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DOAC counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareDOAC counsellingGPhC CRA

A patient starts rivaroxaban for atrial fibrillation and asks whether routine INR appointments are still needed like a friend on warfarin. What would you advise the patient?

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

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Correct answer: D — INR monitoring is not used, but renal function, adherence, and bleeding checks remain important

Direct oral anticoagulants do not require INR monitoring for dose adjustment in the same way as warfarin. However, adherence is critical because missed doses can reduce protection, and renal function and bleeding risk require periodic review. Patients should know when to seek help for bleeding.

Reference: BNF; NICE CKS