Yes, tramadol can cause serotonin syndrome, which may include symptoms like agitation, hallucinations, fever, sweating, shivering, rapid heart rate, muscle stiffness, twitching, and loss of coordination.

Tramadol may lead to serotonin syndrome, evident through symptoms such as confusion, increased heart rate, shivering, sweating, dilated pupils, and muscle rigidity. This condition can be severe and requires immediate medical attention.