A 67-year-old with AF and prior GI bleed is on low-dose apixaban. He asks about DOAC dose reduction. Guideline approach?...

Question

A 67-year-old with AF and prior GI bleed is on low-dose apixaban. He asks about DOAC dose reduction. Guideline approach?

Accepted Answer

Use label-recommended dose reduction criteria (age, weight, creatinine) rather than bleeding history alone

Answer

Reduce dose solely due to prior bleed

Answer

Use half-dose for all >=65

Answer

Switch to aspirin

Answer

No anticoagulation

us-abim MCQ (SBA): Atrial Fibrillation (DOAC Dosing)