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For free medical advice call Healthline 0800 611 116. Healthline provides a 24 hour, 7 days a week, over-the-phone health service. For emergencies call 111.  

How will my rheumatic fever be managed?

Bicillin injections

Illustration of a Bicillin injection

To stop the strep germ from getting into the body and to prevent rheumatic fever from happening again, you will need to have an injection of benzathine penicillin, also known as bicillin, every 21 to 28 days. You may hear healthcare professionals call this secondary prophylaxis.
 

The injection is given into a big muscle in the hip and bottom area. Even though this may hurt a bit, it is important to have it on time. If you are late, it increases your chance of rheumatic fever happening again.

How long will I need to have bicillin injections?

Most people need bicillin injections for 10 years after the last rheumatic fever episode or until they are 21 years old (whichever is the longer period). Your health worker, nurse or doctor can tell you more about the treatment. Your rheumatic fever specialist will tell you when it is safe to stop having bicillin injections.

Acknowledgements

This information is adapted from the rheumatic fever and rheumatic heart disease booklet produced by the Rheumatic Fever Project Team, Te Whatu Ora - Counties Manukau, 2022.

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