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DOAC missed dose — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareDOAC missed doseGPhC CRA

A patient taking apixaban twice daily forgot the morning dose and remembers at lunchtime. They asks whether to double the evening dose. What would you advise the patient?

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

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Correct answer: A — Follow missed-dose advice and avoid doubling without guidance

DOAC missed-dose instructions depend on the medicine and timing. Doubling doses can increase bleeding risk, so specific counselling is required. In this scenario, the correct option is follow missed-dose advice and avoid doubling without guidance. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF