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Fluconazole in pregnancy — GPhC CRA MCQ

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ModerateInfectionsFluconazole in pregnancyGPhC CRA

A woman who is 10 weeks pregnant asks to buy oral fluconazole for vaginal thrush. She has no abdominal pain or bleeding. What is the most appropriate action?

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

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Correct answer: D — Do not supply oral fluconazole and refer for pregnancy-appropriate treatment

Oral fluconazole is generally avoided in pregnancy, especially without medical advice. Topical imidazoles are usually preferred for vulvovaginal candidiasis in pregnancy, with appropriate clinical assessment. Referral ensures suitable treatment and exclusion of alternative diagnoses.

Reference: BNF; NICE CKS