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Warfarin counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareWarfarin counsellingGPhC CRA

A 68-year-old man newly started on warfarin asks what he should watch for at home. He has been given a yellow anticoagulant booklet and is due an INR check in 3 days. He also buys ibuprofen occasionally for back pain. What would you advise the patient?

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

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Correct answer: AReport unusual bleeding or bruising and avoid OTC NSAIDs unless advised

Warfarin counselling should cover bleeding signs, INR monitoring, interactions and consistent diet. OTC NSAIDs can increase bleeding risk and should be avoided unless specifically advised. The anticoagulant booklet supports communication across healthcare settings. Extra doses should not be taken to offset dietary variation.

Reference: BNF Warfarin; NICE CKS Anticoagulation - oral