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Primary Prevention for Rheumatic Fever and Heart Disease

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<br> The important key must today is that we have been using benzathine and penicillin injections for many, many years for more than 70 years for rheumatic heart disease in spite of the fact that we now have a very good drug, the best drug with 95% efficacy against group A Streptococcus which is a causative agent of rheumatic heart disease. So always use for rheumatic heart disease azithromycin tablet 500 mg one o.d. for five days and then one tablet once a week for treatment prevention and prophylaxis of rheumatic fever and rheumatic heart disease for one year only. So I repeat azithromycin 500 mg tablet one o.d. for five days followed by one tablet once a week for one year only, that should be the treatment, (0100) the primary prevention and the secondary prevention of rheumatic fever and rheumatic heart disease. As for treatment of arthritis, we must not use aspirin which is such a toxic drug. We must use aceclofenac 500 mg one b.d., 200 mg for five days only, so for arthritis forget about aspirin, use 200 mg of aceclofenac tablet one b.d. for five days only. This has all been proved over 10 years study of more than 5000 patients, well documented, well proved and well substantiated by literature from all over the world from all the specialties involved in the management of rheumatic fever and rheumatic heart disease.

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