How to Get LDN
Step 1
Talk to your doctor about low dose naltrexone. Most people have better luck getting a prescription from their primary care doctor than their gastroenterologist.
Step 2
If you can not get a prescription from your doctor, consult with one of the many physicians known to prescribe low dose naltrexone to people with crohn's disease. You can find these doctors by joining an ldn support list such as the Yahoo LDN Newsgroup and simply asking for the information.
Step 3
In the event you do not have an ldn knowledgeable physician in your area, you can order full strength naltrexone from one of several online pharmacies. This is the one that we have found most reliable and reasonable priced: NaltrexoneRx
Step 4
If using full strength naltrexone, mix 50mg tab with 50 ml of water to form a solution of 1mg naltrexone per 1 ml distilled water. Shake well, and store in the refrigerator. Use your medicine dropper to measure out the exact amount of medication you need. LDN is made by diluting full strength naltrexone into correct strength tablets. Full strength naltrexone comes in 50mg tabs. People with Crohn's Disease take between 3mg and 4.5 mg each evening. Research has shown no efficacy under 1.5 mg and negative efficacy at over 5 mg.
Step 4
If your doctor was willing to give you a prescription, take the prescription to a good compounding pharmacy. It is typically prescribed in 1.5, 3 or 4.5 mg capsules. If you are not sure where to start, have your doctor prescribe the 1.5 mg size and you can then adjust the amount taken quite easily, by doubling the capsules to move up to the 3 mg amount and triple it to take 4.5 mg. That way nothing is wasted, and as you move up, the compounding pharmacy can simply make the stronger capsules when reordered.