Apixaban missed dose — GPhC CRA MCQ
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Correct answer: C — Take the missed dose now and take the next dose at the usual time
For twice-daily apixaban, a missed dose can be taken as soon as remembered and the twice-daily schedule continued. Doubling the next dose increases bleeding risk and aspirin is not an appropriate substitute. The advice should also include checking the patient understands bleeding precautions and when to seek help.
Reference: BNF; NHS medicines guidance