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Apixaban counselling missed dose — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsApixaban counselling missed doseGPhC CRA

A patient taking apixaban 5 mg twice daily for atrial fibrillation phones the pharmacy. He forgot his morning dose and remembers at 2 pm. His usual evening dose is due at 8 pm. What would you advise the patient?

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

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Correct answer: B — Take the missed dose now and continue the next dose at the usual time

For twice-daily apixaban, a missed dose should generally be taken as soon as remembered and the regular twice-daily schedule continued. Doubling later doses increases bleeding risk without improving safety. Aspirin is not an appropriate substitute for anticoagulation in atrial fibrillation.

Reference: BNF