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HardCardiologyAtrial Fibrillation / Prescribing Safetymrcgp aktmrcp part 1ukmlapaneprescribing safety assessment

A 72-year-old woman with type 2 diabetes, hypertension, and CKD stage 3b (eGFR 40 ml/min/1.73m²) is found to have atrial fibrillation on a routine ECG. Her CHA2DS2-VASc score is 5. According to NICE NG196 and BNF guidance, which DOAC requires dose reduction based solely on her renal function?

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