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Apixaban adherence counselling — GPhC CRA MCQ

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ModeratePatient CounsellingApixaban adherence counsellingGPhC CRA

A patient taking apixaban 5 mg twice daily for atrial fibrillation says he often forgets the evening dose. He asks if taking both tablets in the morning is acceptable. What would you advise the patient?

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

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Correct answer: BExplain that twice-daily dosing should be maintained and discuss adherence aids

Apixaban requires regular dosing to maintain anticoagulant effect. Taking both doses together is not equivalent and may increase peak-related bleeding while leaving trough gaps. Adherence strategies should be explored.

Reference: BNF