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Will Diflucan Taken During Pregnancy Affect The Fetus?

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Posted on Tue, 13 Oct 2015
Question: in my first trimester (week 9-10)I had a yeast infection...my obgyn prescribed diflucan 150mg times 2 doses, i just noticed that it's a category c-d... I am so worried for my baby. do you ever prescribe this medication for woman in there first trimester?
doctor
Answered by Dr. Nidhi Setia (1 hour later)
Brief Answer:
only two doses should not affect baby.

Detailed Answer:
Hello
Welcome to HCM.

Thanks for putting up your query directly to me.

You are right that diflucan is category C-D drug.

Only the high doses (400-800 mg/day) of the antifungal drug Diflucan (fluconazole) may be associated with a birth defects in infants during the first trimester of pregnancy.

This risk does not appear to be associated with one or two, low dose of fluconazole 150 mg to treat vaginal yeast infection (candidiasis).

So, do not worry. Two doses should not affect the baby.

Instead, I would recommend using vaginal pessary clotrimazole for yeast infection in pregnancy. It is safer option.

Hope this addresses your concerns satisfactorily.

Have a safe pregnancy.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (4 minutes later)
Should I consider changing obgyns...seems like a poor choice of medication.
doctor
Answered by Dr. Nidhi Setia (3 minutes later)
Brief Answer:
always good to take second opinion.

Detailed Answer:
Its always a good idea to take a second opinion. You can change your obgyn if you think she has limited knowledge of drugs.

Anyhow, I am always available to answer your all health related queries. You can approach me anytime you want.

Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nidhi Setia (8 minutes later)
will my 20 week ultrasound show the affects of diflucan...facial abnormalities and cardiac concerns? can the 20 week ultrasound be done at 18 weeks?
doctor
Answered by Dr. Nidhi Setia (6 minutes later)
Brief Answer:
can go for anomaly scan between 18-22 weeks.

Detailed Answer:
Yes, your 20 week scan will show the facial and cardiac anomalies, if any.

The appropriate time to go for anomaly scan is between 18-22 weeks. Yes you can go for the scan at 18 weeks.
If there are signs of cardiac abnormalities detected in the scan, you can go for fetal echo to confirm.

Hope this helps.
Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Nidhi Setia

OBGYN

Practicing since :2009

Answered : 761 Questions

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Will Diflucan Taken During Pregnancy Affect The Fetus?

Brief Answer: only two doses should not affect baby. Detailed Answer: Hello Welcome to HCM. Thanks for putting up your query directly to me. You are right that diflucan is category C-D drug. Only the high doses (400-800 mg/day) of the antifungal drug Diflucan (fluconazole) may be associated with a birth defects in infants during the first trimester of pregnancy. This risk does not appear to be associated with one or two, low dose of fluconazole 150 mg to treat vaginal yeast infection (candidiasis). So, do not worry. Two doses should not affect the baby. Instead, I would recommend using vaginal pessary clotrimazole for yeast infection in pregnancy. It is safer option. Hope this addresses your concerns satisfactorily. Have a safe pregnancy. Take care.