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Do Xarelto And Bisoprolol Fumarate Delay Wound-healing Process?

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Posted on Fri, 8 Jul 2016
Question: I have been taking Xarelto 20mg with Bisoprolol Fumarate 5mg for about 8 months. Is this a common prescription? I was diagnosed with a blood clot on two separate occasions, but only the second time did my doctor add on Bisoprolol Fumarate.
I would like to know if the two drugs are causing my rotator cuff injury to heal more slowly than normal. I injured the shoulder in early January 2016 and have not golfed since. Can I stop using Bisoprolol Fumarate?
Thank you
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
it's a common prescription...

Detailed Answer:
Hello,

bisprolol was obviously added to control the heart rate. I suppose you had too many beats per minute, although you haven't mentioned your past heart rate or the reason that your doctor prescribed bisoprolol. The decision to correct (with drugs) the heart rate depends on the patient. For example a patient with serious heart disease may experience shortness of breath if the heart rate rises too much. If the patient has no symptoms then the heart rate is corrected when it's too high. We usually aim for approximately 60 beats per minute.

I doubt that the cause of the slowed healing is your treatment regimen. Although the drugs may affect the muscles and joints and there are some reports about delayed wound healing with xarelto I believe that the strongest factor in this regard is your age. Other factors that may interfere with the healing processes include smoking, diabetes, alcohol consumption, obesity, reduced sex hormones and some drugs (corticosteroids mostly but NSAID may also affect it). There are no reports that I know, implicating bisoprolol with healing so I don't foresee any benefit with stopping it.

For the reasons that I've mentioned (your heart's functional status and your normal heart rate) I believe that you should first discuss stopping bisoprolol with your cardiologist. I doubt it will help though.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3814 Questions

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Do Xarelto And Bisoprolol Fumarate Delay Wound-healing Process?

Brief Answer: it's a common prescription... Detailed Answer: Hello, bisprolol was obviously added to control the heart rate. I suppose you had too many beats per minute, although you haven't mentioned your past heart rate or the reason that your doctor prescribed bisoprolol. The decision to correct (with drugs) the heart rate depends on the patient. For example a patient with serious heart disease may experience shortness of breath if the heart rate rises too much. If the patient has no symptoms then the heart rate is corrected when it's too high. We usually aim for approximately 60 beats per minute. I doubt that the cause of the slowed healing is your treatment regimen. Although the drugs may affect the muscles and joints and there are some reports about delayed wound healing with xarelto I believe that the strongest factor in this regard is your age. Other factors that may interfere with the healing processes include smoking, diabetes, alcohol consumption, obesity, reduced sex hormones and some drugs (corticosteroids mostly but NSAID may also affect it). There are no reports that I know, implicating bisoprolol with healing so I don't foresee any benefit with stopping it. For the reasons that I've mentioned (your heart's functional status and your normal heart rate) I believe that you should first discuss stopping bisoprolol with your cardiologist. I doubt it will help though. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!