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DOAC counselling — GPhC CRA MCQ

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EasyPatient CounsellingDOAC counsellingGPhC CRA

A patient starts apixaban for AF and asks why no routine INR appointments have been arranged. He previously took warfarin years ago and worries the dose cannot be checked. What would you advise the patient?

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

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Correct answer: B — Routine INR monitoring is not used, but adherence and renal function matter

DOACs such as apixaban do not require routine INR monitoring, unlike warfarin. However, renal function, bleeding risk, interactions and adherence are important. The patient should know what to do for missed doses and when to seek help for bleeding.

Reference: BNF; NICE CKS