Question

A 72-year-old with AF on warfarin has INR 1.6 at two visits despite adherence and normal diet. He prefers fewer lab checks. What is recommended?

Accepted Answer

Switch to a DOAC such as apixaban with renal-adjusted dosing

Answer

Switch to dabigatran in severe CKD (CrCl 20)

Answer

Increase warfarin target to INR 3-3.5

Answer

Add aspirin 81 mg to warfarin

Answer

Stop anticoagulation

Practice question

A 72-year-old with AF on warfarin has INR 1.6 at two visits despite adherence and normal diet. He prefers fewer lab checks. What is recommended?