A patient at 10 weeks’ gestation has symptoms consistent with vulvovaginal candidiasis and asks for an oral fluconazole capsule. There are no red

Question

A patient at 10 weeks’ gestation has symptoms consistent with vulvovaginal candidiasis and asks for an oral fluconazole capsule. There are no red flags. What is the best pharmacy response?

Accepted Answer

Do not supply oral fluconazole; arrange supervised topical treatment and advise insertion without an applicator

Answer

Defer all antifungal treatment until 12 weeks because topical and oral azoles are equally contraindicated

Answer

Recommend an antiseptic vaginal douche first, then supply fluconazole if symptoms remain after 48 hours

Answer

Supply oral ketoconazole because its shorter half-life gives less fetal exposure than a topical azole

Answer

Supply oral fluconazole because the pregnancy restriction applies only to repeated high-dose courses

Antifungal in pregnancy — GPhC CRA MCQ

A patient at 10 weeks’ gestation has symptoms consistent with vulvovaginal candidiasis and asks for an oral fluconazole capsule. There are no red flags. What is the best pharmacy response?