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Chlamydia in pregnancy — GPhC CRA MCQ

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ModerateInfectionsChlamydia in pregnancyGPhC CRA

A 29-year-old woman who is 10 weeks pregnant is prescribed doxycycline 100mg twice daily for suspected chlamydia. She has no drug allergies and asks if it is safe to start today. The partner notification plan is being arranged by the sexual health clinic. What is the most appropriate alternative?

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

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Correct answer: A — Azithromycin regimen recommended by the sexual health service

Doxycycline is generally avoided in pregnancy because of risks to fetal teeth and bone. Chlamydia treatment in pregnancy should follow local sexual health guidance, commonly using azithromycin when appropriate. The pharmacist should query the prescription and support prompt suitable treatment rather than supply doxycycline.

Reference: BNF; NICE CKS