Longevity drugs · other

Low-dose naltrexone

Tiny doses of an addiction drug, studied for chronic pain and inflammation.

GRADE C· Early / mixed human dataRx / compounded$25–$60 / mo

Not medical advice — talk to a licensed clinician. Content is educational, reflects published literature, and is not a recommendation to start, stop or change any treatment.

What it is

Naltrexone is approved at 50 mg for alcohol and opioid dependence. LDN uses roughly 1–4.5 mg, usually compounded.

How it works, in plain English

Briefly blocks opioid receptors, which may trigger a rebound in endorphins, and may calm microglial (immune) cells in the nervous system.

What the human evidence shows

Small RCTs in fibromyalgia and Crohn's disease show signals; larger trials are mixed. Not studied for lifespan.

Regrowth grade C: Early / mixed human data.

Typical protocols in the literature

Commonly discussed at 1.5–4.5 mg at bedtime, titrated up.

Described for education, not as dosing advice.

Side effects & interactions

Side effects

  • Vivid dreams
  • Insomnia
  • Headache

Interactions

  • Contraindicated with opioid pain medication

Key studies

  • Younger et al. — LDN in fibromyalgia
  • Smith et al. — LDN in Crohn's disease

Citations pending medical review