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Fluconazole pregnancy — GPhC CRA MCQ

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ModerateInfectionsFluconazole pregnancyGPhC CRA

A 10-week pregnant woman asks to buy oral fluconazole for symptoms typical of thrush. What is the most appropriate alternative?

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

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Correct answer: B — Use pregnancy-appropriate local treatment or refer if unsuitable

This scenario assesses Fluconazole pregnancy in a UK pharmacy practice context. Oral fluconazole is generally avoided for uncomplicated vaginal candidiasis in pregnancy. The best answer is Use pregnancy-appropriate local treatment or refer if unsuitable because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; NICE CKS