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DOAC adherence counselling — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsDOAC adherence counsellingGPhC CRA

A 70-year-old woman taking apixaban 5mg twice daily for atrial fibrillation missed last night's dose and remembers at 8am, when her next dose is due. She has no bleeding and no recent fall. What is the most appropriate alternative?

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

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Correct answer: E — Take the scheduled morning dose and continue the usual twice-daily routine

For a missed apixaban dose, the patient should take a dose when remembered and then continue the usual twice-daily schedule, avoiding double dosing at one time. If the next dose is due, taking the scheduled dose is the safest practical advice. Warfarin substitution and INR checking are not relevant to short-term apixaban adherence. The patient should be reminded about signs of bleeding and the importance of regular dosing.

Reference: BNF