Pain Management
Capsule
60 caps
Prescription Only

Low-Dose Naltrexone

Low Dose Naltrexone (LDN) is a customized, compounded medication used off-label to support immune modulation and manage chronic pain or inflammatory conditions. By using a fraction of the standard dose, LDN aims to boost the body’s endorphin production, offering a unique approach to wellness for those with autoimmune or chronic sensitivities.

*Not FDA Approved.
Overview
Available by Prescription Only.

Low Dose Naltrexone (LDN) capsules are a compounded pharmaceutical prepared by a licensed pharmacist to meet specific dosage requirements not available in commercially manufactured forms. While Naltrexone is FDA-approved at higher doses (typically 50mg to 100mg) for treating alcohol and opioid dependence, LDN utilizes significantly smaller amounts—usually ranging from 0.5mg to 4.5mg.

The mechanism of LDN is believed to involve a brief, temporary blockade of opioid receptors. This "rebound effect" signals the body to increase the production of endogenous opioids (endorphins) and upregulate opioid receptors. Additionally, LDN is studied for its ability to reduce glial cell activation in the central nervous system, which may help decrease neuroinflammation. Because of these unique properties, practitioners often prescribe LDN as a complementary therapy for conditions such as fibromyalgia, Crohn’s disease, multiple sclerosis, and various autoimmune disorders. Because it is compounded, capsules can be formulated without common fillers like lactose or gluten to accommodate patients with specific allergies.

Precautions
  • Rx Only: This is a prescription medication and must be used under the direct supervision of a licensed healthcare provider.
  • FDA Disclaimer: This compounded medication has not been evaluated by the FDA for safety or efficacy in this specific dosage form. Compounded medications are not FDA-approved.
  • Opioid Interaction: Do not take LDN if you are currently taking narcotic pain medications (opioids), as it can trigger acute withdrawal symptoms.
  • Surgery: Discontinue use at least 48 to 72 hours prior to any scheduled surgery where opioid anesthesia may be required.
  • Pregnancy/Nursing: Consult your physician if you are pregnant, planning to become pregnant, or breastfeeding.
  • Side Effects: While generally well-tolerated, some patients report vivid dreams, insomnia, or mild digestive upset during the initial titration phase.
Storage and Use
  • How to Use: Follow your prescriber’s exact titration schedule. LDN is most commonly taken once daily at bedtime to align with the body's natural endorphin production cycle, though it can be taken in the morning if insomnia occurs.
  • Storage: Store capsules in their original light-resistant container at controlled room temperature (between 15°C and 30°C).
  • Environment: Keep away from excessive heat, moisture, and direct sunlight. Do not store in a bathroom cabinet where humidity is high.
  • Safety: Keep out of the reach of children and pets.
  • Expiration: Discard any unused medication after the "Beyond Use Date" (BUD) listed on the pharmacy label.

Low-Dose Naltrexone

More Details

How to Order

Locate Thesis Pharmacy in your EMR:
Thesis Pharmacy will be available in your EMR system as identified below:

Thesis Pharmacy
3033 W. Parker Rd #100
Plano, TX 75023
NCPDP Number: 5925396

Select drug and provide dosing instructions:
Formula Known: Select the closest commercial drug (or any), and in the free text section please note:
compound XYZ formula with sig (if known)
Formula Unknown: You may note, “please compound alternative to [drug name] due to…” (must list reason
for need to adjust formulation such as: allergen/dietary/paraben/filler concerns/
strength of > than 10% etc.)
Patient allergies or NKDA must be included for a complete patient profile
Bill: Patient or Clinic
Ship to: Patient or Clinic
Optional: If the patient is unreachable, ship to verified address on RXFax Your Completed RX Order Form

Fax a completed ordering form to (972) 519-8477

Contact Our Pharmacy Team
Call us at (972) 519-8475
Email us at providersupport@thesispharmacy.com

We will assist with prescription submission and compounding feasibility questions and answer any questions you may have.

Frequently Asked Questions

1. What is a compounded medication?
A compounded medication is a personalized prescription created by a licensed pharmacist to meet your specific health needs. Unlike "one-size-fits-all" options, these are handcrafted based on the exact instructions provided by your healthcare provider.

2. Why would a provider prescribe a compounded medication?
Compounding allows for greater flexibility in treatment. A provider may choose this option if a patient requires a specific dosage strength, needs to avoid certain allergens (like dyes or gluten), or prefers a different delivery method, such as a topical cream instead of a capsule.

3. How are these medications prepared?
Compounded medications are prepared in specialized pharmacies that follow strict quality standards and guidelines. Pharmacists use precise equipment to mix high-quality ingredients, ensuring that each preparation meets the exact specifications of the prescription.

4. How do I know when my medication expires?
Compounded preparations feature a "Beyond Use Date" (BUD) on the label. Because these medications are mixed specifically for you and often contain fewer preservatives than mass-produced versions, it is important to discard any remaining medication once this date has passed.

5. Are there special storage instructions?
Many compounded medications are sensitive to light, temperature, or moisture. To maintain the integrity and potency of your treatment, always follow the storage directions on your prescription label, such as "refrigerate" or "store in a cool, dry place."