At the outset, it should be noted that the drugs mentioned in the question: Aclexa (cerexoxyb) and Dortea (tramodol with paracetamol) are prescription, so the legitimacy and need to combine them in therapy should be determined by a doctor. This combination of drugs can be used, but you should strictly follow your doctor's instructions and observe your body's reactions.

Concomitant use of these drugs leads to an increase in the effects of tramadol and its side effects. The most common are: headaches and dizziness, drowsiness, nausea and vomiting, constipation, dry mouth, excessive sweating, and a feeling of excessive fatigue. This combination may also increase the risk of kidney problems.

If the medication is prescribed by the same doctor, please follow the dosing schedule. Also, perform regular blood tests ordered by your doctor. In the event of pain in the lumbar region, change in urine color, reduced urine or other disturbing symptoms - please contact your attending physician.

If you need more personalized advice, you can use teleconsultations here:

https://www.gdziepolek.pl/telekonsultacja/

Through Gdziepolek, it is possible to book medicines in a selected pharmacy in Polish:

https://www.gdziepolek.pl/produkty/24481/doreta-75-mg-650-mg-tabletki-powlekane/apteki

https://www.gdziepolek.pl/produkty/1831/aclexa-kapsulki/apteki