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MediumCardiologyAtrial Fibrillation, Anticoagulation Managementukmlamrcgp aktpanemrcem sbamrcp part 1prescribing safety assessment

A 72-year-old man with known atrial fibrillation (AF) and a CHA2DS2-VASc score of 4 is currently taking apixaban 5mg BD. He is scheduled for a routine dental extraction under local anaesthetic next week. His renal function is normal (eGFR >60 ml/min/1.73m$^2$). According to BNF and SDCEP guidance, how should his apixaban be managed peri-procedurally?

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