Well.
Tramadol is a funny thing...Here's my say on it, and how I would go about determining his level of addiction or dependance. First let me say, Tramdol is a synthetic opiate with seratonin and norepenephrine reuptake blocking properties (kind of like the SSRIs). However, because it is an opiate and thus has a high abuse potential, it is not perscribed to treat depression. For me, however, it works wonders for my depression, and I do not respond to the SSRI antidepressants (the
zolofts,
paxils, and
Lexapro's). If you do a search on the web or on google scholar (scholar.google.com), you'll see that Tramadol has been found in various tests to have significant antidepressant properties.
The established medical community is very anti opiate when it comes to depression or mood issues. Why? Well, goes back to some laws that were passed (Harrison Narcotics Tax Act of 1914 and more) that helped make opiates unattainable. IN the 1800's they were unregulated and in many other country's and cultures were socially acceptable, more so than alcohol. But doctors today are taught that people will always fall victim to addiction if they take an opiate, that they won't be able to regulate there intake and will become junkies and abusers. Wrong. I use this medication responsibly. If I took a bunch would I get high? Yeah. But I know better. Im mature enough to know the consequences.
How often and how many does he take? Ask him why he takes them too, is it for pain? Is it because it makes him feel better? Maybe he was depressed before and he finds they help his mood. If so, did he try traditional antidepressants ever? I'd just get his general attitude towards taking them. If he takes them to get high, then he may have more of an addict mentality...if he takes them to take the edge off and help him through the day with more energy and a better mood, and doesnt overdo it, then maybe he's alright.
Opiates aren't bad. They are underused for for mood & depression. The potential for abuse makes the medical establishment scared to perscribe them for anything but pain, but Tramadol is so effective for some people's depression that it really should be looked into.
Sorry I know I rambled a bit on about this but I thought I would share all my thoughts with you about this drug, one that has been very helpful to me in helping me meaintain a highly functional, quality life...uncrippled by the depression I was so used to for years. - NBS