Pharmacology · single question

What is the mechanism of action of apixaban (Eliquis)?

  1. Heparin cofactor activator
  2. Vitamin K antagonist
  3. Direct factor Xa inhibitor
  4. Direct thrombin inhibitor
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Correct answer: C. Direct factor Xa inhibitor

Apixaban is a direct, selective factor Xa inhibitor that reversibly binds factor Xa, reducing thrombin generation.
  • A. ❌ Heparin works via antithrombin III; apixaban is a direct oral anticoagulant.
  • B. ❌ Vitamin K antagonists include warfarin; apixaban does not affect vitamin K.
  • C. ✅ CORRECT – Apixaban is a direct, reversible factor Xa inhibitor.
  • D. ❌ Direct thrombin inhibitors include dabigatran; apixaban targets factor Xa.

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