Low Dose Naltrexone, Prescribed Online
Individualized review of compounded low-dose naltrexone, including opioid interactions and formulation-specific directions.
Adults 18+ · Not available in CA, SC, or NJ · Prescription only if clinically appropriate
Who it's for
Low dose naltrexone, often shortened to LDN, describes a lower-dose prescription approach involving the opioid-receptor blocker naltrexone. It is not a separate FDA-approved low-dose product or an approved indication by itself. Compounded dosing is individualized and should be discussed with a licensed provider. This page makes no claim that LDN treats a particular disease or improves a specific health outcome. Review why it is being considered, the limitations of evidence for the proposed use, and other options. Your opioid medication history is especially important because naltrexone can interfere with opioids and precipitate withdrawal.
These visits are for adults 18 and older seeking a licensed provider’s assessment, not an automatic prescription. NuMi Rx is not available in California (CA), South Carolina (SC), or New Jersey (NJ). Your current location matters because care must be provided by a clinician licensed where you are located. Share your medical history, allergies, current prescriptions, supplements, and previous treatment experiences in the secure intake. A provider may request additional information or recommend an in-person evaluation before deciding whether treatment is appropriate.
How it works
- 01
Online visit
Complete your intake through the secure online visit. Describe your goals, relevant symptoms, health history, and current medications accurately. Include previous reactions and any treatment you have already tried. Submitting an intake does not establish that a particular medication is suitable for you.
- 02
Provider review
A licensed provider reviews your intake and determines whether medication is clinically appropriate. They may ask follow-up questions, recommend testing, discuss alternatives, or decline a prescription. If treatment is appropriate, follow the specific instructions issued for your prescription. An online assessment cannot replace every examination, and some concerns require local or in-person medical care.
- 03
Discreet delivery
If medication is prescribed and you proceed with checkout, the dispensing pharmacy prepares your order for discreet delivery. Read the pharmacy label and accompanying instructions before use. Check that the medication, formulation, and directions match your prescription. Ask the pharmacy about storage, supplies, and any delivery concern. Do not use an unexpected or damaged medication until the pharmacy advises you.
What's included
Care includes an online intake, licensed provider review, and a treatment plan when clinically appropriate. Pharmacy instructions explain medication use and storage. Follow-up communication addresses tolerability and reassessment. Medication selection, formulation, supplies, and refill eligibility depend on the prescription and pharmacy availability. Confirm what is included before paying; an intake fee is not a promise of medication.
Pricing
$99 online visit · medication pricing shown before checkout after provider approval.
The online visit and medication are separate pricing considerations. Review the quoted medication cost, formulation, quantity, and any applicable supplies before checkout. Do not assume a prescription includes unlimited refills. Ask about ongoing costs before continuing treatment. Consult the existing shipping and returns policy for the terms that apply to your order.
Safety and side effects
Common side effects
Naltrexone-associated side effects can include nausea, headache, dizziness, fatigue, sleep disturbance, and abdominal discomfort. Risks and frequencies may differ with a compounded lower-dose preparation, and a lower dose is not automatically risk-free. Naltrexone can cause serious liver problems and can precipitate opioid withdrawal. Report concerning symptoms, including jaundice or persistent abdominal pain, and ask about what to do if you need urgent pain treatment.
Who should not use it
Do not use naltrexone while taking opioid analgesics, during opioid dependence or withdrawal, or with a serious allergy to it. Acute hepatitis or liver failure can make treatment inappropriate. Tell the provider about prescription and nonprescription opioids, methadone, buprenorphine, planned surgery, and liver history. The provider determines any required opioid-free interval; do not stop necessary medication or attempt withdrawal independently. Discuss pregnancy and breastfeeding before prescribing.
Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality. Compounding can meet an individual medical need when legally permitted, but does not establish that a preparation has the same evidence, absorption, or quality review as an FDA-approved product. Ask your provider why a compounded option is being considered and discuss approved alternatives. Availability depends on clinical need, applicable requirements, and the dispensing pharmacy.
Talk to your provider
Talk to your provider before changing treatment. Send clinical questions through secure patient messaging. Report new symptoms and medications. Never share prescriptions. For severe symptoms or emergencies, seek urgent local care rather than waiting for an online reply.
Frequently asked questions
Is LDN an FDA-approved low-dose product?
No. Low-dose prescribing is not a separate FDA-approved product or indication. A compounded LDN preparation is not FDA-approved, and the proposed use needs individual discussion.
Can I use LDN with opioid pain medicines?
No. Naltrexone can block opioids and trigger withdrawal. Tell your provider about all opioid use and planned procedures; do not stop necessary treatment without medical guidance.
Can I change the dose myself?
No. Follow the prescribed concentration and pharmacy directions. Contact your provider before increasing, restarting, or changing a compounded formulation.
Does requesting a visit guarantee a prescription?
No. Medication is prescribed only if clinically appropriate after a licensed provider reviews your intake. They may request more information, testing, or an in-person evaluation.
Are compounded preparations FDA-approved?
No. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality. Ask about the specific preparation and approved alternatives.
Who can request an online assessment?
NuMi Rx serves adults 18 and older and is not available in CA, SC, or NJ. Your current location, medical history, and provider review determine eligibility.