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New Medicine Service adherence — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareNew Medicine Service adherenceGPhC CRA

A patient starts apixaban for atrial fibrillation and seems uncertain about why it is needed. The pharmacy offers a structured follow-up conversation after initiation. What would you advise the patient?

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

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Correct answer: B — Use a new medicine consultation to explore understanding, adherence and bleeding concerns

New medicine support can identify early adherence problems, misconceptions and adverse effects. For anticoagulants, counselling should include indication, dosing, missed doses, bleeding signs and interaction checks. Written information is useful but does not replace patient-centred discussion.

Reference: NHS Community Pharmacy Advanced Service; NICE medicines adherence