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Dapagliflozin genital infection — GPhC CRA MCQ

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EasyEndocrine TherapeuticsDapagliflozin genital infectionGPhC CRA

A patient on dapagliflozin reports recurrent genital itching and discharge. They have no fever, flank pain or ketone symptoms. They ask if this could be related to their diabetes medicine. What would you advise the patient?

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

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Correct answer: A — It may be a genital fungal infection and should be assessed or treated appropriately

SGLT2 inhibitors increase urinary glucose and can predispose to genital fungal infections. Symptoms should be assessed and treated, with advice on hygiene and when to seek further help. Dose escalation would not address the problem and could worsen adverse effects.

Reference: BNF; NICE CKS