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DOAC Dental Procedure — RACP Adult Medicine MCQ

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EasyClinical PharmacologyDOAC Dental ProcedureRACP Adult Medicine

A 60-year-old man on apixaban undergoes dental extraction. Should DOAC be held?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DDo NOT hold – continue on anticoagulation with local haemostatic measures

Simple dental procedures: low bleeding risk. DOACs can be continued. Local haemostasis (gauze, tranexamic acid mouthwash) manages bleeding.

Reference: 2025 – DOAC Guidelines; eTG – 2025