ultracet/tramadol

I am concerned that someone really close to me is becoming addicted to this drug.  He is very distance.  Loss of numerous normal "activities" , has stomach problems regularly. I am just not sure who to speak with about this.  I stumbled on to this website and am hoping for any type of feedback.

Any input will be greatly appreciated!

[J T Junig, MD PhD]

A very tough issue and question.  You might want to start with talking to the person himself;  if he becomes angry, that is a good indication of a problem.  There are 'professional interventionists' out there but that is probably jumping the gun.  The best initial approach might be to explain your observations-- stick to the ones that are clearly observable if possible.  You will likely hear many reasons and excuses;  listen and then say 'I can't change you-- that is your business.  I just wanted to express my support and concern.  If I can ever help let me know'.  Or something like that.  Then..... let it go, and hope the person eventually decides to get help.  

You cannot make a person get clean;  the person has to want to get clean.  At some point you might have a chance if the person is very low, say is facing some consequences... but until then there is little you can do.  If you confront to strongly, and if the person is truly addicted, he will only respond by cutting you completely out of his life-- and then you can't do anything.  Again,  a very tough spot.