s, I would speak with your physician immediately. It may very well be that you are on too high of a
dose, but other conditions should be evaluated as well.
Regarding antithrombotic therapy in the setting of atrial fibrillation, the guidelines recommend this for all patients with AF, except those with lone AF or contraindications.
The selection of the antithrombotic agent is usually based on the absolute risk of stroke and bleeding and the relative risk and benefit for a given patient.