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Vaginal candidiasis in pregnancy — GPhC CRA MCQ

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ModerateInfectionsVaginal candidiasis in pregnancyGPhC CRA

A woman who is 10 weeks pregnant asks to buy oral fluconazole for symptoms of vaginal thrush. She has no pelvic 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: A — Do not supply oral fluconazole and refer for pregnancy-appropriate treatment

Oral fluconazole is generally avoided in pregnancy for vulvovaginal candidiasis. Topical azole treatment may be used under appropriate advice, and pregnancy-specific assessment is needed. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS