A 70-year-old with AF and prior GI bleed is on apixaban 2.5 mg BID after dose reduction criteria met. He asks about routine monitoring. Which is appro...

Question

A 70-year-old with AF and prior GI bleed is on apixaban 2.5 mg BID after dose reduction criteria met. He asks about routine monitoring. Which is appropriate?

Accepted Answer

Periodic renal/hepatic function, CBC, and bleeding risk assessment; no routine anti-Xa levels

Answer

Monthly INR checks

Answer

No labs needed ever

Answer

Routine anti-Xa levels for DOACs

Answer

Stop anticoagulation if creatinine rises minimally

us-abim MCQ (SBA): DOAC Monitoring

A 70-year-old with AF and prior GI bleed is on apixaban 2.5 mg BID after dose reduction criteria met. He asks about routine monitoring. Which is appropriate?