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Edoxaban adherence — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsEdoxaban adherenceGPhC CRA

A patient taking edoxaban for atrial fibrillation stops it for two days monthly because of bruising but has no active bleeding. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: BExplain stroke risk from missed doses and arrange review of bruising concerns

Intermittent DOAC omission reduces anticoagulant protection and should not be self-directed. 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