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Anticoagulant bleeding signal — GPhC CRA MCQ

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HardAdverse Drug Reactions and Drug SafetyAnticoagulant bleeding signalGPhC CRA

A patient taking apixaban starts aspirin bought over the counter and now reports easy bruising and prolonged nosebleeds. What is the most important interaction to flag?

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Correct answer: E — Increased bleeding risk from combined antithrombotic therapy

Combining anticoagulants with antiplatelets increases bleeding risk. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; MHRA; GPhC Standards