Question

A 75-year-old woman with a history of atrial fibrillation, for which she takes apixaban 5mg BD, is scheduled for a dental extraction. According to SDCEP guidelines (or general principles aligning with NICE/BNF), what is the most appropriate advice regarding her apixaban?

Accepted Answer

Continue apixaban as usual

Answer

Stop apixaban 5 days before the procedure

Answer

Stop apixaban 24 hours before the procedure

Answer

Reduce apixaban dose to 2.5mg BD for 3 days before

Answer

Switch to low molecular weight heparin (LMWH)

Practice question

A 75-year-old woman with a history of atrial fibrillation, for which she takes apixaban 5mg BD, is scheduled for a dental extraction. According to SDCEP guidelines (or general principles aligning with NICE/BNF), what is the most appropriate advice regarding her apixaban?