Dr Laura Blevin - April 4th 2018 (LDN, low dose naltrexone) from LDN Research Trust on Vimeo.
Dr Laura Blevins from Portland in Oregon, a naturopathic doctor is sharing your experience with Low Dose Naltrexone.
I believe I heard about LDN for the first time back to my first year in medical school. One of my professors who teaches the gastroenterology classes was a very big proponent Low Dose Naltrexone and introduced us to it pretty early in some of our pathology classes. He was bringing it about in the context of autoimmune disease and my father has had multiple sclerosis since the mid-1970s.
I actually use personally as well. I have Hashimoto's and I largely credit LDN with helping to get my Hashimoto's into remission. And I probably write at least a dozen prescriptions for it a week because I see so frequent autoimmune disease in my practice.
Most patients I'll start with 1.5 milligrams at that time for a week, and then we double it to three milligrams for a week. And then we go up to 4.5 milligrams and as long as they tolerate that, that's the dose that we stay at and I do kind of give them a heads up that some of the more common side effects include restlessness and vivid dreams.
But I let them know with each dose increase that if they start to experience those side effects and that it's bothersome to them, that they need to call or send me a message and check-in so that we can discuss options because I have a few patients that are very sensitive and need to stay at that lower dose and still get good benefits from it, but they can't tolerate the higher dosages.
The children I've used it for the youngest was aged six. We were using it for severe allergies.
And I started her with a quarter milligram and then we ended up moving up to a half milligrams into three-quarters of a milligram. And she ended up staying at a milligram and we did six months worth of therapy and then tapered her off of it and remarkably so far. And we're about a year and a half out.
Now, her allergies are completely gone and have not come back.
She's kind of one of my miracle cases. She had done allergy shots and was on high dose anti-allergy medications every day that made her very drowsy and less functional in her life.
And their parents were so happy that we found this other answer for her.
I've I always counsel my patients about kind of what I call the basic treatment guidelines, exercises, good clean diets, stress management, good sleep.
I look int food intolerances. I do a lot of food allergy testing in my practice or counsel patients on how to do elimination diets.
For good sleep, I talk with them a lot about sleep hygiene, about having a good bedtime routine that generally does not include any kind of screens. I talked with them about how screens inhibit our natural melatonin production and usually counsel them to read a good book before bed, but not anything too exciting.
And especially if they have issues with insomnia, I generally recommend that they read the dictionary or an old college textbook.
And getting to bed at a decent hour, preferably earlier than 11 o'clock, midnight. Oftentimes employing things like white noise machines, because a lot of people tend to be very light sleepers and wake up frequently too small things.
And sometimes as simple as just running an old fan in their bedroom will dramatically improve the quality of their sleep.
I have four basic supplements that I recommend for most patients. Omega 3, probiotics, magnesium and B vitamins.
Another important thing I tell my patients is about the research that shows the opiates can sensitize the brain to pain and over time become less effective and can actually make their pain seem worse. And so that's always an end goal trying to get them off of their narcotics and I talk with them about LDN. It will help to decrease the inflammation, make them feel better by increasing endorphin levels and can help to moderate their pain.
And so I usually taper them down very slowly, give them lots of other kinds of anti-inflammatories curcumin and once they can make it completely off their narcotics for 24 hours, I usually actually have them start at 4.5 milligrams and I actually have been started at 4.5 milligrams of LDN twice a day.
For the first couple of months, oftentimes I find that that helps dramatically with some of the withdrawal symptoms from coming off of the narcotics. They don't get as severe diarrhoea. They have less nausea and sweating and all those kinds of common, narcotic withdrawal symptoms.
For anxiety and depression symptoms, oftentimes I prescribe herbal things or trying to do some genetic testing, kind of back to that MTHFR genetic pathway and oftentimes that's a major factor.
And once we can kind of get them sorted out with their neuro-transmitters and being on appropriate levels of the B vitamins that their anxiety and depression can improve dramatically.
Patients can contact me through www.wholesomefamilymedicine.com in Southern Oregon.
Summary of Dr Laura Blevins interview. Watch the video for full interview.