Is There A Time You Should Quit Low Dose Naltrexone (LDN)?
Is there ever a time patients can come off LDN if the underlying cause has been healed or is it generally something that people stay on indefinitely?
It really depends on what we're talking about. If we are talking about an autoimmune disease like Crohn's disease, Multiple Sclerosis, or Hashimoto Thyroiditis, most of those people are not necessarily healed in time, so they are most of the time on LDN indefinitely.
Maybe they'll take a holiday from their medication and it happens a lot where people are like: ‘Oh my gosh, I forgot my medication and I was gone for two weeks what do I do?’ Then we guide them through that process.
You can literally stop LDN anytime you think you're healed. We've also seen a lot of situations where people are like: ‘Oh yeah. I got this. Everything's great. It's all good.’ So they stop their LDN. Then slowly over time, and sometimes it's not very long, their previous symptoms come back and they're like: ‘Oh my gosh, that LDN was actually working that well. I didn't realize it.’
I've had people tell me that they didn't realize that their depression and their anxiety was better, or that they had so much energy with LDN and they took it away or they just stopped taking LDN and all that kind of came back. Their low energy, their depression, their anxiety.
Depending on how long they've been off it sometimes it can jump right in where their previous dose was, but a lot of times we start them even lower than what they originally started their titration at, and then we slowly move me up over time.