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Pharma

Low-Dose Naltrexone

for Fibromyalgia

Low-dose naltrexone (LDN, 1.5–4.5mg/day) is an off-label treatment for fibromyalgia with promising evidence for reducing pain via glial cell modulation.

How it works

At low doses, naltrexone transiently blocks opioid receptors, causing a compensatory upregulation of endogenous opioids. Also modulates microglia (CNS immune cells), reducing neuroinflammation thought to contribute to fibromyalgia.

What to watch for

Off-label use — not TGA approved for fibromyalgia. Prescription required. Requires compounding pharmacy for the low dose. Generally well tolerated — vivid dreams in first weeks is the most common side effect. Discuss with GP.

Community experience

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WikiRemedy surfaces community experience, not medical advice. Always consult a qualified health professional.