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Fluconazole pregnancy — GPhC CRA MCQ

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EasyInfectionsFluconazole pregnancyGPhC CRA

A woman who is 10 weeks pregnant asks to buy oral fluconazole for vaginal thrush. What is the most appropriate alternative?

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

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Correct answer: B — Recommend referral or topical antifungal treatment appropriate for pregnancy rather than oral fluconazole self-care

Topical therapy is usually preferred for vaginal candidiasis in pregnancy and oral fluconazole is avoided. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS