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Low Dose Naltrexone (LDN)

Compounding for Pain Management

Naltrexone, an opiate receptor antagonist, is not a new drug, but when used off label at very low doses, is a drug shown in many trials to be of therapeutic benefit. The 50mg dose of Naltrexone was approved by the FDA in 1984 to treat opioid and alcohol addiction.

In 1985, Bernard Bihari, MD, a physician with a clinical practice in New York City, discovered the effects of a much smaller dose of Naltrexone. When reduced to doses ranging from 0.5mg to 9.0mg daily, it can modulate the immune system and may provide relief to those suffering from autoimmune diseases, chronic pain, mental health challenges, and inflammation.

Over the past ten years, there has been a growing body of evidence that the body’s endorphins (naturally occurring opioids) have a crucial role in regulating the immune system and providing pain relief. LDN’s blockade of opioid receptors has been shown to upregulate endorphin production. LDN’s blockade of Toll Like Receptors is believed to contribute to the anti-inflammatory and immune dampening effects.

These mechanisms help us understand why LDN can be beneficial for so many patients. LDN continues to provide life changing outcomes for many patients. It is available only by prescription and custom made at a compounding pharmacy.

The key to success in using LDN is an understanding that optimal dosing is ultimately patient specific and is not dependent on a set protocol. Dosing strategies can vary tremendously. Some patients find success very quickly, while others need to try a variety of dosing strategies, which may take up to several months to achieve success. Therefore, it is critical to work with a provider or a compounding pharmacy knowledgeable in strategies that can help ensure success with LDN.

Since we began specializing in LDN at Lexington Prescription Center, we have seen a wide variety of successes. It is these successes that motivate us to continue to try to help other patients.

NOTE: Because LDN is an opioid receptor blocker, caution should be taken when prescribing LDN to patients who are taking opioid-type pain medications such as Morphine, Oxycodone, Hydrocodone, and Fentanyl.


Our compounds can be created in a variety of forms for any number of reasons including:

  • To create a different or unique strength

  • To change the delivery form (ex: liquid instead of pill)

  • To avoid an allergic reaction

  • To improve taste

Medications for your family's unique needs

Our pharmacists have been specially trained to prepare customized medications to meet every patient’s unique need—even your pet's!  It is our aim to support and educate our patients and local physicians about the how compounded prescriptions can help. As a compounding pharmacy we strive to work with doctors, physicians, and veterinarians to meet optimal health and safety standards.

It’s your body—why not give yourself the option of a customized, individualized medication alternative? Ask your pharmacist or physician about compounding for any unique medication needs.


Millions of people experience some form of hormonal imbalance at some point in their lives. Unbalanced hormones can affect more than just your mood; they can cause a host of unpleasant symptoms, including:

  • Weight Gain

  • Hot Flashes

  • Low Libido

  • Painful Intercourse

  • Infertility

  • Low Energy

  • Night Sweats

  • Irregular Menstruation

With hormone replacement therapy (HRT), we can help balance out your hormones and provide relief.

Your skin is your body's largest — and most visible — organ. But it’s also often an afterthought. When skin issues flare up, don’t put them on the back burner.


Take care of them the right way, right away. We offer compounding solutions for a variety of skin conditions to help you keep your skin healthy and looking radiant.


Compounding is a great solution for pets that won’t take their medication. At Family Care Pharmacy, you can expect the same personalized service for your pets that you and your (human) loved ones receive!


We will tailor your furry friend’s medication to their unique needs with compounding.


Every parent knows that kids don’t always take their medicine well. They don’t feel well, and bad-tasting or hard-to-swallow medicine makes everything worse.

Let us help! Our pediatric compounding services make med time less of a chore for you and less of a nightmare for your child.


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