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. Author manuscript; available in PMC: 2022 May 4.
Published in final edited form as: Curr Cardiol Rep. 2016 Oct;18(10):96. doi: 10.1007/s11886-016-0773-2

Table 3.

Antibiotic dose for secondary prophylaxis in RHD

Antibiotic Dose

Benzathine penicillin G 600,000 units intramuscular (≤27 kg) or
1,200,000 units intramuscular (>27 kg) every 3–4 weeks (every 3 weeks in endemic areas)
Penicillin V (phenoxymethyl penicillin) 250 mg oral twice daily
Sulfadiazine 500 mg oral daily (≤27 kg)
(For patients allergic to penicillin) 1000 mg oral daily (>27 kg)
Macrolide Variable dose
(For patients allergic to penicillin and sulfadiazine)