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Anyone ever look at Low Dose Naltrexone?

  • ytsejam02
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  • 44 y/o male, married father of 3 girls. Diagnosed 4/24/17 with a count of 22. Currently taking 50mg Promacta. I primarily follow a Paleo diet. I'm an active Crossfit member and biker.
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8 years 4 months ago #59230 by ytsejam02
Anyone ever look at Low Dose Naltrexone? was created by ytsejam02
My wife came across this, and was curious if anyone had any experience with Low Dose Naltrexone. It's an anti-inflammatory:
www.ncbi.nlm.nih.gov/pmc/articles/PMC3962576/
www.lowdosenaltrexone.org/

There's nothing I've seen relative to ITP. But lots of claims, and of course the NIH article, on autoimmune uses.
Anyway, just thought i'd ask.
Thx,
Jay
  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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8 years 4 months ago #59232 by Sandi
Replied by Sandi on topic Anyone ever look at Low Dose Naltrexone?
Funny you should ask. It's come up quite a few times over the years, but no one has ever actually been able to talk a doctor into using it. I tried to talk my Rheumatologist into it once (Lupus) and she adamantly said no. So to answer your question, no, there is no known track record regarding ITP and Naltrexone that I am aware of.
  • thomaskm
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  • Male 69 Diag. April 2017 in ER with Petechiae from knees to toes 4 oral cheek blood blisters 3000 count. 3-IVIG rescues, 4, 4 day 40mg Dexamethadrone blasts. Best read 416,000 11/24/2020 (Covid+ bump) On Nplate maintenance every 3 weeks
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8 years 4 months ago #59256 by thomaskm
Replied by thomaskm on topic MS patients using LDN have developed ITP.
According to this report nn.neurology.org/content/1/3/e25.full
  • mrsb04
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  • ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use.
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8 years 4 months ago #59257 by mrsb04
Replied by mrsb04 on topic MS patients using LDN have developed ITP.
Just checked Naltrexone on medicines.org.uk is says a 1:1000 to 1:10,000 chance of causing ITP
  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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8 years 4 months ago #59260 by Sandi
Replied by Sandi on topic MS patients using LDN have developed ITP.
There are treatments for ITP, such as Rituxan, that list ITP as a side effect. It's always a risk, we just don't always know how great the risk is.
  • ytsejam02
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  • 44 y/o male, married father of 3 girls. Diagnosed 4/24/17 with a count of 22. Currently taking 50mg Promacta. I primarily follow a Paleo diet. I'm an active Crossfit member and biker.
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8 years 4 months ago #59261 by ytsejam02
Replied by ytsejam02 on topic MS patients using LDN have developed ITP.
Interesting read.

I find it frustrating though. The report itself admits the following:
"Our patient had platelets at about 120 × 109/L for at least 3 years prior to diagnosis with ITP, and it is possible that the association with LDN use is spurious."

Which is kind of how I feel about my own situation. I could look to the 2 weeks I was on Clarithromycin which wasn't too far removed (~4 weeks) from my diagnosis, or the stress event (car accident) that occurred exactly 2 weeks prior, maybe both, maybe neither. And sadly, most likely never know.
  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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8 years 4 months ago #59263 by Sandi
Replied by Sandi on topic MS patients using LDN have developed ITP.
That need to know will fade. I went through it too. I ended up accepting that I most likely was just genetically predisposed and something came along and triggered it. If it hadn't happened when it did, it probably would have happened at some point.