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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 if 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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