Tramadol 75mg / Dexketoprofen 25mg tablets
Requires a prescription from a doctor or prescriber
Some safe custody exemptions; written records required
Legal requirements and restrictions
Schedule 3 medicines that do not require locked storage or register entries.
Legal requirements
- Prescriptions valid for 28 days
- No controlled drugs register required
- No safe custody (locked storage) required
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MHRA alerts for Tramadol + Dexketoprofen
Safety monitoring data
Yellow Card reports
The MHRA Yellow Card scheme collects reports of suspected side effects from healthcare professionals and patients. View the Drug Analysis Profile (iDAP) for real-world adverse reaction data.
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Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
The European Medicines Agency (EMA) collects suspected adverse reaction reports from across the EU/EEA through the EudraVigilance system. Search for safety data on this medicine.
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EudraVigilance data is published by the European Medicines Agency (EMA). A suspected adverse reaction is not necessarily caused by the medicine.
1 branded products available
MHRA licensed products
View all licensed products for Tramadol + Dexketoprofen on the MHRA register
Skudexa 75mg/25mg tablets
This is the NHS Drug Tariff indicative price used for reimbursement purposes. It may not reflect the price paid by patients or pharmacies.
View full Drug TariffSource: NHS Drug Tariff via NHSBSA. Derived from dm+d VMPP (Virtual Medicinal Product Pack) pricing data. Contains public sector information licensed under the Open Government Licence v3.0.
Therapeutically similar medicines
Similarity is based on WHO Anatomical Therapeutic Chemical (ATC) classification and on a factual NHS dm+d therapeutic-grouping code prefix. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
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Official UK regulator monitoring and safety alerts
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. Shortage and safety information sourced from MHRA drug safety updates (gov.uk, Crown Copyright under OGL v3.0).
Codes for healthcare professionals and prescribing systems
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SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. ATC codes from the WHO Collaborating Centre for Drug Statistics Methodology (whocc.no).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Academic studies and reviews for this medicine's active substance
Showing the 50 most relevant studies.
Reviews & meta-analyses: 21 · Randomised trials: 26 · 2003–2026
Showing the 50 most relevant studies, sorted by most relevant.
K. Miotto, A. Cho, Mohamed A Khalil, et al.
Anesthesia & Analgesia, 2017
Muna Subedi, S. Bajaj, Maushmi S. Kumar, et al.
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2019
Bhattarai BP, Selvido DI, Rokaya D
2024
This study aims to compare the analgesic efficacy of dexketoprofen trometamol (DT) with other analgesic drugs for pain relief after third molar surgery. The PubMed, Scopus, and Web of Science databases were searched to identify randomized controlled trials comparing DT with other analgesics for third molar surgery. The outcome measures were the sum of pain intensity differences (SPID), total pain relief (TOTPAR) at the 6th and 8th postoperative hours, time to rescue medication, and tolerability. In total, four studies met our inclusion criteria. A total of 660 third molar surgeries were performed: 365 in the DT group and 295 in the active control group. Compared to other analgesics, DT produced significantly better pain relief at the 6th postoperative hour: SPID (MD, 0.33; P = 0.01) and TOTPAR (MD, 0.41; P = 0.02). However, there were no statistically significant differences in the efficiency of pain relief at the 8th postoperative hour, time to rescue medication, or tolerability. Overall, a 25 mg dose produced the best results for pain relief. In conclusion, DT (25 mg) is a viable alternative to contemporary analgesics for pain relief after third molar surgery, particularly during the early postoperative period.
Abstract licence: CC BY-NC
R. M. Duehmke, S. Derry, P. Wiffen, et al.
The Cochrane database of systematic reviews, 2017
KK. Gonçalves, M. Cecilia Becerril Santos, Davi da Silva Barbirato, et al.
Medicina oral, patología oral y cirugía bucal, 2022
- Tooth, Impacted
- Tramadol
- Analgesics
L. Bravo, J. Micó, E. Berrocoso
Expert Opinion on Drug Discovery, 2017
Joanna Kuczyńska, Angelika Pawlak, Barbara Nieradko‐Iwanicka
Polish Hyperbaric Research, 2021
C. Zeng, M. Dubreuil, Marc R. Larochelle, et al.
JAMA, 2019
H J McQuay, Rachel Moore, A. Berta, et al.
British Journal of Anaesthesia, 2016
- Analgesics, Opioid
- Anti-Inflammatory Agents, Non-Steroidal
- Ketoprofen
Sameer Hassamal, K. Miotto, W. Dale, et al.
The American journal of medicine, 2018
Sources: aggregated from Europe PMC (EMBL-EBI), OpenAlex, Crossref, PubMed and other open scholarly databases. Retracted articles are excluded. Study information is provided for research purposes and does not constitute medical advice.
Scientific data (pharmacology, interactions, ADME) is not yet available for this medicine. Clinical sections are sourced from the NHS dm+d database.