Medications
Low Dose Naltrexone (LDN): Potential as a Life Extension Drug
Low Dose Naltrexone (LDN), administered at 1.5-4.5 mg daily, triggers a fascinating biological paradox: temporarily blocking opioid receptors leads to increased endorphin production and reduced inflammation.
01
The Triple Threat: Mechanisms of Action
Reconstructed from the values stated in the source.
| Mechanism | Effect |
|---|---|
| Opioid rebound | ↑endorphin 2-3× |
| TLR-4 antagonism | ↓neuroinflammation |
| Immune modulation | balanced T-cells |
| OGF-OGFr axis | cell growth regulation |
02
Research & Approval Stage
- Off-label use of FDA-approved naltrexone
- Small trials only
03
Current Clinical Applications
- Fibromyalgia — Stanford study, 65% meaningful pain reduction (Younger 2014)
- MS — QoL improvements (Turel 2015)
- Crohn's — one trial, 89% remission/improvement
- Long-COVID — early reports (Whitaker 2021)
04
The Longevity Connection
Reconstructed from the values stated in the source.
| Area | Evidence Strength |
|---|---|
| Neuroinflammation | moderate |
| Immunosenescence | preliminary |
| Cancer risk / OGF | very preliminary |
| Chronic disease | good for specific uses |
| Cellular senescence | speculative |
05
Practical Implementation — Dosing
Reconstructed from the values stated in the source.
| Weeks | Dose |
|---|---|
| Weeks 1-2 | 1.5mg at bedtime |
| Weeks 3-4 | 3mg |
| Week 5+ | 4.5mg (most common maintenance) |
06
Timing & Compounding
- Some do well at 3mg or 1.5mg
- Bedtime dosing
- Immediate-release compounded (not slow-release)
07
Safety Profile
- vivid dreams
- mild initial insomnia
- mild headache
- rare temporary pain increase
08
Contraindications
- Opioid medications (absolute)
- Acute hepatitis / liver failure
- Pregnancy / nursing
- Untreated hypothyroidism
09
The Challenges
- Limited research funding
- Off-label ($30-60/month cash)
- Compounding variability
- Mechanism uncertainty
References
- 01Bolton et al. 2020
- 02Li, Younger & Raknes 2018
- 03Turel, Patten & Younger 2015
- 04Whitaker, Nalbandian & Younger 2021
- 05Younger et al. 2014
This profile is being expanded — additional sections from the source are still being added.
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