Pharmacology · single question

What is the mechanism of action of apixaban (and rivaroxaban)?

  1. Direct factor Xa inhibitor
  2. Vitamin K antagonist
  3. Direct thrombin inhibitor
  4. Antiplatelet (COX inhibitor)
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Correct answer: A. Direct factor Xa inhibitor

  • A. Correct. Apixaban and rivaroxaban selectively inhibit factor Xa, blocking conversion of prothrombin to thrombin.
  • B. Warfarin is the vitamin K antagonist; apixaban is not.
  • C. Dabigatran is the direct thrombin (IIa) inhibitor.
  • D. Aspirin is the COX-inhibiting antiplatelet; different mechanism.

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