Low dose naltrexone for fibromyalgia: case series demonstrating pain relief and other health benefits - Report - MDSpire

Low dose naltrexone for fibromyalgia: case series demonstrating pain relief and other health benefits

  • By

  • Adrienne Junek

  • Mya Anderson

  • July 2, 2026

  • 0 min

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Clinical Report: Efficacy of Low Dose Naltrexone in Fibromyalgia

Overview

This case series evaluates the use of low dose naltrexone (LDN) in managing fibromyalgia symptoms. Out of 10 patients, 8 experienced significant pain relief and various health improvements.

Background

Fibromyalgia is a chronic pain disorder characterized by widespread pain and associated symptoms such as fatigue and cognitive dysfunction. Current pharmacological treatments are limited and often ineffective, leading to interest in off-label medications like low dose naltrexone (LDN). Understanding the efficacy and safety of LDN in fibromyalgia management is crucial for optimizing treatment strategies.

Data Highlights

OutcomePatients Reporting Improvement
Pain Relief (average reduction)8/10 (−4.7/10 points, p < 0.001)
Quality of Life6/10
Pain Flares Reduction5/10
Improved Sleep4/10
Improved Cognitive Functioning2/10
Cessation of Other Pain Medications4/10

Key Findings

  • LDN provided substantial pain relief for 8 out of 10 patients.
  • Average pain reduction was −4.7/10 points, statistically significant (p < 0.001).
  • Six patients reported improved quality of life after LDN treatment.
  • Side effects included increased pain, vivid dreams, insomnia, and irritability.
  • Two patients discontinued LDN due to side effects, specifically increased pain.
  • LDN was well tolerated overall, with limited side effects reported.

Clinical Implications

The findings indicate that LDN provided significant pain relief and additional health benefits for some patients, while monitoring for side effects is necessary.

Conclusion

This case series highlights the potential of low dose naltrexone in fibromyalgia management, warranting further investigation.

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