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DOAC missed dose counselling — GPhC CRA MCQ

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HardCardiovascular TherapeuticsDOAC missed dose counsellingGPhC CRA

A patient takes rivaroxaban 20 mg once daily with the evening meal for AF. At 22:00 on the same day they realise the 18:00 dose was missed. What should they do?

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

Reveal the answer and explanation

Correct answer: E — Take 20 mg with food now; resume tomorrow as usual

For once-daily rivaroxaban, a missed dose is taken as soon as remembered on the same day, then the normal schedule resumes the next day. The 20 mg AF dose should be taken with food. The patient must not double the next day.

Reference: BNF: rivaroxaban: https://bnf.nice.org.uk/drugs/rivaroxaban/