In this episode of OSCE Talk, we break down how to counsel a patient on Apixaban — a common anticoagulant used for stroke prevention in atrial fibrillation and for the treatment and prevention of DVT and PE.

We cover what Apixaban is, why it’s prescribed, and how to clearly explain benefits, bleeding risks, and safety advice to patients in an OSCE-friendly way.

You’ll learn how to structure anticoagulant counselling, including dosing, missed doses, interactions, red flags, and when patients should seek urgent help.

This episode is ideal for medical students preparing for OSCEs, foundation doctors, and anyone wanting to improve real-world medication counselling skills.

✅ KEY TAKEAWAYS

• Apixaban is a factor Xa inhibitor used for anticoagulation

• Common indications include AF-related stroke prevention, DVT, and PE

• Explain stroke risk vs bleeding risk clearly to patients

• Unlike warfarin, Apixaban does not require routine INR monitoring

• Patients must take it twice daily at the same time each day

• Missed doses should be taken as soon as remembered (same day)

• Major bleeding and head injury require urgent medical attention

• Avoid NSAIDs and inform healthcare professionals before procedures

• Apixaban is contraindicated in pregnancy

• Clear counselling improves adherence and patient safety