Question

A 74-year-old woman with nonvalvular atrial fibrillation, stage 2 CKD (eGFR 75 mL/min/1.73 m²), and controlled hypertension needs stroke prophylaxis. She takes no interacting drugs. What is the preferred agent?

Accepted Answer

Apixaban

Answer

Warfarin with INR goal 2.0-3.0

Answer

Dabigatran 75 mg once daily

Answer

Aspirin 325 mg daily

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Practice question

A 74-year-old woman with nonvalvular atrial fibrillation, stage 2 CKD (eGFR 75 mL/min/1.73 m²), and controlled hypertension needs stroke prophylaxis. She takes no interacting drugs. What is the preferred agent?