"Hi, I’m [Your Name], a pharmacy student. I’ll wash my hands and put on PPE if needed. Can I please confirm your full name and date of birth?"
"You’ve been prescribed apixaban, which is an anticoagulant — a blood thinner. Today, I’d like to explain how it works, how to take it safely, and what to watch out for. Is that okay with you?"
"Apixaban works by reducing your blood’s ability to clot, which helps prevent harmful blood clots. This is especially important if you have atrial fibrillation — an irregular heart rhythm that can cause clots to form and lead to strokes or heart attacks."
"You should take apixaban twice daily, 5 milligrams each dose, about 12 hours apart. Try to take it at the same times every day. If you forget a dose, take it as soon as you remember unless it’s nearly time for your next dose — don’t double up."
"You can take it with or without food."
"Most patients take this medication for life unless their doctor tells them otherwise."
"Apixaban increases your risk of bleeding. You may bruise more easily or have nosebleeds or bleeding gums. Minor cuts or scrapes might bleed longer — around 10 minutes — before they stop."
"Common side effects include nausea, skin reactions, or anemia."
"Avoid medications like ibuprofen or other NSAIDs unless your doctor says it’s okay, as these can increase bleeding risk. Also limit your alcohol intake."
"Always tell your pharmacist you’re taking apixaban before buying any over-the-counter medicines."
"Inform any healthcare professional, including dentists or surgeons, before you have any procedures."
"For lifestyle, using an electric razor for shaving and wearing gloves during activities like gardening can help reduce your risk of cuts and bruises."
"If you notice severe bleeding, blood in your urine or stools, unexplained bruising, or head injury, seek urgent medical help."
"Your GP will arrange blood tests now and then to check your kidney and liver function to make sure the medicine is still safe for you."
"So, to sum up: take apixaban twice daily at 5 mg per dose, watch out for bleeding risks, inform healthcare professionals before procedures, and don’t miss your doses. Do you have any questions or concerns about your medication?"