I have been taking 1 or 2 tramadol 50 mg tablets for back pain for 2 years. I have developed a pain in my right side. I also began having very realistic nightmares. Could be hallucinations? This seems to be the only pain medication doctors are willing to prescribe these days. I went to PT for 8 weeks and the exercise helps a little. Some days the pain is so bad I have to take something and tramadol is the only thing I have. My doctor does not care about side effects. I also have a seizure disorder and take Cymbalta. Does anyone out there have issues with tramadol?