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How do you approach laboratory assessment for anticoagulation adherence when working up anticoagulation failure?
Do you routinely perform anti-Xa monitoring or other labs to "prove" adherence?
If anticoagulation failure is confirmed, how do you decide which anticoagulant to switch to?
Answer from: at Academic Institution
When faced with an anticoagulation failure, my go-to test for adherence is looking at the medication-dispense report (if you have this available at your institution, it is very handy for understanding the patient's adherence to anticoagulation). Typically, this will either show intermittent dispensi...
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