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DOAC dental procedure — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsDOAC dental procedureGPhC CRA

A patient taking edoxaban for AF asks whether to stop it before a planned dental extraction tomorrow. The dentist has not given specific instructions. What is the most appropriate alternative?

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

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Correct answer: E — Ask the patient to contact the dentist or anticoagulation prescriber for procedure-specific advice

Peri-procedural anticoagulant management depends on bleeding risk, renal function, timing of the dose and procedure type. The pharmacist should not give blanket cessation advice without clinical context. Coordinated advice from the dentist or prescriber is safest.

Reference: BNF; NICE CKS