Clinical case 20: A pharmacist is resolving a therapeutics or calculation problem under Australian practice conditions. At an aged-care review, a 79-year-old taking anticoagulant presents because a clinically significant interaction is identified. What is the best action?

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Clinical case 20: A pharmacist is resolving a therapeutics or calculation problem under Australian practice conditions. At an aged-care review, a 79-year-old taking anticoagulant presents because a clinically significant interaction is identified. What is the best action?

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