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Apixaban missed dose — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsApixaban missed doseGPhC CRA

A patient taking apixaban 5mg twice daily for atrial fibrillation forgot the morning dose and realises this in the early afternoon. The next dose is due at 8pm. What is the most appropriate action?

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

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Correct answer: B — Take the missed dose now and take the evening dose at the usual time

For apixaban, a missed dose should generally be taken as soon as remembered, with the twice-daily regimen then continued. The patient should not double doses or substitute aspirin. Interrupting anticoagulation without clinical advice can increase thromboembolic risk.

Reference: BNF