Can Eliquis Cause Muscle Weakness?

In our latest question and answer, the pharmacist discusses whether or not Eliquis is associated with muscle weakness.

Question

I have been taking Eliquis for over 2 years without any side effects except for the occasional bruising. Lately, however, I have noticed some muscle weakness in my legs that caused a notable Loss of balance. Is muscle weakness one of the "hidden" side effects of taking Eliquis over a long period of time?

Asked by Ragiji On Nov 02, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Nov 02, 2022
Last updated Jul 04, 2024

Key points

  • Muscle weakness has been reported rarely in those taking Eliquis. If it does occur, it may be secondary a more serious problem (such as a muscle hemorrhage or spinal blood clot).
  • Be sure to discuss any side effects you are experiencing with your doctor so you can be properly evaluated.

Answer

Muscle pain (and weakness) is a reported side effect of Eliquis (apixaban), but it doesn't appear to be common. However, if you are experiencing muscle pain on Eliquis, you should speak to your doctor right away, since it could be indicative of a more serious side effect where muscle weakness is a symptom.

Based on the available data, it appears that if muscle weakness does occur, it may be from:

  • A bleed in the muscle
  • A spinal blood clot (although this is rare)

Muscle-Related Side Effects

Clinical trials for Eliquis reported 'muscle hemorrhage' (i.e., bleeding from the muscle) occurred in less than 1% of individuals. A bleed from the muscle could certainly cause weakness, but you generally would notice if it was occurring by seeing bruising or other skin discoloration (this isn't always the case, however).

The prescribing information for Eliquis does warn of muscle weakness/tingling in a specific situation. Individuals taking Eliquis are at a higher risk of blood clots in the spine if you've recently had medicine injected into it (e.g., for anesthesia). It states:

If you take ELIQUIS and receive spinal anesthesia or have a spinal puncture, your doctor should watch you closely for symptoms of spinal or epidural blood clots or bleeding. Tell your doctor right away if you have tingling, numbness, or muscle weakness, especially in your legs and feet.
Eliquis Prescribing Information

A blood clot in the spine may cause muscle weakness, tingling and numbness, especially in the lower extremities and is an urgent medical situation, which is why you should seek help right away if it occurs.

Talk To Your Doctor

If you take Eliquis and are experiencing muscle weakness, you want to be sure you talk to your doctor right away.

Muscle weakness isn't common and could be indicative of something more serious (as talked about above). It certainly could just be a benign side effect but it is important that you are evaluated in a timely manner.

Final Words

Thanks for reaching out and I hope you found this helpful!

References

  • Eliquis Prescribing Information, BMS
  • Apixaban: A Review in Venous Thromboembolism, PubMed
  • Apixaban: A Clinical Pharmacokinetic and Pharmacodynamic Review, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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