Town & Country Compounding – Experts in the Compounding of LDN
Our accreditations place us in the top 1% of compounding pharmacies
Narcotics & Low Dose Naltrexone (LDN)
A Common question that our expert pharmacists get asked is Can narcotic pain relievers be used while on LDN?
The answer is No.
The effects of narcotics will be blocked by LDN. If a patient has developed any degree of narcotic dependence, LDN may cause withdrawal symptoms, some of which can be extremely uncomfortable or dangerous.
Careful consideration should be given to those cases before initiating LDN. We have worked with pain management specialists that have weaned patients off of narcotic analgesics while titrating up LDN therapy.
How Town & Country Compounding Pharmacists Work with Physicians
Proper Titration
It really does take an experienced pharmacist and experienced physician working together to get to the sweet spot with dosing for the specific condition. It’s not as simple as starting a titration at 1.5mg and then going all the way to 4.5. We have seen situations where the patient gets full pain relief at 3mg and must stop, but if they keep going, they will lose the results.
This is the dosing that most physicians are aware of, however, over the past couple of years, the dosing has been greatly expanded. Many physicians are not aware that when we have patients on chronic opioid therapy we will sometimes start the dose as low as 0.001mg (1mcg) and have witnessed chronic pain patients receive relief on doses as low as 0.002mg (2mcg) daily.
We have also seen where someone will titrate up too quickly for their body and miss the positive results. Depending on the disease, we may want to start much lower. And…when dealing with opioids, it is critical to work with a pharmacy such as Town & Country Compounding who has experience with titration protocols for both ultra-low dose naltrexone and very low dose naltrexone. Town & Country Compounding works with some of the most experienced pain physicians out there and we are currently working on partnering with them for various clinical trials; this is very exciting.
Truly Customized for Individual Needs
We have worked with doctors to look at what the patient is on and we help slowly wean off the opioid while starting with either very low dose naltrexone or ultra-low dose naltrexone (microgram dosing).
Then, we help slowly add-back LDN into a customized LDN titration and then offer suggestions to complement this therapy depending on the situation.
Many practitioners are not aware of these new dosing protocols and Town & Country is able to educate them on these protocols and assist them with their patients.
Low Dose Naltrexone (LDN) FAQs
Frequently Asked Questions
It’s important to ask questions when researching medications, especially when it comes to pain relief. Many individuals looking for alternatives to addictive opioids have found Low Dose Naltrexone (LDN) can be the solution. Town & Country Compounding’s John Herr, RPh., has become a national expert by studying and connecting with global experts in LDN, and has helped a vast amount of patients get through chronic pain. Contact Town & Country Compounding to get more info.
Town & Country Compounding works with the most prestigious providers. We work with you and health providers/specialists to formulate the most customized medication regimens to fit your specific needs.
Low Dose Naltrexone (LDN) Resources
Recommended by Low Dose Naltrexone Experts
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Recently, a seminar about LDN was hosted at Town & Country Compounding in Ramsey, NJ (and via zoom) with LDN expert presenters Dr. Asher Goldstein, MD Board Certified Physician Specializing in Pain Management and Opioid Detox and Pharmacist John Herr.
