Treatment - Benzathin-benzylpenicillin (BPG)

Administer BPG 2.4 million units in two injections of 1.2 million units each in different places (e.g. one in each buttock)

Replacing part of solvent by the same volume of 1% lidocaine solution may reduce the pain associated with injection; however, check the solvent first as it may already contain lidocaine.

Advise the patient to walk for 30 minutes to help the product resorb into the muscle.

Caution: use benzathin-benzylpenicillin, but not sodium-benzylpenicillin