Rheumatic Fever Treatment
Treatment for rheumatic fever usually includes antibiotics, aspirin, and oral corticosteroid medications. Treatment may also require valve replacement, for those who have damaged heart valves from rheumatic fever.
Treatment options for rheumatic fever include:
- Antibiotics for rheumatic fever:
- Penicillin G benzathine (Bicillin L-A)
- Penicillin VK (Beepen-VK, Betapen-VK, Pen-Vee K, Robicillin VK, V-Cillin K)
- Erythromycin (E.E.S., E-Mycin, Eryc, Ery-Tab, Erythrocin, E-Mycin)
- Sulfadiazine (Microsulfon)
- Aspirin therapy for rheumatic fever
- Preferred agent over nonsteroidal anti-inflammatory medications
- Aspirin (Anacin, Ascriptin, Bayer Aspirin, Bayer Buffered Aspirin)
- Nonsteroidal anti-inflammatory medications for pain:
- Alternative to aspirin
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Oral corticosteroid medications:
- Heart valve replacement surgery for rheumatic heart disease:
- To treat severely damaged heart valves caused by rheumatic fever
Rheumatic Fever Questions For Doctor
The following are some important questions to ask before and after the treatment of rheumatic fever.
Questions to ask before treatment:
- What are my treatment options?
- Will I need surgery?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- Am I contagious?
- For how long?
- What are the complications I should watch for?
- How do I avoid passing the infection to others?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for having rheumatic fever again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Rheumatic Fever Specialist
Continue to Rheumatic Fever Home Care
- Carapetis JR, McDonald M, Wilson NJ. Acute rheumatic fever. Lancet. 2005 Jul 9-15;366(9480):155-68. 
- Cilliers AM, Manyemba J, Saloojee H. Anti-inflammatory treatment for carditis in acute rheumatic fever. Cochrane Database Syst Rev. 2003;(2):CD003176. 
- Lennon D. Acute rheumatic fever in children: recognition and treatment. Paediatr Drugs. 2004;6(6):363-73. 
- Manyemba J, Mayosi BM. Penicillin for secondary prevention of rheumatic fever. Cochrane Database Syst Rev. 2002;(3):CD002227. 
- Roodpeyma S, Kamali Z, Zare R. Rheumatic fever: the relationship between clinical manifestations and laboratory tests. J Paediatr Child Health. 2005 Mar;41(3):97-100.