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Vaginal candidiasis pregnancy — GPhC CRA MCQ

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ModerateInfections and AntimicrobialsVaginal candidiasis pregnancyGPhC CRA

A pregnant patient asks to buy oral fluconazole for thrush after recognising previous symptoms. They are 18 weeks pregnant. What is the most appropriate alternative?

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Correct answer: C — Refer or recommend appropriate topical treatment after assessment

Oral fluconazole is generally avoided in pregnancy for uncomplicated thrush. Assessment and topical options are more appropriate. In this scenario, the correct option is refer or recommend appropriate topical treatment after assessment. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; NICE CKS