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[|Human|] HI,My name is Dilip and i am 29(M) now.I have got rhenmatic fever on 2009 and consulted doctor he suggested to take Pencom 12 for 5 years span with every 21 days ....is it curable if i continue for 5Years and i also feel breathing problem slightly..pls advice
[|AI|]  Hi, welcome to Chat Doctor. Thanks for writing to us. Following are the recommendations regarding prophylaxis by Pen com 12 in case of Rheumatic Fever: 1.use PLA 12 up to 5yrs after the last attack. 2.use PLA 12 indefinitely(preferably up to 50yrs) in case of established heart diseases. 3.use PLA 12 in patients who are exposed streptococcal infections and are difficult to monitor.  Considering the above recommendations you should first go for Echocardiogram, to rule any valvular heart disease. If the ECHO report reveals presence of any valvular abnormality, you have to continue Pen com 12 at least up to 50 yrs of age. Hope I have answered your query. Stay fit, good luck.