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AF anticoagulation — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsAF anticoagulationGPhC CRA

A 78-year-old man with non-valvular AF is prescribed apixaban 5 mg twice daily. He asks why aspirin has been stopped. He has no recent ACS or coronary stent. What is the most appropriate alternative?

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

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Correct answer: A — Apixaban reduces stroke risk in AF and aspirin is not needed for AF stroke prevention

Oral anticoagulation is used to reduce stroke risk in AF when indicated. Aspirin is not an appropriate substitute for anticoagulation in AF and combining it without a clear indication increases bleeding risk. Apixaban does not control ventricular rate.

Reference: BNF; NICE CKS