Question

A 70-year-old with AF and prior GI bleed is on apixaban 2.5 mg BID without meeting dose-reduction criteria. What is the issue?

Accepted Answer

Underdosing increases stroke risk; use 5 mg BID unless ≥2 reduction criteria met

Answer

Dose reduction is correct for age >65 alone

Answer

2.5 mg BID is equivalent to 5 mg BID

Answer

Switch to aspirin instead

Answer

Stop anticoagulation

Practice question

A 70-year-old with AF and prior GI bleed is on apixaban 2.5 mg BID without meeting dose-reduction criteria. What is the issue?