Taking Eliquis and Metoprolol for A-fib: Concerned about side effects

Posted by damari @damari, May 25, 2020

Just diagnosed. Doctor prescribed Eliquis and Metoprolol. I was wondering what side effects common. I read there is a rare side effect of hair thinning for metoprolol. (take 25 mg 2x day) Also read that Eliquis can sometimes cause some stomach discomfort. (5 mg 2x day) Can either medications be taken in lesser amounts?

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

Profile picture for tuckie @tuckie

Hi
I am a little older.
Metoprolol could not control my H/R 198 with pauses at night on it. BBs are no longer recommended as 1st line for hypertension.

Changed to Bisoprolol 156 and again not much control of H.R even raised the dose to 10mfg.

Then went to a Private Cardiologist. Diliazem did the trick. Within 2 hours H/R went from the 156 to 51.

I have banned BBs from my meds. Bisoprolol was stopped when H/R went low.

cheri JOY

Jump to this post

Wouldn't it be great if all meds worked for all people.? I have had good luck with Meto but, like you, I know many others who are still looking for the right med. When I get a new med I try not follow up on it for a short while - otherwise I may develop issues based on what I read rather than on the good it is doing me. 'Mind over matter' for me, I guess.

REPLY
Profile picture for pha2340840 @pha2340840

I have A-fib 5 years. Eliquis is doing the trick. To me Warfarin is too much maintenance. Was on Pradaxa for a while but it is so expensive. Ask your Cardiologist.

Jump to this post

Is that all you are taking?

REPLY

I did not do well with the metoprolol. My problem(s) were kind of stumbly when I walked which wasn't too bad, but the worst was the feeling in my legs below the knee. I felt like this portion of my legs were just along for the ride. Pain and some numbness but just a feeling of not really working. Also, my heart rate was low for me. Sometimes in the very low 50s, but consistently in the mid to low 60s. I went off metoprolol about 2 months ago and the change in the feeling in my legs was almost instant. I had a successful ablation (PFA at UC Health in Aurora, CO) on May 23, 2025, and continue on Eliquis. Not so much for a blood clot due to a return of Afib, but because I am over 75 (86 on 09/12/2025) and at a +2 on the CHA2DS2-VASc Score.

REPLY

I’ve been taking both Eliquis and Metoprolol for almost 10 years and haven’t had any side effects myself. But everyone’s different, so it can really vary from person to person. If you’re worried about dose or side effects, it’s a good idea to check in with your doctor before making any changes. Best of luck with your health.

REPLY

I've been on metoprolol since my triple bypass in 2022.
Aside from getting the initial dosage right near the beginning (my HR dropped too low when combined with the amiodarone I was on at the time), I've had no issues with it.
I was on Eliquis for post-surgical Afib, but was taken off it after a couple of months. No issues.
I've recently gone back on Eliquis when my Afib returned at the beginning of July this year.
Aside from a possible initial bout of constipation which resolved, I haven't noticed any ill effects.
I've had the same experience with Eliquis and generic apixaban.

REPLY

I take Eliquis and metropolol and started digoxin right before I had a cardio version back in July and all was well. At my follow up appointment, my dr. said to start taking the digoxin every other day, rather than daily. My Afib came back. He is now referring me to an electrophysiologist who is based in Nashville and only visits my town every other week. Anyone else had issues with digoxin?

REPLY
Profile picture for margreet @margreet

I have a history of A-fib, started 11 yrs ago. I joined a study group and had a Cryo Ablation in Victoria BC. first , but that dod not work, A year later I had a regular Ablation, (they burnt the triggerpoints in my heart ) and since than for 5 years no A-vib. Am on Xeralto 20 mgr a day. (Eloquist ? ) last year I had a big surgery for Cancer treatment and had an a-fib during recovery. 6 month after surgery I started Chemo. Had 7 doses and than got very sick, side effects of the chemo. Had also a STV (afib + tachycardia ) one time, they paddled me with no result than they gave me via intravenous Amiodarone and that fixed it. Now I am still on Xarelto and Metropolol 25 mgr a day have to take one half (12.5 mgr ) in the morning and the other half in the evening . I am in remission of cancer right now have regular check ups with CTScans. Have no side effects so far and feel great. Am 81 and live alone and don’t need any help so far. Am happy. Still having regular check ups, bloodwork and CT scans for a while . My heart behaves at the moment.

Jump to this post

@margreet - I have heard mixed reviews on Ablation and even the Doctor said it may only last five years. I am currently taking 100MG of Metropolol in the morning and 50MG at night. Still have bouts of AFIB. Eliquis was prescribed but was quite pricey.

REPLY

I take both Metoprolol and Eliquis. I was given a coupon in the hospital for the first month free of Eliquis. Yes, it is very expensive. After reaching my deductible, $350, I pay $52 a month. I have been trying to get help since January with the drug company, but so far, nothing.

REPLY
Profile picture for xabbax @xabbax

@margreet - I have heard mixed reviews on Ablation and even the Doctor said it may only last five years. I am currently taking 100MG of Metropolol in the morning and 50MG at night. Still have bouts of AFIB. Eliquis was prescribed but was quite pricey.

Jump to this post

@xabbax
Once again you have too weigh the side effects of what ever route you take. Cost and side effects are part of those factors to consider.

REPLY
Profile picture for cad43 @cad43

I take both Metoprolol and Eliquis. I was given a coupon in the hospital for the first month free of Eliquis. Yes, it is very expensive. After reaching my deductible, $350, I pay $52 a month. I have been trying to get help since January with the drug company, but so far, nothing.

Jump to this post

@cad43
I'm sorry you still have to pay $52/month for this, but as drugs go today that is generally considered quite modest, and I think that's about 10% of the list price.

Let's see ... Google says that a generic version of Eliquis has been delayed several times by lawsuits and is currently scheduled for April 2028. Generally when this happens the list price is somewhat lower and most insurance paradoxically will pay a little more for it without dinging you just because it is "generic".

REPLY
Please sign in or register to post a reply.