Rare serious side effect of Eliquis: Muscle weakness

Posted by cmauncc1 @cmauncc1, Dec 27, 2021

In late July 2017 I was admitted for very high heart rate and Afib. Had been, and still am, on minimal meds. Hospitalist put me on Eliquis, 5mg 2X/day.

Within a month my leg muscles were weakening to the point where I could no longer play Pickleball or walk golf. Within a few weeks my Cardiologist did an ablation and inserted a loop recorder. For the next 2-1/2 years the loop recorder saw MINIMAL Afib, under 0.5%; the ablation did its job.

By November 2017 I needed a walker. By December 2017 I needed to be wheelchair pushed through an Ice Sculpture display as there was no way I could walk the 25-30 minutes of the exhibit.

When I finally got to see a Neurologist at Shands (Univ of FL, Gainesville) in July 2018, he ran an extensive battery of blood work tests but could find nothing to explain the muscle weakness.

Has anyone else encountered similar muscle effects following being prescribed Eliquis?

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Profile picture for margaretfriel @margaretfriel

My diagnosis of A-Fib was June, 2021 & the 1st med. Prescribed was Warfarin. That was Toxic Poison to me & Yes, it caused muscle weakness. After a lot of "Pushing", my Dr. switched to Eliquis. That worked for +- 6 months, then Side Effects popped up. After MORE "rankling", the Cardiologist changed me to Xeralto ...but within a Very Short period of time MORE terrible side effects. Finally (the 3rd Cardiologist consulted) I was told to Stop Everything, & see a Cardio-Surgeon. I'd been seeing an MD who believes if you take as Few Pharmaceuticals as possible, eat a Healthy Diet, & live an Active lifestyle, you should be healthy. He did blood tests & ordered a scan of my Carotid Artery. When we looked at it he said, "People Would KILL to have Arteries like yours. They are almost Plaque-Free. You Absolutely Don't Need Blood Thinners! I took this to my Cardiologist, She looked at the scan & said, "That doesn't mean A Thing" ... (My 'Common sense' Disputed her statement so I scheduled an Appt. with a Cardiologist (Who had been written up as one of The Best in the Area) 100 miles from my home, and saw him. He'd spent time looking thru my files (Lots of EKG's, test results, & Physicians emails) - Most Importantly the Carotid Artery Scan & Said, "Actually, the Only thing I could recommend is to take a small-dose aspirin every-other Day, eat a healthy diet - which it looks like you Already do, & get Exercise. I Wish More Patients like you could come visit me. I'd Really like to see you again in 6 months or a year, I'd Like to follow your health, potentially you could live to be 100".
After reading my story, I hope you'll listen to your 'inner voice' & exercise your Good Common Sense. When Dr.'s tell you something that Just Doesn't seem Right, Keep Asking Questions, even it it means consulting Another Doctor. Sooner or later one will come up with A Right Answer FOR YOU! (It's been said for Centuries: "Doctors Practice Medicine". Like Great Musicians they practice & Practice & PRACTICE 'till they finally Get It Right, & We're their Violins, or Pianos, or Trombones or Whatever! For Men: "It Takes A Lot of Practice to get Yankee Stadium!)

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I am glad you are doing well, despite having AFib. But it is my understanding that the prescription of blood thinners for AFib has to do with the LAA, the left atrial appendage of the heart where, when you have AFib, it is most likely to form a blood clot there. That is because blood collects there during an AFib episode and pools, with more likelihood of a clot that can lead to a stroke. This has nothing to do with your diet, your arteries being plaque free, etc. It has to do with blood collecting in that part of the heart because during the irregular AFib or flutter beats, it can't pump it out.

I too want to get off the Eliquis. In fact, I had a Watchman device implanted May 1 in the LAA precisely to enable me to do that, but my doc wants me to stay on it until November because he believes that one needs to wait six months after the Watchman to make sure it is completely healed and sealed off. But now I mave weak leg muscles, anemia, and intestinal upset plus fatigue. I told my cardio nurse I can't be on his drug for three more months and need to switch to the baby aspirin. And she said, "it's your choice."

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I just started Eliquis 3 months in no problems except price. I had a hug blood clot lodged in my brain that they removed mechanical. Turned out good ,there is other options you can do like sewing off the apendeture where blood collects. I have HCM where my left is stiff and does not work at pumping blood out. I would stay in Eliquis until your team says it is absolutely safe.

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Profile picture for cmauncc1 @cmauncc1

I looked at the links you suggested, but didn't see anything relating muscle weakness to Eliquis.

I am, unfortunately, a naive patient. It never occurred to me or my wife that muscle weakness was a possible side effect of Eliquis as that isn't mentioned in the literature accompanying its initial Rx or any refills.

All I knew was that my legs were getting progressively weaker! No, we didn't connect that to my being on a new med! Yep, naive

Six weeks ago my Cardiologist dropped me to Eliquis 2.5mg 2x/day following a Watchman consult that declared me a marginal candidate for the procedure due to my only clot/stroke risk factor being my age (79). The ablation in late 2017 worked; less than 0.5% Afib since then.

I was only clued in ten days ago by my Chiropractor that he has seen several patients with my ongoing leg issues that began shortly after starting Eliquis. He printed off a sheet that indicates "Muscle weakness" is rare but "Serious" side effect.

It has now been four+ years since I was first put on 5mg Eliquis 2x/day, complaining frequently to my 2013-2020 primary and to my 2021++ primary [change due to insurance changing], and to my Cardiologist about my leg weakness. At 79 I am otherwise in very good condition (heart, BP, lungs, other organs, and labs within normal range), with the Afib under control.

At this point, quality of life (the HOPE of being able to improve my leg strength and my ability to walk better by eliminating Eliquis completely) outweighs the minimal risk of clot/stroke. [A verbose way of saying that "No, I have not consulted my Cardiologist!]

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Can you share the sheet the chiropractor gave you or a link to a source for it? There is so little information about muscle weakness and Eliquis. Thank you very much.

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Profile picture for cmauncc1 @cmauncc1

I looked at the links you suggested, but didn't see anything relating muscle weakness to Eliquis.

I am, unfortunately, a naive patient. It never occurred to me or my wife that muscle weakness was a possible side effect of Eliquis as that isn't mentioned in the literature accompanying its initial Rx or any refills.

All I knew was that my legs were getting progressively weaker! No, we didn't connect that to my being on a new med! Yep, naive

Six weeks ago my Cardiologist dropped me to Eliquis 2.5mg 2x/day following a Watchman consult that declared me a marginal candidate for the procedure due to my only clot/stroke risk factor being my age (79). The ablation in late 2017 worked; less than 0.5% Afib since then.

I was only clued in ten days ago by my Chiropractor that he has seen several patients with my ongoing leg issues that began shortly after starting Eliquis. He printed off a sheet that indicates "Muscle weakness" is rare but "Serious" side effect.

It has now been four+ years since I was first put on 5mg Eliquis 2x/day, complaining frequently to my 2013-2020 primary and to my 2021++ primary [change due to insurance changing], and to my Cardiologist about my leg weakness. At 79 I am otherwise in very good condition (heart, BP, lungs, other organs, and labs within normal range), with the Afib under control.

At this point, quality of life (the HOPE of being able to improve my leg strength and my ability to walk better by eliminating Eliquis completely) outweighs the minimal risk of clot/stroke. [A verbose way of saying that "No, I have not consulted my Cardiologist!]

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@cmauncc1 , I have been on eliquis for one week. Am experiencing being dizzy, fatigue and now pain and weakness in my legs . I’m on 5mg for Atrial fibrillation and am 77. Also want to get off the medication, but worried about clots. How are you doing and has your health improved?

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Profile picture for cmauncc1 @cmauncc1

I looked at the links you suggested, but didn't see anything relating muscle weakness to Eliquis.

I am, unfortunately, a naive patient. It never occurred to me or my wife that muscle weakness was a possible side effect of Eliquis as that isn't mentioned in the literature accompanying its initial Rx or any refills.

All I knew was that my legs were getting progressively weaker! No, we didn't connect that to my being on a new med! Yep, naive

Six weeks ago my Cardiologist dropped me to Eliquis 2.5mg 2x/day following a Watchman consult that declared me a marginal candidate for the procedure due to my only clot/stroke risk factor being my age (79). The ablation in late 2017 worked; less than 0.5% Afib since then.

I was only clued in ten days ago by my Chiropractor that he has seen several patients with my ongoing leg issues that began shortly after starting Eliquis. He printed off a sheet that indicates "Muscle weakness" is rare but "Serious" side effect.

It has now been four+ years since I was first put on 5mg Eliquis 2x/day, complaining frequently to my 2013-2020 primary and to my 2021++ primary [change due to insurance changing], and to my Cardiologist about my leg weakness. At 79 I am otherwise in very good condition (heart, BP, lungs, other organs, and labs within normal range), with the Afib under control.

At this point, quality of life (the HOPE of being able to improve my leg strength and my ability to walk better by eliminating Eliquis completely) outweighs the minimal risk of clot/stroke. [A verbose way of saying that "No, I have not consulted my Cardiologist!]

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@cmauncc1 can eliquis 5 mg be cut in half?

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Profile picture for lwools @lwools

@cmauncc1 , I have been on eliquis for one week. Am experiencing being dizzy, fatigue and now pain and weakness in my legs . I’m on 5mg for Atrial fibrillation and am 77. Also want to get off the medication, but worried about clots. How are you doing and has your health improved?

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@lwools
I had serious side effects from Eliquest (intermittent vomiting, diarrhea, fever, vision changes, joints hurting). The side effects kept getting more intensive! Then I changed back to coumadin bc i was nearly always sick with Eliquest and had lost 15 lbs. You need a blood thinner to avoid blood clots unless you get a watchman device implanted in your left atrial appendage. Then it will be a wait and see if afib reoccurs before going off a blood thinner.

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Profile picture for lwools @lwools

@cmauncc1 can eliquis 5 mg be cut in half?

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@lwools
good question,I was wondering the same iF it could be cut in half.

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Profile picture for jer22 @jer22

@lwools
good question,I was wondering the same iF it could be cut in half.

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@jer22 I read somewhere that it could be crushed so probably could be cut in half if each pill was the same size.

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I had heart attack and open -heart surgery 24 years ago at the age of 56. I was given statin, blood pressure medicine and low dose aspirin until last November. I lowered my cholesterol from 210 to 115 in 5 years. I started working out with weights and exercising 3-5 days a week. For years I was told I had an irregular heartbeat but no side effects. I bought a watch that showed I had afib so I asked my Cardiologist about my concern, no side effects. I agreed to take medications to control the afib and Eliquis was one of them. My legs became so weak I have trouble walking over a mile and I am so tired I don't even work out anymore. Have appointment with my Cardiologist in 2 weeks, I hope I'm coming off Eliquis.

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Profile picture for wjackp @wjackp

I had heart attack and open -heart surgery 24 years ago at the age of 56. I was given statin, blood pressure medicine and low dose aspirin until last November. I lowered my cholesterol from 210 to 115 in 5 years. I started working out with weights and exercising 3-5 days a week. For years I was told I had an irregular heartbeat but no side effects. I bought a watch that showed I had afib so I asked my Cardiologist about my concern, no side effects. I agreed to take medications to control the afib and Eliquis was one of them. My legs became so weak I have trouble walking over a mile and I am so tired I don't even work out anymore. Have appointment with my Cardiologist in 2 weeks, I hope I'm coming off Eliquis.

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@wjackp Eliquis is ruining my body. I will be going the Watchman route. Then if they still want to keep me on a blood thinner, I will say only aspirin which I tolerate. Eliquis is not for everyone and I am so sorry I ever got on it in the first place.

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