Skudexa (dexketoprofem + tramadol) and Transtec (buprenorphine) are analgesics with different mechanisms of action. The simultaneous use of both preparations may lead to an increase in side effects on the central nervous system, e.g. drowsiness, dizziness, concentration disorders.
The Summary of Product Characteristics of Skudexa also indicates a possible interaction with the concomitant use of tramadol and buprenorphine in reducing the analgesic effect. Skudexa and Transtec are prescription medications, and you should follow the dosage instructions given by your doctor when using them. The doctor may have either ordered the introduction of Transtec patches during the last doses of Skudexa or after the last doses of Skudexa have been completely discontinued. In practice, both methods of dosage can be found. If you are unsure how to start treatment with Transtec, contact your prescriber again.

You can book a Transtec at the pharmacy of your choice here:

https://www.gdziepolek.pl/produkty/79741/transtec-35-mcg-h-system-transdermalny/apteki