Missed DOAC doses in AF — GPhC CRA MCQ
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Correct answer: D — Advise her not to take extra doses and to re-establish the regular twice-daily schedule
Extra doses increase bleeding risk and do not safely compensate for missed anticoagulation. 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; NICE CKS