I'm just going to copy out of my "Risk Assessment" paper that my doc made me do up before he would give me the LDN rx. . .
What are the preferred compounding filler options?
Unless the low dose of Naltrexone is in an unaltered form, which permits it to reach a prompt "spike" in the blood stream, its therapeutic effects may be inhibited.
o Lactose is the original formula filler and the one that Dr. Bahari recommends, unless the patient is lactose intolerant.
o Avicel (microcrystalline cellulose) can be used unless a patient is allergic to cellulose, in which case it may cause nausea.
o Acidophilus is good option, and helpful for those with stomach irritations.
o Calcium Carbonate is often used because it is inexpensive to manufacture, and causes few sensitivity issues. However it can be compact too tightly in the capsule, causing the medication to become sustained or slow-release. Some patients roll the capsules in their fingers to loosen the powder inside
Note: If your compounder grinds down the "Revia" tablets, then there is already Lactose (among other fillers) in the tablets. The purest (best) form of Naltrexone is the powder, combined with a fast-release fillers.
Are there other ways to administer LDN?
In about 1 out of 50 patients, the patient will experience ongoing sleep disturbance. In this case, Dr. Bihari recommends that the pharmacy make up a 100 ml solution containing naltrexone in distilled water at a concentration of 1 mg/ml. The patient is told to take 1 to 1 1/2 ml. at bedtime - possibly working up to 2 ml. (2 mg).
Rarely, a pharmacist may opt to supply Naltrexone as a solution, in distilled water, with 1 mg per ml dispensed, with a 5ml medicine dropper.
Liquid LDN can also be made with Naltrexone pills. 1 pill = 50 mg + 50 ml distilled water or acidic fruit juices (not grapefruit juice) then let dissolve by shaking. Take either 1.5ml, 3.0ml, or 4.5 ml, as prescribed.
Note: If LDN is used in a liquid form, it is important to keep it refrigerated. Liquid LDN is best prepared as ‘fresh’ solution, as often as possible, due to it’s limited shelf life in liquid form.
I have my pharmacists make the liquid up for me, in a monthly supply. He adds the bubble-gum flavouring too . . . very pleasant.
<div><span class="postbody">''In the last analysis, we see only what we are ready to see, what we have been taught to see. We eliminate and ignore everything that is not a part of our prejudices.'' </span><span cla