Question

A 58-year-old with AF and prior GI bleed is switched from warfarin to apixaban. He asks if aspirin 81 mg should be continued for primary prevention. What do you recommend?

Accepted Answer

Stop aspirin; avoid dual therapy without a secondary prevention indication

Answer

Continue aspirin with apixaban for all

Answer

Increase aspirin to 325 mg

Answer

Switch back to warfarin

Answer

Start clopidogrel with apixaban

Practice question

A 58-year-old with AF and prior GI bleed is switched from warfarin to apixaban. He asks if aspirin 81 mg should be continued for primary prevention. What do you recommend?