A 30-year-old woman who is 10 weeks pregnant asks to buy oral fluconazole 150mg for vaginal thrush. She has vulval itching and discharge but no

Question

A 30-year-old woman who is 10 weeks pregnant asks to buy oral fluconazole 150mg for vaginal thrush. She has vulval itching and discharge but no pelvic pain, fever or urinary symptoms. She used oral fluconazole before pregnancy. What is the most appropriate alternative?

Accepted Answer

Refer for a pregnancy-appropriate topical imidazole option

Answer

Two fluconazole capsules taken 72 hours apart

Answer

Ibuprofen with oral fluconazole for symptom relief

Answer

Vaginal douching before antifungal treatment

Answer

Oral fluconazole 150mg as a single dose

Fluconazole in pregnancy — GPhC CRA MCQ

A 30-year-old woman who is 10 weeks pregnant asks to buy oral fluconazole 150mg for vaginal thrush. She has vulval itching and discharge but no pelvic pain, fever or urinary symptoms. She used oral fluconazole before pregnancy. What is the most appropriate alternative?