
*RF with Carditis but no residual valvular lesion – Upto 30 yrs or 10 yrs – whichever is longer
*RF with Carditis with residual valvular lesion – Life long.
2.Tab. Aspirin
At beginning- 60 mg/kg/day in 6 divided doses
Then,
maximum 120mg/kg/day [ Not more than 8gm/day] in 6 divided doses for 4-6 Weeks, then
tapered over 2-3 Weeks (Reducing by 25% in each week).
3.Tab. Prednisolone  [If carditis or severe arthritis]
1-2 mg/kg/day in 4 divided doses until ESR becomes normal, then tapered over 2-4 weeks, during this tapering period Tab. Aspirin should be given 75 mg/kg/day in 6 divided doses.
4.Cap. Omeprazole (20/40 mg)/ Tab. Esomeprazole (20/40 mg)
1 cap/tab-bid (½ HBM) —————1 / 2 M

To know the Generic and Trade names of the above mentioned drugs and their available formulations in Bangladesh click here.