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Compounding for · Lancaster store only

Low-dose naltrexone (LDN)

LDN in the strength and form you choose, from 0.5 mg capsules to an oral liquid you can titrate.

Naltrexone is manufactured as a 50 mg tablet. Prescribers who order it in low doses need a compounding pharmacy to prepare it. The pharmacy does compounding for low-dose naltrexone at our Lancaster store, ready in 1 to 2 business days with free shipping anywhere in Ohio.

What LDN is prescribed for, and whether it's appropriate, is between you and your prescriber.

What we compound

  • Naltrexone capsules0.5 mg to 8 mg, including 1.5, 3 and 4.5 mg
  • Naltrexone oral liquid1 mg/mL, 2 mg/mL or the strength you write
  • Naltrexone / B6Capsule with pyridoxine 10 mg
  • Filler choiceCellulose, sucrose, rice flour and more

How ordering works

  1. Your prescriber sends the prescription. E-prescribe, fax or phone it to the Lancaster store.
  2. We confirm the price. Simple cash pricing, billed to the patient or the office. Nothing is prepared until you say yes.
  3. We compound and check it. Ready 1 to 2 business days after the prescription arrives. A pharmacist checks every preparation before it leaves.
  4. Pick up, free local delivery, or free shipping anywhere in Ohio. Refills work the same way: call us or use the Refill button.

Billing. We bill the patient or your office (cash pay). Typical cash price: #30 $49.99, #60 $79.99, #90 $119.99 (mL or capsules); prices can vary by formula.

How prescribers use these ingredients

  • Low-dose naltrexone: Prescribed off-label at 0.5 to 8 mg, most often to support care plans for chronic pain and immune-related conditions. Full-dose naltrexone (50 mg) is FDA-approved for alcohol and opioid dependence.
  • Oral liquid: Supports small, gradual dose changes during titration.
  • Pyridoxine (B6): Vitamin B6, included as a supplement in the combination.

Notes describe common reasons prescribers choose each ingredient; some uses are off-label. They are not claims about our compounded preparations, which are not FDA-approved and whose safety and effectiveness have not been evaluated by FDA. Therapy decisions are the prescriber's.

For prescribers

Mark the compounds on our Low-dose naltrexone (LDN) order form or write your own formula, then e-prescribe to Medicine Shoppe #1018 or fax the form to (740) 653-8265. The prescriber guide covers the details, and the order forms are available to verified prescribers.

Questions we hear a lot

Why can't I get LDN at a regular pharmacy?

Low-dose strengths aren't manufactured, so the prescription has to be compounded.

Is there anything I shouldn't take with it?

Naltrexone blocks opioid medications. Tell your prescriber and pharmacist about every medication you take.

Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety or effectiveness. They are prepared for an individual patient on the order of a licensed prescriber. Nothing on this page is medical advice; ask your prescriber or pharmacist about any medication questions.