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Missed rivaroxaban dose — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsMissed rivaroxaban doseGPhC CRA

A woman on rivaroxaban once daily with food forgot yesterday’s dose but has taken today’s dose as usual. She asks whether to take an extra tablet. What would you advise the patient?

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

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Correct answer: C — Continue the normal schedule without an extra dose

This scenario assesses Missed rivaroxaban dose in a UK pharmacy practice context. Doubling DOAC doses after the next scheduled dose has been taken can increase bleeding risk and is not appropriate. The best answer is Continue the normal schedule without an extra dose because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: BNF; MEP