A 31-year-old pregnant woman at 18 weeks presents with vulvovaginal candidiasis symptoms. She asks to buy oral fluconazole because it worked

Question

A 31-year-old pregnant woman at 18 weeks presents with vulvovaginal candidiasis symptoms. She asks to buy oral fluconazole because it worked previously. She has no pelvic pain or fever. What is the most appropriate alternative?

Accepted Answer

Recommend referral or appropriate topical azole treatment rather than oral fluconazole.

Answer

Suggest delaying treatment until after delivery.

Answer

Recommend oral terbinafine because it has less systemic exposure.

Answer

Advise using metronidazole tablets for suspected candidiasis.

Answer

Supply oral fluconazole because single-dose treatment is preferred in pregnancy.

Vulvovaginal candidiasis in pregnancy — GPhC CRA MCQ

A 31-year-old pregnant woman at 18 weeks presents with vulvovaginal candidiasis symptoms. She asks to buy oral fluconazole because it worked previously. She has no pelvic pain or fever. What is the most appropriate alternative?