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Apixaban renal check — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsApixaban renal checkGPhC CRA

A 79-year-old presents a first prescription for apixaban for atrial fibrillation. The PMR shows chronic kidney disease but no current renal result. What is the most appropriate alternative?

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

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Correct answer: A — Contact the prescriber to confirm renal function and dose suitability before supply

DOAC dosing and bleeding risk depend on renal function, age and weight. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS