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Fluconazole pregnancy — GPhC CRA MCQ

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ModerateInfectionsFluconazole pregnancyGPhC CRA

A patient who is 10 weeks pregnant asks to buy oral fluconazole for vulvovaginal candidiasis. She has used it before and wants a single capsule. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Do not supply oral fluconazole and advise appropriate pregnancy-safe assessment or treatment

Oral fluconazole is generally avoided in pregnancy, especially in the first trimester, unless specifically indicated by a prescriber. Topical imidazole treatment is commonly used for candidiasis in pregnancy after appropriate assessment. Symptoms also need evaluation if diagnosis is uncertain or recurrent. Previous use outside pregnancy does not establish current suitability.

Reference: BNF; NICE CKS