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Candidiasis in pregnancy — GPhC CRA MCQ

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ModerateInfectionsCandidiasis in pregnancyGPhC CRA

A pregnant woman at 10 weeks' gestation asks to buy fluconazole 150mg capsule for vulvovaginal candidiasis after using it before pregnancy. She has itching and curd-like discharge, with no pelvic pain or bleeding. What is the most appropriate alternative?

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Correct answer: B — Refer for assessment and consider topical azole treatment suitable in pregnancy

Oral fluconazole is generally avoided in pregnancy, particularly when alternatives are available. Topical azole therapy may be used for candidiasis in pregnancy after appropriate assessment, often for a longer course. Pelvic pain, bleeding or systemic symptoms would require urgent assessment. Antibiotics would not treat candidiasis and may worsen symptoms.

Reference: BNF; NICE CKS Candida female genital