Indicated for: pain and inflammation
Route of administration: oral
Substance: tramadol + dexketoprofen (opioid analgesic + nonsteroidal anti-inflammatory drug)
ATC: N02AJ14 (Nervous system | Opioids | Opioids in combination with non-opioid analgesics)
This medicine may affect your ability to drive or use machines.
This medicine may cause dizziness or vertigo.
This medicine may cause dependence or be misused.
May slow breathing, especially with alcohol or sedatives.
Avoid alcohol during treatment.
Avoid excessive exposure to sunlight or UV radiation.
This medicine may have important interactions with other medicines.
This medicine may affect the kidneys.
Use during breastfeeding only on medical advice.
Use during pregnancy only on medical advice.
Older people may have an increased risk of side effects.
This medicine may increase the risk of seizures.
This medicine may increase the risk of bleeding.
Do not stop treatment abruptly without medical advice.
This medicine may cause drowsiness or reduced alertness.
This medicine may increase the risk of ulcer or gastrointestinal bleeding.
Tramadol + dexketoprofen is a combination for the short-term treatment of moderate to severe acute pain in adults. Tramadol acts on the central nervous system and has opioid effects, while dexketoprofen is a non-steroidal anti-inflammatory medicine that reduces pain and inflammation. It is useful when the doctor considers that one painkiller alone is not enough.
It is taken by mouth according to the prescribed dose and duration, usually for only a few days. Do not exceed the recommended dose and do not combine it with alcohol, sedatives or other opioids unless a doctor agrees. Tell your doctor if you have stomach ulcers, digestive bleeding, liver or kidney disease, epilepsy, asthma, anticoagulant treatment or a history of dependence.
Side effects may include nausea, vomiting, sleepiness, dizziness, constipation, stomach pain, heartburn, diarrhoea, sweating, dry mouth and tiredness. More serious reactions can occur, such as slow breathing, confusion, seizures, allergic reactions, black stools, vomiting blood, worsening asthma or kidney problems. The risk is higher in older or frail patients.
Do not drive or use machines if you feel sleepy, dizzy or have blurred vision. Seek urgent medical advice if breathing difficulty, swelling of the face, severe abdominal pain, bleeding, widespread rash, fainting or confusion occur. This combination is not intended for unmanaged chronic pain and should not be used during pregnancy unless clearly advised by a doctor.