Canadian Pharmacist Qualifying Exam Practice · Question
A 68-year-old male presents to the pharmacy to pick up a new prescription for apixaban 5 mg twice daily for atrial fibrillation. He is also taking ramipril 5 mg daily and atorvastatin 40 mg daily. Which of the following is the most crucial counseling point for this patient regarding apixaban?
Apixaban is an anticoagulant, and the most critical counseling point is to educate the patient about signs of bleeding, which is the primary adverse effect that
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Question: A 68-year-old male presents to the pharmacy to pick up a new prescription for apixaban 5 mg twice daily for atrial fibrillation. He is also taking ramipril 5 mg daily and atorvastatin 40 mg daily. Which of the following is the most crucial counseling point for this patient regarding apixaban?
Answer options:
- Take apixaban with food to improve absorption.
- Monitor your blood pressure daily at home and report any high readings. ✅ Report any signs of unusual bleeding or bruising immediately to your doctor.
- Avoid eating large amounts of leafy green vegetables while on this medication.
Correct answer: Report any signs of unusual bleeding or bruising immediately to your doctor.
Explanation: Apixaban is an anticoagulant, and the most critical counseling point is to educate the patient about signs of bleeding, which is the primary adverse effect that requires immediate medical attention. Taking with food is not a requirement, blood pressure monitoring is not directly related to apixaban's main adverse effects, and dietary restrictions for leafy greens apply to warfarin, not apixaban.
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