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Edoxaban dose criteria — GPhC CRA MCQ

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HardCardiovascular TherapeuticsEdoxaban dose criteriaGPhC CRA

A 64-year-old man with AF is prescribed edoxaban 60mg daily. He weighs 54kg and has creatinine clearance 48mL/min. He also takes dronedarone. What is the most appropriate action?

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Correct answer: EQuery dose reduction because low body weight and dronedarone affect edoxaban dosing

Edoxaban dosing for non-valvular AF is reduced in patients with low body weight and with certain P-glycoprotein inhibitors such as dronedarone. The prescription should be checked against the relevant criteria and queried if inappropriate. Frequency changes or therapeutic substitutions should not be made by the pharmacist without prescriber involvement. Adding aspirin would increase bleeding risk without routine indication.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment