Tramadol is a drug classified as a narcotic-like pain reliever. It can be used for the treatment of chronic pain and a number of other conditions as recommended by your health care provider. Certain medical conditions you have may require a dose adjustment and need to be mentioned to your health care provider including liver disease, a history of depression or mental illness, a stomach disorder, suicide attempt, or kidney disease. Serious side effects are reported in some rare cases by people using tramadol. Make sure you report them to your health care provider right away and do not take any more of Soma until the situation is resolved. The following serious side effects are reported: shallow breathing, peeling skin rash, seizures, weak pulse and some other ones. Mild side effects are a lot more likely and can be any of the following: loss of appetite, sleep problems, constipation, nausea, flushing, dizziness, weakness, vomiting, and drowsiness. The mild side effects mentioned are not expected to get wore or last for too long, while serious side effects may indicate tramadol is not working right for you and a dose adjustment may be needed, which is why it's best to discuss them with your doctor.