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Fluconazole pregnancy — GPhC CRA MCQ

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EasyInfectionsFluconazole pregnancyGPhC CRA

A woman who is 10 weeks pregnant asks to buy oral fluconazole for vulvovaginal candidiasis. She has itching and thick white discharge but no pelvic pain or fever. What is the most appropriate alternative?

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

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Correct answer: A — Recommend referral or topical clotrimazole as appropriate for pregnancy

Oral fluconazole is generally avoided in pregnancy unless specifically advised by a prescriber. Topical azole therapy such as clotrimazole is usually preferred for vulvovaginal candidiasis in pregnancy. The patient should be referred if symptoms are atypical, recurrent or associated with pelvic pain or fever.

Reference: BNF; NICE CKS