Naltrexone 0.5mg

Generic For: Low Dose Naltrexone

Naltrexone 0.5mg, often called Low Dose Naltrexone (LDN), is a capsule form of the opioid antagonist naltrexone prescribed at a fraction of the standard dose. At full strength, naltrexone is FDA-approved for alcohol use disorder and opioid dependence; at low doses it is prescribed off-label for conditions such as chronic pain and fibromyalgia. After review of your prescription by a licensed provider, your medication ships from a licensed U.S. pharmacy.

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Buy Naltrexone 0.5mg (Low Dose Naltrexone) Online

An opioid antagonist prescribed off-label at low doses for chronic pain, fibromyalgia, and inflammatory conditions

Naltrexone 0.5mg Quick Facts

Drug classOpioid antagonist
TreatsChronic pain (off-label), fibromyalgia (off-label), alcohol use disorder (full dose), opioid dependence (full dose)
FormCapsule
Typical dosingTake 1 capsule by mouth daily
Prescription requiredYes — prescription only

What Is Naltrexone 0.5mg?

Naltrexone is an opioid antagonist that blocks opioid receptors in the brain. At the standard 50mg dose, it is FDA-approved to help treat alcohol use disorder and to prevent relapse in opioid dependence. Naltrexone 0.5mg, known as Low Dose Naltrexone (LDN), is a much smaller compounded dose that some providers prescribe off-label for chronic pain, fibromyalgia, and certain inflammatory or autoimmune conditions. Low-dose use is investigational and should be guided by your prescriber.

What Does Naltrexone 0.5mg Treat?

Chronic pain (off-label)
Fibromyalgia (off-label)
Inflammatory and autoimmune conditions (off-label)
Alcohol use disorder (FDA-approved at standard 50mg dose)
Opioid dependence, relapse prevention (FDA-approved at standard 50mg dose)

Naltrexone 0.5mg Dosage

Low-dose (off-label): 0.5mg by mouth once daily; titrate per prescriber, commonly up to 4.5mg daily.
FDA-approved standard dose (alcohol/opioid use disorder): 50mg by mouth once daily.
Take exactly as directed by your prescriber.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Naltrexone 0.5mg Side Effects

Common side effects

  • Nausea
  • Headache
  • Vivid dreams or sleep disturbances
  • Dizziness
  • Fatigue
  • Anxiety or nervousness
  • Decreased appetite

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Signs of liver injury (dark urine, yellowing of skin or eyes, severe abdominal pain)
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Depression or suicidal thoughts
  • Precipitated opioid withdrawal (agitation, sweating, vomiting)
  • Injection-site or severe skin reactions

Warnings & Interactions

Do not use if currently taking opioid medications or in acute opioid withdrawal
Blocks the effect of opioid pain medicines; opioid-containing products will not work as expected
Must be opioid-free for 7–14 days before starting (per prescriber guidance)
Use caution in liver disease; hepatotoxicity has been reported at high doses
Attempting to overcome the opioid blockade can cause life-threatening overdose
Tell your provider if you are pregnant, planning pregnancy, or breastfeeding
Low-dose use is off-label and requires prescriber supervision

Tell your prescriber about all medications, supplements, and health conditions before starting naltrexone 0.5mg.

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Frequently Asked Questions

What is naltrexone?

Naltrexone is an opioid antagonist that blocks opioid receptors in the brain. At standard doses it is FDA-approved for alcohol use disorder and opioid dependence, while very low doses like 0.5mg are prescribed off-label by some providers for chronic pain and related conditions.

What is Low Dose Naltrexone (LDN) used for?

LDN is prescribed off-label for conditions such as chronic pain, fibromyalgia, and certain inflammatory or autoimmune conditions. Evidence is still developing, and treatment decisions should be made with your prescriber.

Do I need a prescription for naltrexone 0.5mg?

Yes, naltrexone requires a valid prescription in the United States. A licensed provider must evaluate whether it is appropriate for you before it can be dispensed.

Can I take naltrexone if I use opioid medications?

No. Naltrexone blocks opioids and can trigger sudden withdrawal if opioids are in your system. You generally need to be opioid-free for 7–14 days before starting, as directed by your prescriber.

What are common side effects of naltrexone?

Common side effects include nausea, headache, vivid dreams, dizziness, and fatigue. Many effects are mild and may lessen over time, but contact your provider if they persist or worsen.

How does ordering and shipping work?

After you submit your prescription, a licensed provider or pharmacist reviews your order for safety and appropriateness. Once approved, your medication is dispensed and shipped from a licensed U.S. pharmacy to your address.

How long does it take for low dose naltrexone to work?

Response varies by individual and condition; some people report changes over several weeks as the dose is gradually adjusted. Follow up with your prescriber to assess whether it is helping.