<s>[INST] hi sir,i was diagnosed with rheumatic fever when i was 16. my doctor had asked me to take penidure 1.2 LA injection till the age of 40. i used to take this injection but for the last 4-5 years, i have stopped taking it. right now, i have fever (varying from 100 to 102 F), cough, cold, slightly bad throat, and am also experiencing mild chest pains and breathlessness. what do you make of these symptoms.  Should i resume the injection? till what age should i take this injection. I am 30 now. [/INST] Hellos you stated in you query that your doctor advised Benzedrine penicillin or endure 12 lac unit at the age of 16 years till 40 years. Now you are only 30 years and stopped the injection. In my opinion, you should take these injections for up to 40 years age as this injection are most suitable for streptococcus infection, which is the main cause of rheumatic disease. Now about these symptoms as you mention may be due to some bronchoconstriction caused by some allergy or due to other infection . So take some montelukast+albuterol tablet, once in day. Also take some cough syrup like dextromethorphan + ammonium chloride+chlorpheniramine. Since these are prescription Chat Doctor. Once again for endure, consult your treating physician and get his opinion regarding stopping of  </s>