Low Dose Naltrexone (LDN) Compounding

Compounding patient-specific low dose naltrexone prescriptions for patients and prescribers throughout Florida. From custom strengths to capsules, troches, or liquid, most prescriptions are ready in 24 to 48 hours.

We detail how to get an LDN prescription filled, including the dosage forms available, prescription costs, production time, and how to move an existing prescription to us. If you are still deciding whether LDN is something to discuss with your provider, read our clinical guide first. It is linked below and covers the ground this page deliberately does not.

Looking for clinical details?

Our pharmacists wrote a full guide covering how LDN is thought to work, what the published evidence does and does not show, what prescribers weigh when selecting patients, and what side effects have been reported.

Read the Low Dose Naltrexone (LDN) guide for patients and healthcare providers

Why Does LDN Have to Be Compounded?

Standard commercial naltrexone is only manufactured in 50 mg tablets, which is far too high for LDN therapy. Low dose prescriptions are written well below that strength, and no manufacturer makes a product at those doses, so LDN must be compounded through compounding pharmacies such as ours, using pharmaceutical-grade naltrexone powder accurately scaled down for each individual prescription.

Dosage Forms and Strengths

We compound LDN to the exact strength on the prescription, rather than rounding to a stock size. The prescriber selects the dosage form for the patient. We offer capsules, tablets, troches, and oral liquid. Each dosage form has practical differences, which we have detailed below.

Capsules and Tablets

The most common form, and the one that lets us fill a specific, low-strength prescription accurately. They give a stable, once-a-day solid oral dose once a patient is on a settled maintenance strength. A change of dose means a new prescription and a new compound.

Oral Liquids

Suits patients stepping the dose up in small increments, with adjustments within fractions of a milligram. The dose is easy to adjust and the form suits patients who have trouble swallowing capsules or tablets.

Troches

Small, flavored lozenges that dissolve in the mouth. The dose can be split rather than re-compounded at each step, which suits patients titrating in small increments or unable to swallow capsules.

Fillers and Excipients

We can adjust capsule fillers and excipient ratios to your liking. Capsules can usually be prepared without lactose, gluten, or dyes.

Titration Schedules

We prepare a clear titration schedule, increasing at the exact increments ordered for each stage.

Compounded preparations include a beyond-use date printed on the label, instead of a manufacturer expiration date. Its beyond-use date is typically shorter than commercial products, so order refills before that date.

How to Order LDN?

New Prescription

  1. Your provider sends information regarding the prescription via e-prescribe, fax, phone, in person, etc.
  2. We confirm the details: strength, quantity, form of dosage, excipient restrictions, etc.
  3. We compound it individually, usually between 24 to 48 hours.
  4. Collect or receive shipment anywhere across Florida.

LDN Prescription Transfer

Pharmique Pharmacy helps create a seamless transfer. Simply send us the name, phone number, and prescription number of your previous pharmacy, and we will move the prescription for you, keeping any remaining refills on file.

Transfer a Prescription

To refill, use the online refill request form or call us. Allow a few days notice (about a week) to prepare an LDN prescription because all of our medication is custom compounded for each patient.

Cost, Insurance, and Payment

We can quote you the exact pricing for your prescription before commitment. Simply provide the strength, dosage form, and necessary quantity on call to receive a figure the same day. However, insurance coverage for compounded medications varies widely, so many patients pay out of pocket. When a plan offers reimbursement, we can provide the documentation so you may submit the claim yourself. There is no charge or obligation for a price quote.

Working With Your Prescriber

Whether LDN is appropriate for you is a decision for your prescriber. What we can tell you is what we are able to compound, in which forms, and what it costs.

You can call us at (407) 610-9090 to ask about dosage forms, available strengths, beyond-use dating, excipient options, and payment. By explicitly stating the specific strength, dosage form, quantity, directions, and any possible titration schedule, we can effectively review and prepare your prescription efficiently. New patients and prescribers who have not previously compounded with us often begin with one call and a single prescription with our pharmacists.

Collection, Delivery, and Shipping

Our pharmacy is open Monday through Friday from 9:00 AM to 5:00 PM. We are located at 1210 S International Pkwy, Suite 166, Lake Mary, FL 32746, within a short drive from Sanford, Winter Park, Orlando, etc., for patients. Furthermore, we support shipping and delivery anywhere across Florida.

For further details on shipping, delivery, and distance, read areas we serve from Lake Mary.

Related Compounding Services

In addition to LDN, we also specialize in other closely related services such as pain management compounding, thyroid compounding, bioidentical hormone therapy, and peptide compounding. Read compounding services for details on everything we prepare.

Frequently Asked Questions

This section details various ordering and pharmacy questions. On the other hand, clinical questions (how long LDN takes to work, how it interacts with other medications, and its safety profile) are answered in the LDN guide.

Local prescription delivery is free.

At Pharmique Pharmacy, 1210 S International Pkwy, Suite 166, Lake Mary, FL 32746. Bring your prescription in, or have your prescriber send it by e-prescribe, fax, or phone. We fill LDN prescriptions for patients across Seminole County, Orange County, and the greater Orlando area. Call (407) 610-9090.

Yes. LDN is a prescription medication and we cannot dispense it without a valid prescription written for you by a licensed healthcare provider. If you are not currently under the care of a provider, talk to your primary care physician first - the decision to prescribe LDN is theirs, not the pharmacy's.

Because the commercially manufactured product is not made in the strengths LDN prescriptions call for. Naltrexone is marketed as a 50 mg tablet, and low dose prescriptions are written well below that, so the dose has to be prepared individually for each patient. That is what a compounding pharmacy does.

Capsules, oral liquid, and other forms where clinically appropriate, as ordered by your prescriber. Capsules suit a stable, settled dose. An oral liquid suits a patient who is titrating in small increments or who cannot swallow capsules, because the dose can be measured rather than re-compounded at each step.

In most cases, yes. Tell us before we compound if you need a preparation free of lactose, gluten, dyes, or another specific excipient, and we will select a filler accordingly. Put the request in when the prescription is sent rather than afterwards, so we do not have to remake it.

Most LDN prescriptions are ready within 24 to 48 hours of us receiving them. A first fill can take slightly longer than a refill because we confirm the strength, dosage form, and any excipient restrictions with the prescriber before compounding. We will give you a timeline when the prescription arrives.

Yes. Send us the pharmacy name, phone number, and prescription number through our prescription transfer form or by phone, and we will contact them and move it for you. You do not need to collect anything from the other pharmacy yourself. Refills already on file transfer with it.

Use the refill request form on this site, or call us on (407) 610-9090. Because each LDN prescription is compounded individually rather than counted off a shelf, we ask for a few days' notice - request the refill when you have about a week of medication left and it will be ready when you need it.

Coverage varies by plan and many patients pay out of pocket. We will quote you the exact price before you commit, and we can provide documentation you can submit to your insurer for possible reimbursement. Call us with the strength, dosage form, and quantity on your prescription for a firm price.

Yes. Patients in Lake Mary, Heathrow, Longwood, Sanford, Altamonte Springs, Winter Park, Maitland, and Orlando are welcome to collect at the pharmacy, Monday to Friday, 9:00 AM to 5:00 PM. Local prescription delivery is free if that is easier. We will let you know as soon as your prescription is ready.

The strength, the dosage form, the quantity, the directions, and any titration schedule or excipient restriction that applies. If a prescriber wants to talk a formulation through before writing it, our pharmacists take those calls directly on (407) 610-9090.

No, and no pharmacy should. Whether LDN is appropriate for you is a clinical decision for your prescriber, based on your history. What we can do is explain the dosage forms available, quote the price, and answer your prescriber's formulation questions. Our LDN guide covers the clinical background in depth.

Contact Pharmique Pharmacy

Questions about LDN compounding?

(407) 610-9090
1210 S International Pkwy, Suite 166
Lake Mary, FL 32746
Mon-Fri: 9:00 AM - 5:00 PM
Send a Message Transfer a Prescription Refill a Prescription

Learn About LDN

How it is thought to work, what the evidence shows, and what prescribers consider, written by our pharmacists.

Read the LDN Guide

Other Services

Important Information

About Compounded Medications: Compounded low dose naltrexone is prepared by our licensed pharmacy pursuant to a prescription from a licensed healthcare provider. Compounded medications are NOT FDA-approved. They have not undergone FDA review for safety, effectiveness, or quality.

Off-Label Prescribing: Naltrexone is FDA-approved at higher doses for indications other than those LDN is prescribed for. Prescribing it at low doses is an off-label decision made by your healthcare provider, not by the pharmacy.

Medical Supervision Required: This page describes pharmacy services, not treatment. Do not start, stop, or change the dose of any medication without your prescriber. Tell your provider about every medication you take, including over-the-counter products. Individual responses to medications vary.