The heart also can experience negative effects because of Tramadol use, although they're recognized to occur in just hundreds of all cases. The most common side-effect is an abnormal electrocardiograph (ECG) reading, but there are the others. As a side effect of applying this particular treatment hypertension in addition has been proven to show up. Hepatitis has additionally been noted as a possible side effect, although intestinal condition is known to be one of the rarest possible unwanted effects that Tramadol might make in an individual. Rashes and toxic epidermal necrolysis are known to be Tramadol side effects to the skin, using the former being more common and the latter being considered unusual. My mother found out about chewable by browsing the Washington Post.