A woman who is 18 weeks pregnant asks to buy fluconazole 150mg for vaginal thrush. She has vulval itch and thick white discharge, no pelvic pain, no

Question

A woman who is 18 weeks pregnant asks to buy fluconazole 150mg for vaginal thrush. She has vulval itch and thick white discharge, no pelvic pain, no bleeding and no urinary symptoms. She has had thrush before. What is the most appropriate alternative?

Accepted Answer

refer or supply an appropriate topical imidazole regimen according to local pregnancy service rules

Answer

sell oral metronidazole for presumed candidiasis

Answer

recommend no treatment until after delivery

Answer

advise vaginal douching before using treatment

Answer

sell oral fluconazole 150mg as first-line treatment in pregnancy

Vulvovaginal candidiasis in pregnancy — GPhC CRA MCQ

A woman who is 18 weeks pregnant asks to buy fluconazole 150mg for vaginal thrush. She has vulval itch and thick white discharge, no pelvic pain, no bleeding and no urinary symptoms. She has had thrush before. What is the most appropriate alternative?