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How To Obtain Low Dose Naltrexone (LDN)
Greetings!
There are two basic approaches to obtaining LDN. The first involves getting a prescription for the drug from a physician and having it filled by a compounding pharmacy. The second involves purchasing 50 mg Naltrexone tablets from an online supplier and converting them yourself to LDN.
You can obtain a prescription for LDN through a telephone consultation with Dr. John M. Sullivan, a physician and LDN proponent who practices in Mechanicsburg, PA, U.S.A. As of 10/1/07, his fee for this service was $7 per minute. His phone number is
717-697-5050
and his fax number is
717-591-0920
He will fax the prescription to the pharmacy of your choice.
You can find a number of pharmacies known to be reliable compounders of LDN listed at
http://www.ldninfo.org/index.htm#pharmlist
If you chose to use a U.S. pharmacy that is not on the list, make sure it belongs to an organization called Professional Compounding Centers of America.
Before the actual consultation, you will need to fax to Dr. Sullivan's office your medical records and a brief case history. You will also be asked to complete and fax a New Patient Questionnaire.
As a rule, the total cost of a phone consultation with and a prescription for LDN from Dr. Sullivan is significantly less than $100--a real bargain!
If you prefer to work with a local doctor, Crystal Nason maintains a list by location in the United States and abroad of physicians who prescribe LDN and of pharmacies that compound it. You can contact her at
angelindisguiseldn@yahoo.com
Crystal also has a list of other doctors who do telephone consultations.
For information about obtaining LDN in the United Kingdom, contact the LDN Research Trust at
contact@ldnresearchtrust.org
You may find a physician in your vicinity willing to prescribe LDN by contacting the American College for Advancement in Medicine, a non-profit organization that claims to be the voice of integrative medicine. It represents more than 1,000 physicians in 30 countries. For more information, visit
http://tinyurl.com/32re32
You may also try asking a nearby compounding pharmacist for the names of doctors who prescribe LDN. To find such a pharmacist, contact the International Academy of Compounding Pharmacists at
iacpinfo@iacprx.org
The least expensive and perhaps the most convenient option for obtaining LDN is to purchase 50 mg Naltrexone tablets online without a prescription from such online suppliers as
The River Pharmacy (Canada)
or
AllDayChemist (India)
The River Pharmacy buys their Naltrexone tablets from India and then resells them.
At the present time, Naltrexone is manufactured by a number of different companies under the following trade names:Nalorex (manufactured by Bristol-Myers-Squibb in the UK)
Making your own LDN avoids problems that sometimes arise when pharmacies compound LDN with fillers to which one is allergic or that cause delayed release of the Naltrexone. In addition, pharmacies cannot always be relied upon to compound LDN correctly, as this site illustrates:
Nodict (manufactured by Sun Pharma in India)
Naltima (manufactured by INTAS in India)
Narpan (manufactured by Duopharma in Malaysia)
Antaxone (manufactured by Pharmazam in Spain)
Celupan (manufactured by Lacer in Spain)
Narcoral (manufactured by Siton in Italy)
Nemexin, Revez, Naltrexona, and Naltrexonum (manufactured by Bristol-Myers-Squibb in Germany)
http://www.lowdosenaltrexone.org/comp_pharm.htm
Other advantages of making your own LDN include the fact that compounding is expensive and time consuming, and liquids are the preferred dosage form for children and for people who have difficulty swallowing capsules or tablets. Also, if your doctor is willing to prescribe Naltrexone, your health insurance is more likely to cover the tablet than the compounded form.
Once you have a supply of 50 mg Naltrexone tablets, you can convert them as needed to LDN. To do so, fill a graduated cylinder with 50 ml of distilled water (unlike tap or spring water, distilled water contains no impurities that could potentially react with and thus reduce Naltrexone's effectiveness). Pour the water from the graduate into a 4 oz amber glass jar with a tight-fitting lid. Then add a 50 mg Naltrexone tablet. The tablet will mostly dissolve in about five to ten minutes. Since not all of the tablet is soluble in water, instead of yielding a clear solution, the result will be a cloudy suspension. It must be shaken each time before use to evenly disperse all the undissolved particles. One ml of the (shaken) suspension will contain one mg of Naltrexone. Use a graduated baby medicine dropper to measure out the dose you need.
Once a drug passes from a solid to a liquid state, its shelf life can decrease dramatically. Therefore, do not make more than 50 ml of liquid Naltrexone at a time, store it in the refrigerator, and do not keep it for more than a month. The fresher the preparation, the better. Be sure to shake the liquid LDN well before using, and keep it from direct exposure to sunlight.
The medicine dropper should be available in the infant/baby section of your local pharmacy. If you ask politely and are lucky, the pharmacist may (as a gesture of good will) give you an empty 4 oz amber glass jar. Distilled water is sold by most pharmacies, as well as by supermarkets, hardware stores, and convenience stores.
There are those who suggest using a baby bottle in which to prepare liquid LDN. That is not a good practice. Graduations on baby bottles are only approximations and may produce an inaccurate dosage. In addition, most baby bottles are made of clear plastic and contain a toxic chemical called Bisphenol A (BPA), which has been linked to a number of health problems. Also, many drugs are degraded by exposure to light and prolonged contact with plastic.
Because liquid Naltrexone has a very unpleasant taste, you may wish to disguise it in something like fruit or vegetable juice. I add it to a cup of luke warm, well-sweetened (with saccharine tablets) Chamomile tea (a sleep aid).
The recommended dosage of LDN for the average adult is 4.5 mg (higher amounts are generally considered counterproductive). If you are using liquid LDN, that would equate to 4.5 ml. It should be taken between 9 pm and 3 am. To control for changes between Daylight Savings and Standard Time, some authorities recommend taking LDN between 10 pm and 2 am.
If you have questions, comments, or suggestions, please feel free to contact me at
dudleydelany@webtv.net
For additional information about me, visit my Yahoo! profile at
http://profiles.yahoo.com/dudley_delany
Hoping you find the information in this website both helpful and hopeful, I am,
Very sincerely,
Dudley Delany, R.N., M.A., D.C.
An Introduction To Low Dose Naltrexone
Drugs To Avoid When Taking Low Dose Naltrexone
Side Effects & Dosing of Low Dose Naltrexone
Why I Became An Advocate For Low Dose Naltrexone
How To Have A Fax About LDN Sent To Your Doctor
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