A 78-year-old woman takes rivaroxaban 20mg once daily for atrial fibrillation. Her eGFR has fallen from 62 to 34 mL/min/1.73m2 over eight months. A

Question

A 78-year-old woman takes rivaroxaban 20mg once daily for atrial fibrillation. Her eGFR has fallen from 62 to 34 mL/min/1.73m2 over eight months. A repeat prescription is due today. What monitoring is required?

Accepted Answer

Renal function should be reviewed to confirm the dose remains appropriate

Answer

Urine glucose should determine the rivaroxaban dose

Answer

Peak salbutamol level should be checked

Answer

Serum folate should be checked before each dose

Answer

Routine INR should be checked before supply

DOAC renal monitoring — GPhC CRA MCQ

A 78-year-old woman takes rivaroxaban 20mg once daily for atrial fibrillation. Her eGFR has fallen from 62 to 34 mL/min/1.73m2 over eight months. A repeat prescription is due today. What monitoring is required?