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Vulvovaginal candidiasis in pregnancy — GPhC CRA MCQ

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ModerateInfectionsVulvovaginal candidiasis in pregnancyGPhC CRA

A 24-year-old woman asks for treatment for vulvovaginal thrush. She is 34 weeks pregnant, has vulval itch and thick discharge, no pelvic pain and no urinary symptoms. What is the most appropriate alternative?

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

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Correct answer: E — Clotrimazole pessary with pregnancy-appropriate counselling

Topical imidazole treatment is preferred for candidiasis in pregnancy, while oral fluconazole should generally be avoided. The symptoms fit uncomplicated thrush, but persistent or recurrent symptoms need medical review. The pharmacist should provide counselling on insertion and advise avoiding applicator trauma late in pregnancy if relevant to product instructions.

Reference: BNF; NICE CKS