My Rheumatologist told me the same thing you just said about being able to combine opioids and LDN. However, in my state (TN), Narcotic Pain Management will not prescribe opioids if you are taking Naltrexone at any dose. I’ve been on LDN for a week and despite some insomnia, I am noticing greatly improved energy 🎉 but my pain is still the same. I’ve been on the same dose of opioids for years and am excited to reduce the use.
Cure FYI, I was taking 100 + mcg patch Fentanyl, and up to 80 mg morphine for years as My pain unforgiving 15 yrs ago, so at 55yrs old I went on rapid withdrawal with naltrexone implant in Australia and it saved my life. I eventually at 70 I got back on opiates at a much lower level, but will look at microdose as you recommended Thank you❤❤❤
Thank you so much, because I had not idea you can take an opiate with LDN. I have been hesitant to begin LDN treatment because tramadol has been the biggest game changer for me to manage the pain, fatigue, and brain fog from CFS / Fibro / MCAS / POTS /Psor arthritis. Though, recently, it's effectiveness has waned suggesting tolerance developing even though I reduce the dosage on the weekends as well as doing a taper during longer breaks from work. Looking forward to starting LDN. Thanks again.
Thank you dr from Australia. I’ve had fibro for abt 8 yrs diagnosed after having rheumatoid arithritis for 7yrs. I use to be ok by taking cymbalta 60mgs with lyrica 75mgs but lately my fibro has become worse I do take 30mfs daily of oxycodone for stenosis of the spine however I never knew I could take naltrexone. No dr has ever mention it to me. So thanks for your advice. I would anything to reduce my pain
I was wondering the same thing, my doctor recommended it, but I told her I was afraid it would clear my receptors, and I would have withdrawal or something.
Hello Doctor Ginevra, I have a question, I do not have Fibro but I have a different condition that has rarely been seen, that is because it seems that my brain produces pain that is not there. Categorically I think it still falls under neuropathic pain. Do you think LDN could help me?
Why dont you use Lao? Studies show that .125 to .25mg if ldn can safely be taken with methadone?? Also I personally take suboxone 2mg with my ldn with no problems toots!
In my experience there is wide variation in sensitivity to opioid withdrawal symptoms. So the general guidance to avoid long acting opioids with LDN is because for some that combination can induce miserable opioid withdrawal symptoms. Others can absolutely tolerate that combination.
Very good question! Part of the reason is because it is a compounded medication, and many conventionally trained doctors are not comfortable or experienced with writing that type of prescription.
LDN definitely calms inflammation in the brain, but I have not seen that it calms the nervous system as far as shifting us out of fight or flight response.
I tried LDN for a month with good effect, but then found out I had to get a higher dose capsule because my insurance company wouldn’t pay for the lower one. Splitting the capsule was very messy and difficult and the higher dose made me sick, so I had to stop. 😢 I don’t take opiates, but I have found kratom, a non opiate substance that uses the opiate receptors, helpful. I’m not sure how the two substances would interact.
I get the 50 mg pills, dissolve two into 100 ml of water. Then take 4.5mg (4.5ml) which is my best dose after one year starting at .5mg. It's not covered by my insurance because it's off label, but only costs $60 or so for 6 months.
Kratom I believe is at least partially acting as an opiate. I took it on Vivitrol (injection of naltrexone) and it sent me straight into opiate withdrawals. Naltrexone blocks Kratom effects, sadly.
@@danny.b why would you want a substance banned? Do you think the "war on drugs" that has been going on for 100+ years really makes a difference? There will always be addicts. Banning a substance makes the substance more expensive, less safe and not taxable, to name a few.
THANK YOU! All your videos with medical explanations are cutting edge and I have been sharing them with my pain management team and my rheumatologist. My fibromyalgia pain and severe muscle spasms aren’t being well treated with opioids. I’m actually in the process of tapering off my opioids so I can go on naltrexone. My pain team isn’t keen on prescribing these together and I have been on morphine ER, which is a no-no. I am having some withdrawal symptoms but they would be much worse if I stopped it abruptly.
I don't think just naltrexone/naloxone could replace morphine in cases where u need a powerful painkiller, as I assume you do.. Morphine or hydro, oxy etc aren't very good for daily use cuz they build up tolerance quickly. What are you on now if I may ask? As a natural alternative there is Kratom too, which kind of an opiate but it's atypical and has less side effects etc. Or buprenorphin, u could suggest that to your doctor as well :). This will not build tolerance & keep your pain under control, can be taken once or twice daily.
I can’t give specific medical advice, definitely ask your LDN prescriber. Typically it depends on the type of opioid. A low dose, short acting opioid separated by at least 6 hours from the LDN dosage is usually tolerated.
My Rheumatologist told me the same thing you just said about being able to combine opioids and LDN. However, in my state (TN), Narcotic Pain Management will not prescribe opioids if you are taking Naltrexone at any dose. I’ve been on LDN for a week and despite some insomnia, I am noticing greatly improved energy 🎉 but my pain is still the same. I’ve been on the same dose of opioids for years and am excited to reduce the use.
That’s so bizarre that they won’t do that! There are definitely studies supporting the combination.
Cure FYI, I was taking 100 + mcg patch Fentanyl, and up to 80 mg morphine for years as My pain unforgiving 15 yrs ago, so at 55yrs old I went on rapid withdrawal with naltrexone implant in Australia and it saved my life. I eventually at 70 I got back on opiates at a much lower level, but will look at microdose as you recommended Thank you❤❤❤
Thank you so much, because I had not idea you can take an opiate with LDN. I have been hesitant to begin LDN treatment because tramadol has been the biggest game changer for me to manage the pain, fatigue, and brain fog from CFS / Fibro / MCAS / POTS /Psor arthritis. Though, recently, it's effectiveness has waned suggesting tolerance developing even though I reduce the dosage on the weekends as well as doing a taper during longer breaks from work. Looking forward to starting LDN. Thanks again.
Interesting. I thought ULDN was in the mcg range..like up to 100mcg (0.1mg). Didn't know one could get this enhancing effect as high as .35mg.
Thank you dr from Australia. I’ve had fibro for abt 8 yrs diagnosed after having rheumatoid arithritis for 7yrs. I use to be ok by taking cymbalta 60mgs with lyrica 75mgs but lately my fibro has become worse I do take 30mfs daily of oxycodone for stenosis of the spine however I never knew I could take naltrexone. No dr has ever mention it to me. So thanks for your advice. I would anything to reduce my pain
Can it be taken with kratom? I see people trying this on reddit but seems counterproductive.
I don’t know ! My guess is that it would depend on dose of Kratom.
I was wondering the same thing, my doctor recommended it, but I told her I was afraid it would clear my receptors, and I would have withdrawal or something.
Thank you, this is helpful.
Glad it was helpful!
If doing the ULDN and Opiod like thexlast example. Is there a reason not to increase the LDN and minimize the Oxycodone to see if LDN alone can help?
Hello Doctor Ginevra, I have a question, I do not have Fibro but I have a different condition that has rarely been seen, that is because it seems that my brain produces pain that is not there. Categorically I think it still falls under neuropathic pain. Do you think LDN could help me?
Do you have resources for diluting yourself? I’ve read about it but didn’t know if video on it?
I think they talk about that topic at ldnresearchtrust.org, great resource for all LDN related questions!
Why dont you use Lao? Studies show that .125 to .25mg if ldn can safely be taken with methadone?? Also I personally take suboxone 2mg with my ldn with no problems toots!
In my experience there is wide variation in sensitivity to opioid withdrawal symptoms. So the general guidance to avoid long acting opioids with LDN is because for some that combination can induce miserable opioid withdrawal symptoms. Others can absolutely tolerate that combination.
Hey Doctor - do you offer paid consultations over the phone? Thx
I don’t, but check out my website drginevra.com for guidance on finding a provider that can help.
WHY low dose NALTREXON is not being used that much????
Very good question! Part of the reason is because it is a compounded medication, and many conventionally trained doctors are not comfortable or experienced with writing that type of prescription.
10:07
Hello, what do you think about tms concept of dr john sarno regarding fibromyalgia
What if I have hashimotos with no thyroid
Does LDN calm the nervous system? If not what's the best medicine to return the nervous system back to a safety baseline? Thank you so much! ❤
LDN definitely calms inflammation in the brain, but I have not seen that it calms the nervous system as far as shifting us out of fight or flight response.
I tried LDN for a month with good effect, but then found out I had to get a higher dose capsule because my insurance company wouldn’t pay for the lower one. Splitting the capsule was very messy and difficult and the higher dose made me sick, so I had to stop. 😢 I don’t take opiates, but I have found kratom, a non opiate substance that uses the opiate receptors, helpful. I’m not sure how the two substances would interact.
I get the 50 mg pills, dissolve two into 100 ml of water. Then take 4.5mg (4.5ml) which is my best dose after one year starting at .5mg. It's not covered by my insurance because it's off label, but only costs $60 or so for 6 months.
I’ve used ldn on kratom. Gave me withdrawals. My kratom withdrawals are not that bad but I went through them when mixed.
Kratom I believe is at least partially acting as an opiate. I took it on Vivitrol (injection of naltrexone) and it sent me straight into opiate withdrawals. Naltrexone blocks Kratom effects, sadly.
Please stay away from Kratom - it is very highly addictive! You are trading one addiction for another. Kratom should be banned !!!
@@danny.b why would you want a substance banned? Do you think the "war on drugs" that has been going on for 100+ years really makes a difference? There will always be addicts. Banning a substance makes the substance more expensive, less safe and not taxable, to name a few.
THANK YOU! All your videos with medical explanations are cutting edge and I have been sharing them with my pain management team and my rheumatologist. My fibromyalgia pain and severe muscle spasms aren’t being well treated with opioids. I’m actually in the process of tapering off my opioids so I can go on naltrexone. My pain team isn’t keen on prescribing these together and I have been on morphine ER, which is a no-no. I am having some withdrawal symptoms but they would be much worse if I stopped it abruptly.
I am so glad my videos are helpful!
I don't think just naltrexone/naloxone could replace morphine in cases where u need a powerful painkiller, as I assume you do.. Morphine or hydro, oxy etc aren't very good for daily use cuz they build up tolerance quickly. What are you on now if I may ask? As a natural alternative there is Kratom too, which kind of an opiate but it's atypical and has less side effects etc. Or buprenorphin, u could suggest that to your doctor as well :). This will not build tolerance & keep your pain under control, can be taken once or twice daily.
Do you know if it would be safe to take an opioid very occasionally on low dose naltrexone (1.0)? If so how far apart should they be taken?
I can’t give specific medical advice, definitely ask your LDN prescriber. Typically it depends on the type of opioid. A low dose, short acting opioid separated by at least 6 hours from the LDN dosage is usually tolerated.