Question

A 69-year-old woman with a history of unprovoked pulmonary embolism (PE) who was previously treated with apixaban develops severe menorrhagia after switching to rivaroxaban. She requests an alternative medication. What is the best option to reduce bleeding while maintaining efficacy?

Accepted Answer

Switch to apixaban

Answer

Switch to warfarin

Answer

Stop anticoagulation

Answer

Reduce dose below label

Answer

Switch to LMWH indefinitely

Practice question

A 69-year-old woman with a history of unprovoked pulmonary embolism (PE) who was previously treated with apixaban develops severe menorrhagia after switching to rivaroxaban. She requests an alternative medication. What is the best option to reduce bleeding while maintaining efficacy?