Question

A 61-year-old with persistent AF and CHA₂DS₂-VASc 3 is started on apixaban. He asks about concomitant aspirin for primary prevention. What should you advise?

Accepted Answer

Stop aspirin unless a clear secondary-prevention indication exists

Answer

Continue daily aspirin with apixaban

Answer

Use aspirin only on days he forgets apixaban

Answer

Switch to warfarin plus aspirin

Answer

Increase apixaban dose if stopping aspirin

Practice question

A 61-year-old with persistent AF and CHA₂DS₂-VASc 3 is started on apixaban. He asks about concomitant aspirin for primary prevention. What should you advise?