Protocolsautoimmune
autoimmuneLow-Moderate

LDN (Low-Dose Naltrexone)

Off-label use of naltrexone, a prescription drug, at a low dose.

Evidence Score

50/100

Developer

Bernard Bihari

Duration

Often ongoing; benefits usually judged over 2 to 3 months

Steps

7 phases

Used for

4 conditions

Protocol Overview

Off-label use of naltrexone, a prescription drug, at a low dose. At standard doses naltrexone blocks opioids; at low doses it is thought to modulate the immune system and raise endorphins. A licensed clinician decides whether it fits and the dose.

Key Resources

LDN Research Trust (ldnresearchtrust.org)
"The LDN Book" edited by Linda Elsegood
Research papers by Bihari

Safety Profile

Contraindications & Risks
Opioid medicines or opioid use disorder treatment (LDN blocks opioids and can cause withdrawal), liver disease (ask your clinician), pregnancy and breastfeeding (not well studied). If you take thyroid hormone, your clinician should monitor thyroid levels
Important Notes

Small randomized trials in fibromyalgia and Crohn's disease suggest benefit, but results are mixed and larger trials are needed. Studies in MS mostly looked at quality of life. Side effects are usually mild (vivid dreams, sleep changes, headache). Off-label and increasingly prescribed.

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EvidenceLow-Moderate
Evidence Score50/100
Categoryautoimmune
DurationOften ongoing; benefits usually judged over 2 to 3 months

About Evidence Score

The Evidence Score (0 to 100) rates the strength of evidence from studies in people for the uses listed: higher means stronger, more consistent research. It does not measure safety. It is not medical advice.

For education, not medical advice. Talk with a licensed clinician before you start, and never stop or change a prescribed medication without your prescriber.