A 61-year-old with AF and CKD G3b on rivaroxaban 20 mg daily asks about renal dosing. Creatinine clearance is 38 mL/min. What is correct?...

Question

A 61-year-old with AF and CKD G3b on rivaroxaban 20 mg daily asks about renal dosing. Creatinine clearance is 38 mL/min. What is correct?

Accepted Answer

Reduce to 15 mg daily

Answer

Continue 20 mg daily

Answer

Reduce to 10 mg daily

Answer

Switch to dabigatran 150 mg twice daily regardless of CrCl

Answer

Stop anticoagulation

us-abim MCQ (SBA): AF (DOAC Renal Dosing)