thrush+in+pregnancy

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//A woman, who appears to be pregnant, walks into your pharmacy, requesting a preparation for vaginal itch//

Problem
Thrush treatment in pregnancy has certain precautions that need to occur

Questions to Ask
- What other symptoms are you experiencing? //some whitish discharge, but no distinct smell// - How long have you had the symptoms? //past two days// - What has already been done to treat the symptoms? //nothing// - What could have caused your symptoms? //don't know// - Have you used any toiletries e.g. soap which could potentially irritate the area? //nothing new// - What other medical conditions do you have? //none// - What medications, including those that can be bought without a prescription, are you taking? //recently finished a course of antibiotics// - Do you have any allergies? //none//

What to do
- Would refer to the doctor, due to being pregnant - Prefer to use clotrimazole pessary and/or cream, single dose can assist compliance - Caution using an applicator. Prefer using a clean finger to insert vaginal thrush medications - Fluconazole is excreted in breast milk, however the single 150mg dose appears to be safe to use

Resources
[|Fluconazole Supply Protocol]