Low Dose Naltrexone (LDN)
A US-licensed compounding pharmacy cleanroom
  • LegitScript Certified
  • US-licensed pharmacy
  • Ships in 3 to 5 days
Concentration
Low Dose Naltrexone 1.5 to 4.5 mg
Purity
Provider reviewed
Unit
30 capsules
Category
Longevity

Common questions

What should I avoid when taking low dose naltrexone?
Avoid opioid medication, since naltrexone blocks opioid receptors. Tell your provider about every medication and supplement you take first.
What is low dose naltrexone used for?
It is prescribed off-label in protocols studied for inflammation, autoimmune conditions, chronic pain and wellbeing.
How does it work?
Research suggests a brief low-dose receptor blockade raises your own endorphins and calms inflammatory signaling, a different effect from full-dose naltrexone.

Low Dose Naltrexone (LDN)

Low dose naltrexone, dosed to the milligram.

Low dose naltrexone (LDN) · 1.5 to 4.5 mg

  • Compounded to your dose
  • One nightly capsule
  • Studied for inflammation
  • Provider-titrated
What's Included
  • ✓Medication and supplies
  • ✓Provider visit and unlimited follow-ups
  • ✓Free expedited shipping

Pause, change, or cancel anytime from your account.

How Would You Like To Pay?

Choose Your Plan

1-Month Plan

$161
  • $161 Billed Today
  • Then $161 Every Month
  • Cancel Anytime

Or pay with

$161 billed today, then every month until canceled.

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Your provider confirms the strength and dose after intake. Payment does not guarantee a prescription.

After checkout you complete a short medical review in your member portal, and a US-licensed provider reviews it before your low-dose naltrexone ships.

HealthRX.com verified facts

Low Dose Naltrexone (LDN) online: price and access

Low Dose Naltrexone (LDN) starts at $129 per month on 12-month plan; the lowest checkout charge is $161 (billed monthly). A prescription is never guaranteed. A licensed provider reviews each request before a pharmacy can dispense treatment.

Price
$129/month equivalent
Lowest checkout charge
$161, billed monthly
Prescription
Required; a licensed provider decides whether treatment is appropriate
Shipping
Free standard shipping after approval
If not approved
HealthRX.com issues a full refund
Insurance
Not required; prices shown are cash-pay prices
Review treatment optionsCompare all 25 catalog records

Catalog verified August 26, 2026. Source: HealthRX.com checkout catalog and refund policy. Monthly equivalent divides the discounted plan charge by the number of months; checkout may collect a multi-month total.

A straightforward path to care

  1. Checkout on a laptop at a kitchen table

    Select your plan

    Choose your treatment options and complete secure checkout. Then complete the online health intake.

  2. Clinician reviewing a chart on a laptop

    Provider review

    A US-licensed provider reviews your history and, if appropriate, prescribes a low starting dose off-label.

  3. Adult opening a delivered box at home

    Ships to your door

    Your exact dose is compounded and ships to your door in 3 to 5 days.

  4. Adult at home using a phone

    Ongoing support

    Step up gradually and message your provider along the way.

Dosed to the milligram

Compounded by a US-licensed pharmacy to your precise low dose, usually 1.5 to 4.5 mg.

One capsule at night

Taken once a day, most often at bedtime.

Studied for inflammation and immune balance

Small human trials have looked at low-dose naltrexone in fibromyalgia and Crohn's disease, summarized in the research section.

Provider-titrated

A US-licensed provider prescribes it off-label and steps your dose up gradually.

About Low Dose Naltrexone (LDN)

Full-dose naltrexone blocks opioid receptors. A small fraction of that dose is studied for a different effect: a brief blockade that may prompt your body to raise its own endorphins and calm inflammatory signaling. Your provider starts you low and adjusts over time, and the pharmacy compounds your exact dose.

  • Compounded to your precise low dose
  • Studied for inflammation and immune balance
  • One capsule a day, usually at night
  • Real pricing up front, message your provider anytime

Naltrexone is an opioid receptor antagonist, used off-label at low doses. Compounded by a US-licensed pharmacy.

  1. A brief receptor block

    At low doses, naltrexone briefly blocks opioid receptors for a few hours.

  2. An endorphin rebound

    Your body responds by raising its own endorphins.

  3. Calmer immune signaling

    Low-dose naltrexone is also thought to quiet inflammatory signaling from immune cells called microglia.

A short blockade that may prompt your own endorphins and calm inflammatory signaling. The mechanism is still being studied.

How low-dose naltrexone is thought to work

What the research shows

Naltrexone is an established opioid antagonist, and at very low doses it is prescribed off-label for inflammation and immune balance. The human evidence comes from small trials, summarized below. These studies are early and modest in size rather than large confirmatory trials.

28.8% vs 18.0%

Reduction in daily pain with low-dose naltrexone versus placebo in a double-blind crossover trial of 31 women with fibromyalgia.

Younger et al., Arthritis and Rheumatism, 2013

88% vs 40%

Clinical response in active Crohn's disease with low-dose naltrexone versus placebo in a randomized trial of 40 adults.

Smith et al., Digestive Diseases and Sciences, 2011

Low-dose naltrexone (1.5 to 4.5 mg) or Standard naltrexone (50 mg)

Low dose is a different tool from standard naltrexone

Low-dose naltrexone (1.5 to 4.5 mg)Standard naltrexone (50 mg)
Dose1.5 to 4.5 mg50 mg
Opioid receptor blockBrief and partialFull and all day
Typical useInflammation and immune balance, off-labelOpioid and alcohol use disorder
When takenAt nightOnce daily, any time
FormCompounded to your doseStandard tablet
GoalEndorphin reboundSustained opioid blockade

What to expect

Vivid dreams or lighter sleep can show up early and usually settle. Your provider tracks your response over the following weeks.

  1. Week 1 to 2

    Start at 1.5 mg

    Begin at the lowest dose, taken at night.

  2. Week 2 to 4

    Settle your sleep

    Vivid dreams or lighter sleep can show up early and usually settle; some take the dose earlier in the evening.

  3. Week 4 to 8

    Titrate up

    Your provider steps the dose toward 3 to 4.5 mg as you tolerate it.

  4. Ongoing

    Find your dose

    Your provider tunes the dose to how you respond.

Safety and side effects

Not prescribed with opioid medication. Your provider reviews everything you take first and starts you low.

Common

  • Vivid dreams
  • Lighter or disrupted sleep
  • Mild headache
  • Nausea

Less common

  • Daytime fatigue or grogginess
  • Dizziness
  • Stomach cramps or diarrhea

Seek care

  • Opioid withdrawal if you are taking or recently took opioids
  • Loss of effect from opioid pain medicines, which matters in an emergency or before surgery

Do not take low-dose naltrexone with opioid pain medication. It can block those medicines and, if you have opioids in your system, bring on withdrawal. Tell any provider or surgeon that you take it before procedures.

Frequently asked questions

Why is it taken at night?
It is usually dosed at night to match your overnight endorphin rhythm, though your provider can adjust timing.

Other longevity options

Approval is never automatic.

An independent US-licensed clinician reviews every request. If they decide the treatment is not right for you, you get a full refund for the medication.

Choose a planNo insurance required

Prescriptions are filled by a US-licensed pharmacy and shipped free, in discreet packaging, on every plan.

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Compounded medications are prepared by a US-licensed pharmacy and are not reviewed by the FDA for safety or effectiveness. Products are dispensed only after a licensed provider determines they are appropriate. Information here is educational and is not a substitute for medical advice.