I underwent a PBMV (Percutaneous Balloon Mitral Valvuloplasty) 10 years ago and have been taking Penidure 12 injections every 21 days. Since I am moving abroad and it will be difficult to get this injection regularly, is there an oral alternative or another medication I can take instead?

Yes, there are oral alternatives to your 21-day injection. The most common option is oral Phenoxymethylpenicillin (Penicillin V), which is typically taken daily. Alternatively, oral Erythromycin can be prescribed if necessary. While daily oral tablets are more convenient for travel, they must be taken strictly every day to offer the same protection as the injection. Additionally, since it has been 10 years since your procedure, your cardiologist might evaluate if you still need to continue this preventative treatment. Please consult your doctor before moving to get a formal medical summary and safely plan your transition to a daily oral routine.

I took Penidure for two years to treat rheumatic arthritis and was symptom-free for six years. However, for the past two years, I have been experiencing leg pain, joint cracking sounds, and morning stiffness. What medications or treatments should I take to manage these symptoms?

It is common to experience changes in joint health over time. Penidure (benzathine penicillin) is typically prescribed to prevent rheumatic fever recurrences rather than treating arthritis itself. Your current symptoms of morning stiffness, leg pain, and joint cracking require a fresh medical evaluation, as they could indicate a different joint condition like osteoarthritis or a new inflammatory issue.I highly recommend consulting a rheumatologist for a proper diagnosis. For temporary relief, you can use over-the-counter options like paracetamol or ibuprofen, alongside warm compresses and gentle stretching. Please do not worry, as these symptoms are very common and highly manageable with the right treatment plan.