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October, 2026
October 2026
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D Chandra: Reduce the Apixaban Dose for a Patient with VTE and a Creatinine Clearance of 25?
Oct 30, 2026, 02:43

D Chandra: Reduce the Apixaban Dose for a Patient with VTE and a Creatinine Clearance of 25?

D Chandra, Consultant Haematologist and Director, Staffordshire Thrombosis and Anticoagulation Centre at University Hospitals of North Midlands NHS Trust, shared a post on LinkedIn:

“Reduce the apixaban dose for a patient with VTE and a creatinine clearance of 25?

Many prescribers would, but the dose-reduction rules for AF don’t carry over to VTE treatment.

The details of DOAC prescribing are where errors happen: dose by indication, renal function, interactions, bleeding, and what to do before a procedure.

So I’ve made a free course on HaemAcademy: seven short animated videos, under 40 minutes in total, from choosing the right patient through to managing major bleeding and planning surgery.

Each part has five questions, with on-screen references to the guidance behind every recommendation.

There’s a final assessment and a certificate of completion.

For doctors, pharmacists, nurses and trainees who prescribe or manage anticoagulation.”

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