A 28-year-old woman presents to the GP with vulval itching and thin, watery vaginal discharge. On examination, there is vulval erythema with small whi...

Question

A 28-year-old woman presents to the GP with vulval itching and thin, watery vaginal discharge. On examination, there is vulval erythema with small white flecks adherent to the vaginal wall. Vaginal pH is 4.2. A vaginal swab confirms Candida albicans. She is not pregnant and has no drug allergies. She prefers oral treatment. Which is the most appropriate prescription?

Accepted Answer

Oral fluconazole 150 mg single dose

Answer

Oral metronidazole 2 g single dose

Answer

Oral clotrimazole 500 mg

Answer

Oral nystatin 500,000 units four times daily

Answer

Oral itraconazole 400 mg daily for 7 days

uk-drcog MCQ (SBA): Oral Fluconazole for VVC - Standard Dose