How to Restart Low Dose Naltrexone (LDN) after Pausing it

Answered by LDN Specialist Pharmacist Dr Sam Lebsock
LDN Specialist Pharmacist Dr Sam Lebsock

How to Restart Low Dose Naltrexone (LDN) after Pausing it

This is a follow-up to the question about tolerance. If you go off of it for a while, as you suggested, how long would you wait before restarting, and what dose would you restart at?   I think you could do a couple of different ways here. Some patients like drug holidays, where they might go off of it for a week and then go back on it. Remember, the half-life's only about four to six hours, so it's technically kind of out of your system already. But I do see this happen. If you do want to do a drug holiday,  it depends. I would say three to seven days is probably enough for you.  I don't have any research. I just get what patients normally do, and many of them usually like a week's drug holiday, as they would call it. When you restart, if you're off for a short period of time, some patients can just restart back at what their normal consistent dosing always was.  Some patients, if they were off of it for, let's say a month, might need to do a little bit of a taper just in case they have any sleep disturbances or maybe a headache. It really depends on the patient. If you define yourself as being more chemically sensitive, I would say probably do a little bit of a taper backup to get back on your dose.