Some of the side effects hubby had was glazed over eyes, (he looked like he was stoned), then he would fall asleep at the drop of a hat - sometimes right in the middle of a conversation....those were the first problems I noticed.

He had only been on it for about 12 days and was planning on talking with doc about it when "it" happened.

What Hubby had was an anxiety attack and "brain disfunction" due to the tramadol and also/in combination with the stress of the IME he had on Tuesday - He was wondering around clinic for over an hour before he "came to" and was able to call me and make it to his Docs office - he was very disorientated and his speach was slurred. He was falling asleep and 1/2 out of the chair before they put him into a room and because his heart was racing, blood pressure up, ringing in his ears, etc and just plain out acting wierd - they brought him to the emergency room.

Since "coming off" the Tramadol he has not had any of these symptoms - Did have one big headache that night but he's been fine since.

PLEASE BE CAREFUL with the Tramadol some of the other side effects that are not listed on any website (not one that I found anyways...) but the doc was able to dig them up were bladder/control issues and anxiety....who knows what else It could do...I'm just glad he's off of it.