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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Penidure La-12 Recommendable For Patient With Rheumatic Heart Disease Post Open Heart Surgery And With Rheumatic Pain?

My mother suffering from rheumatic heart disease and recently had open heart surgery on oct14.before surgery she had taking an injection named penidure la-12 once in every 3 weeks from fast 30years. now operaction is sucussufully after 2months she getiing rumatic pains ..my doubt is could she continew the pendure 12 inject or not..could you pls help me out
Tue, 26 May 2015
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Cardiologist,  's  Response
hello,I have gone through your question.Thanks for using HCM.
Inj.Penidure LA 12 lacs is usually give to all patients having Rheumatic valvular heart disease to prevent spell of rheumatic fever and to prevent further deterioration of valvular lesion.Irrespective of surgery we give Penidure prophylaxis till age of 45 Yrs.Because incidence of recurrent streptococcal sore throat goes down after this age.In case of your mother please evaluate her for her joint pain by CBC,ESR ,CRP and ASO titre.If these reports point towards active rheumatic fever then after completing course of 4 weeks of aspirin she should be give Penidure till another 5 years.My best wishes
Dr.Teli,MD
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Is Penidure La-12 Recommendable For Patient With Rheumatic Heart Disease Post Open Heart Surgery And With Rheumatic Pain?

hello,I have gone through your question.Thanks for using HCM. Inj.Penidure LA 12 lacs is usually give to all patients having Rheumatic valvular heart disease to prevent spell of rheumatic fever and to prevent further deterioration of valvular lesion.Irrespective of surgery we give Penidure prophylaxis till age of 45 Yrs.Because incidence of recurrent streptococcal sore throat goes down after this age.In case of your mother please evaluate her for her joint pain by CBC,ESR ,CRP and ASO titre.If these reports point towards active rheumatic fever then after completing course of 4 weeks of aspirin she should be give Penidure till another 5 years.My best wishes Dr.Teli,MD