DOAC counselling — GPhC CRA MCQ

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EasyPatient Counselling and Pharmaceutical CareDOAC counsellingGPhC CRA

A patient starts apixaban for atrial fibrillation. He asks what to do if he notices black stools. What would you advise the patient?

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

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Correct answer: E — Seek urgent medical advice because this may indicate bleeding

Black stools may indicate gastrointestinal bleeding, which is important in a patient taking an anticoagulant. The patient should seek urgent medical advice and should not stop anticoagulation without guidance. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; MEP