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Red flag symptoms requiring urgent GP consultation include abnormal vaginal bleeding, severe vulval pain or fissuring, pelvic pain, fever, spreading cellulitis, severe balanitis, difficulty retracting the foreskin with pain and swelling (possible paraphimosis), or symptoms that do not resolve with standard antifungal treatment
Caution applies with a pancreatitis history, severe GI disease, and certain renal contexts
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