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?

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

@shoshin

May I ask what "natural holistic blood thinner" you take?

For my part, I take a non-pharmacetical "triple anticoagulant therapy" ( the alternative to the triple pharmaceutical anti-coagulant therapy that is all the rage now): Boluoke lumbrokinase (2x per day/B.I.D.; which has a Canadian-FDA clinical trial behind it), Pure Prescriptions Cardiokinase nattokinase (1x per day), & chewable low-dose (81 mg) aspirin (1x per day).

This way I am combining proteolytic/fibrinolytic enzymes with the anti-platelet forming effects of aspirin...to achieve optimal...yet safe "anti-coagulation"...as I work further through a metabolic cardiological approach to healing & even reversing the myocardial fibrosis...causing paroxysmal atrial fibrillation...I have suffered since the incident myocarditis caused by the Moderna-NIH COVID-19 mRNA vaccines.

My atrial fibrillation burden (the state-of-the-art health-scientific metric for the time one's heart spends in atrial fibrillation...over a measured/given period)...is on a long-term downward trend...after sharply rising earlier this year.

What, you might ask, am I taking to support myocardial remodeling (reversing the myocardial fibrosis/lesion in my left atrium)?

Well, that would be 4.5 mg a day of...bioperine-enhanced (or Longavida-enhanced) curcumin.

Consulting with a naturopathic cardiologist led me to the discover this promising research (unfortunately done on non-human animals) on the role of curcumin in the IL-17 signaling pathway: https://pubmed.ncbi.nlm.nih.gov/34894517/.

Since starting (2 weeks ago) on the elevated dose of bioperine curcumin my atrial fibrillation burden has dramatically decreased from 18% (measured over a week, every week via my Apple Watch)...to 5%.

The villain (caused by the Modern-NIH mRNA C19 vaccines) was & remained...myocardial inflammation, which elicits fibrosis & disrupts normative electrical conductivity across the myocardium (which results in, among other things, arrhythmia/atrial fibrillation).

The only published data available on the level of atrial fibrillation burden--associated with an increased level of ischemic stroke--which is 11% or greater, is found here: https://jamanetwork.com/journals/jamacardiology/fullarticle/2681476.

Net-net: I am thrilled with the results thus far & will continue this curcumin protocol...& my natural triple anti-coagulant therapy...& my other metabolic heart-centric supplementation (mainstays are part of the Sinatra protocol: potassium (mostly citrate), magnesium taurate, taurine, D-ribose, hawthorne, glycine, BCCA, & l-glutamine).

Add to this my decades-long Veganism & my continued high-intensity fitness routine. To wit: Yesterday, with the benefit of my Garmin & FitBit watches, I recorded a VO2 max score of...58 (VO2 max range is 0-65). So my heart health remains..."excellent," whether indexed for my age or across all age groups.

For example, for those 65 years or older, a VO2 max score (which is something that a cardiac stress test will also measure as it is an indirect measure of ejection refraction)...a VO2 max score of 37 is categorized as "excellent").

More about VO2 max score: https://www.fitnescity.com/understanding-vo2-max.

Stay safe (wear an N95 respirator in public to avoid C19 infection) & all the best to everyone!

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I took "circulation evergreen" for 3-4 months, then went on aspirin 81 and beet powder. Sorry to hear you got afib from the vax?! Never would I touch them, not at gun point would I take them, although they got me with the eliquis, I let my guard down, thought it was well tested and safe! Wrong! Going forward, I will only take antibiotics, if needed, no other pharma. No way will I be wearing any stupid mask and suffocating myself, I will breathe fresh air and rely on my immune system! Had covid twice and very mild symptoms. I also think the vegan diet is a death cult, watch some videos by former vegan poster boy Jon Venus about his health, and his son's health after prolonged veganism. But hey, if it works for you keep going. I eat tons of red meat and have a zero calcium score, like many others. Regards

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@sa1l0r

First of all: blessings for your attitude and spirit.
Started Eliquis two months ago; since then have had numerous stumbles and falls. No fainting, or loss of consciousness, just tumbles, often with injuries to hands, arms, and legs. I LOVE to sail my Sunfish, garden, and exercise, but haven’t been able to sail for three summers now due to appendage injuries. Pacemaker as of 11/22, then heart MD said I was having too much Afib (asymptomatic) and had the choice of Eliquis or potentially massive stroke - not a real choice: - a true dilemma by my book. Not to mention the exorbitant cost! Yikes!
Any thoughts ??

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@sa1l0r - Have you stopped taking Eliquis and trying something else, 81mg aspirin and ???

I'm curious as I have non-symptomatic paroxysmal Afib and a CHADS Vasc 7 score; recently, my episodes dramatically changed from ones that were no more than 30 seconds to some lasting 2 hours. No obvious reason for the change, I'm a non smoker and non drinker. I am in between electrophysiologists as mine of 11 years retired and have not established with the new one yet (can't get in until November). It was decided I should start Eliquis 5mg 2 x a day, which I did. After 4 pills and experiencing extreme abdominal pain because of gas, painful passing of gas, low back pain, and pain in upper arms, elbows and shoulders that was an aching awful pain. The pain became like full body pain one would get with a bad flu, but I did not have flu; I did a home test for Covid and that was distinctly negative. I have never had a Covid injection; but I did have infusion of monoclonal antibodies after having a mild case of Covid 2 years ago; the only lingering thing I have is loss of taste and smell.

Medical staff does not believe my pains, gas, general worn-out tiredness (not sleepy) is from the Eliquis, but after what I have read I'm pretty sure it was the culprit. I still have a bit of gas but nothing like it was, so I'm back on my aspirin and seeing my Cardiologist next week.
I hope you are getting along better now.

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@moey2720

@sa1l0r - Have you stopped taking Eliquis and trying something else, 81mg aspirin and ???

I'm curious as I have non-symptomatic paroxysmal Afib and a CHADS Vasc 7 score; recently, my episodes dramatically changed from ones that were no more than 30 seconds to some lasting 2 hours. No obvious reason for the change, I'm a non smoker and non drinker. I am in between electrophysiologists as mine of 11 years retired and have not established with the new one yet (can't get in until November). It was decided I should start Eliquis 5mg 2 x a day, which I did. After 4 pills and experiencing extreme abdominal pain because of gas, painful passing of gas, low back pain, and pain in upper arms, elbows and shoulders that was an aching awful pain. The pain became like full body pain one would get with a bad flu, but I did not have flu; I did a home test for Covid and that was distinctly negative. I have never had a Covid injection; but I did have infusion of monoclonal antibodies after having a mild case of Covid 2 years ago; the only lingering thing I have is loss of taste and smell.

Medical staff does not believe my pains, gas, general worn-out tiredness (not sleepy) is from the Eliquis, but after what I have read I'm pretty sure it was the culprit. I still have a bit of gas but nothing like it was, so I'm back on my aspirin and seeing my Cardiologist next week.
I hope you are getting along better now.

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No, I have not stopped taking Eliquis. I, too, have noticed increased fatulence, but chalked it up to aging.

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@sa1l0r

No, I have not stopped taking Eliquis. I, too, have noticed increased fatulence, but chalked it up to aging.

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@sa1l0r - Thanks, I hope you are better. Yes, the gas was awful along with abdominal pain. Now, almost a week later its subsided.

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Others may have mentioned the Watchman device in comments, and if so I apologize for the repetition, but my husband received notice from his cardiologist this morning that he could discontinue his Eliquis. He has been on blood thinners for 25 years and Eliquis for almost 3 years(with no side effects). Due to heart and another medical
condition he has had periods of acute orthostatic hypotension making him high risk for falls. A Watchman was placed in the opening of his LAA in December 2022 to prevent blood clots from entering and exiting his bloodstream. A transesophogeal echocardiogram was done this week which found no leakage and he can now stop all blood thinners. It might be a solution for those of you who can’t tolerate blood thinners and in particular Eliquis.

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@cmauncc1

(1) "Had" an adverse reaction; legs recovered quickly after going off Eliquis.

(2) Cardiologist had kept me on Eliquis despite Medtronic loop recorder showing that only a small fraction of 1% of the time was I fleetingly in Afib throughout its battery life. Still kept me on it despite my every three months office checkups with EKG, and annual stress test never detecting Afib.

(3) Sent him the Bristol-Meyers Squibb link to the rare but severe side effects of Eliquis; was news to him! https://www.eliquis.bmscustomerconnect.com/afib/faq ( Look about 60% of the way down the pages.)
He now asks each of his patients "Do you have any physical problems?", looking for issues similar to mine.

(4) He is in the process of getting Humana's OK to replace my "dead" loop recorder with a fresh one and has me on 81mg Aspirin

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Thank you for posting this! I just recently told my pcp and my ep cardiologist that my leg muscles were getting weaker and I was having difficulty walking with a cane. I thought it was related to my CFS. I had been in PT for 2 months as a result of year long muscle decline from taking hydralazine, a bp medication following my ablation, which caused peripheral neuropathy up to my knees. No one listened during that year until I searched NIH for documentation. My new cardiologist was well aware of the complications of hydralazine, and changed my medications. He also put me on eliquis because of continued arrhythmia issues. For whatever crazy reason, it never occurred to me that eliquis, which I started late May, could be causing muscle weakness! I now have info to discuss with him. Thank you!

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I have terrible leg muscle weakness along with numbness in my legs and feet. Went off Eliquis for a epidural neck block. Restarted Eliquis and I have the terrible muscle weakness again.

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I have had two ablations for A-Fib. The first lasted 8 years. I did not have to continue taking Metoprolol nor Pradaxa. Then in 2019, the A-Fib returned and I was put on Sotolol and Eliquis. So my cardiac electro-physiologist did a second ablation. He let me quit the Sotolol but not the Eliquis. I have not had an A-Fib episode since. I have leg weakness, pain in my shoulders, legs, hands, arms, and knees especially upon waking in the morning. It is not arthritis. I am trying to get my cardiologist to let me quit the Eliquis. This is not the first time I have had joint, muscle, and/or bone pain from a drug. It happened after I had taken Carafate for a year. The answer I’ve gotten from every doctor I’ve consulted about this is that joint and muscle pain are not a side effect of Eliquis. It is reassuring to read these post from people who have experienced similar things!

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@towanda7

I have terrible leg muscle weakness along with numbness in my legs and feet. Went off Eliquis for a epidural neck block. Restarted Eliquis and I have the terrible muscle weakness again.

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I had an episode of A Fib and after it was cardioverted they put me on Eliquis 5 mg, twice a day. Within 2 weeks I had a SEVERE onset of numbness in my feet too! Then about a week later I started having muscle spasms all over my body and some weakness too! These spasms are happening 2-4 times every hour, all day and night! And they are not like the spasms you get in a muscle after exercising. I might get a spasm in muscle in the compartment of my thumb, then my whole hamstring, then in between my ribs, all in the same HOUR! And there's this crazy muscle twitching in muscles too. This is super weird because I'm only 59 y/o and have always been very active and exercised daily. I've also felt super fatigued about 2-3 hours after I take each dose of Eliquis. I never, not ever, go to sleep before midnight and never take naps during the day. Since I started taking it I'm dying for a nap at noon and I'm falling asleep every night at 9 pm. The behavior change is so remarkable that my husband has commented how strange it is too. I don't think this medication is nearly as benign as the company is telling the Drs. Never in my life have I said that I just can't take a medication but I'm not going to keep taking this. The side effects are too severe and I feel vaguely like I'm dying.

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I am also a Mayo Clinic patient from Illinois on Eliquis and your comment caught my eye, cmanucci1, since it accurately describes my clinical course in all details and which has progressed. No reasonable explanation so far.

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