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Fluconazole pregnancy — GPhC CRA MCQ

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ModerateInfectionsFluconazole pregnancyGPhC CRA

A woman who is 12 weeks pregnant asks to buy oral fluconazole for vaginal thrush. She has typical symptoms and 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: ADo not supply oral fluconazole and refer for pregnancy-appropriate treatment

Oral fluconazole is generally avoided in pregnancy for uncomplicated vaginal candidiasis. Topical azole treatment is usually preferred, with appropriate advice and referral if needed. Pregnancy status is therefore directly relevant to supply. Metronidazole and oral antibiotics do not treat candidiasis.

Reference: BNF; NICE CKS