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Vaginal candidiasis pregnancy — GPhC CRA MCQ

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EasyInfection ManagementVaginal candidiasis pregnancyGPhC CRA

A woman who is 10 weeks pregnant asks to buy oral fluconazole for vaginal thrush. She has typical itching and discharge with no pelvic pain or fever. What is the most appropriate alternative?

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

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Correct answer: A — Do not supply oral fluconazole and refer for suitable pregnancy advice

Oral fluconazole is generally avoided in pregnancy, particularly without medical advice. Topical treatments may be considered depending on assessment and local guidance. The pharmacist should refer appropriately and screen for symptoms requiring urgent care.

Reference: BNF; NICE CKS