In general, Low Dose Naltrexone should not be used by anyone taking opioids, such as Codeine, Hydrocodone, Fentanyl, Hydromorphone, Meperidine, Methadone, Morphine, Oxycodone, or Oxycontin. Because Naltrexone and prescription opioids bind to the opioid receptors, they can render one another ineffective–or worse, cause opioid withdrawal syndrome. LDN should be avoided in patients with significantly impaired kidney or liver function.
If you are on thyroid medication, you may need to monitor your thyroid levels more closely as you start LDN.
If you develop symptoms of hyperthyroidism while taking LDN, such as heart racing, increased anxiety, restlessness, or trouble sleeping, please stop LDN and talk to your doctor who prescribes your thyroid medication.
Other conditions that require a modified protocol or require further consideration prior to use include:
Lyme Disease or other Chronic Infections (EBV, CMS, Bebesosis, Borellia, etc.)
Mast Cell Activation Syndrome/Disease (MCAS/MCAD)
Ehlers Danlos Syndrome (EDS)
Multiple chemical sensitivities or drug allergies (3 or more)
Mold or black mold illness or exposure
Mental illness (e.g. schizophrenia)
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