LDN, low dose naltrexone, is a powerful drug that can effectively treat many chronic conditions, including chronic pain and autoimmune diseases.
Dr. Grana's protocol for prescribing this drug is as follows:
The initial appointment must be done in person. A two-month follow-up office visit will be done using Telemedicine, utilizing a HipAA-secure video platform in order to protect your privacy.
During the initial office visit, Dr. Grana will review your medical history with you, and she will conduct a brief physical exam. (She will listen to your heart and lungs, look in your eyes, nose, mouth/throat and ears, and take your blood pressure). Assuming LDN is appropriate for you, Dr. Grana will give you a prescription for it, along with instructions on how to take it. This prescription will last for two months.
Around the sixth - seventh week of your treatment, you will have a follow-up visit with Dr. Grana. This visit will be conducted via Telemedicine, utilizing a HipAA-secure video platform in order to protect your privacy. If you are doing well on LDN, Dr. Grana will supply you with an LDN prescription that will last for one year.
If everything goes well for you during that year and you choose to continue your treatment with Dr. Grana, you will return to her office a month or so before your prescription expires, for an annual, in-person examination. A year is a long time and many things can change; it is simply good medical practice to conduct a yearly examination to ensure your health and well-being. Again assuming LDN is still working well for you, the two-month follow-up visit will no longer be required. At the annual visits commencing the second year of your treatment, Dr. Grana will give you a prescription for LDN that will last for a year.
Prior to the initial visit, Dr. Grana’s new patient paperwork will be emailed to you. (If you do not have email and/or internet access, this paperwork will be sent to you through the U.S. mail.) Please return the completed paperwork at least 48 hours in advance of your first appointment. As a courtesy to you, Dr. Grana reviews your new patient paperwork prior to the initial visit so she is already familiar with your history before your first appointment. This obviously benefits you because you do not have to spend any part of your initial office visit with the doctor waiting while she reviews your paperwork for the first time. There is no charge to you for this service.
Please return the paperwork at least 48 hours prior to your initial appointment; otherwise, Dr. Grana cannot guarantee that she will have time to review it in advance. You may return it in any of the following ways that is most convenient for you: electronically (email@example.com), via fax (256-429-2212) or via U.S. mail. Our mailing address is:
8401 Whitesburg Drive SE
Post Office Box 4453
Huntsville, AL 35802
PLEASE NOTE: OUR MAILING ADDRESS IS A POST OFFICE BOX. IT IS NOT OUR OFFICE LOCATION.
Almost every patient who is seeking LDN is an appropriate candidate to receive the medication. If you are one of the few for whom the medication is not appropriate, there will be no charge for your office visit.
The initial appointment is scheduled for one half-hour; the fee is $300.00. The two-month follow-up appointment is scheduled for 15 minutes; the fee is $150.00.
If you haven’t already done so, please consider further educating yourself regarding LDN by reading The LDN Book, edited by Linda Elsegood. Ms. Elsegood is the founder of the LDN Research Trust, a wonderful organization dedicated to raising public awareness about LDN. The LDN Book II is slated for publication towards the end of 2020.
While LDN is extremely effective in the management of chronic pain, it is not effective in the treatment of acute pain. In simple terms: generally, LDN will not help you with pain from a recent injury, but it can be very effective if you are suffering from chronic pain. LDN usually takes between 2 - 8 weeks to begin relieving pain. Every person is different, however. There are no "cookie cutter" patients and no "cookie cutter" experiences. Dr. Grana has personally witnessed LDN alleviating pain beginning on the third day of treatment, but please be aware that this is unusual. Your body will respond uniquely to anything it ingests, and the only way to know how quickly, or even if, LDN will work for you is to begin treatment with it. Current studies indicate that over 70% of people who have been prescribed LDN obtain significant relief from taking it.
The FDA has approved LDN for reversing the effects of opiate overdose (these include hydrocodone, oxycontin, morphine, heroine and others). The FDA has not yet approved LDN for the treatment of chronic pain or autoimmune diseases, but it can be an extremely effective treatment for these conditions. Writing prescriptions for what is known in medicine as "off-label uses" is commonplace: thousands of such prescriptions are written daily in this country. This practice is neither illegal nor unethical; but because of its association with opiates in the public eye, many doctors are reluctant to write LDN prescriptions for chronic pain or autoimmune disease treatment.
Because of this reluctance, there is an enormous need in the USA for doctors who are willing to write LDN prescriptions for uses other than the treatment of opiate overdose. This has resulted in many patients who potentially could benefit tremendously from LDN not being able to obtain a prescription for it. Dr. Grana and her staff are doing their best to assist in rectifying this unfortunate and unnecessary situation.
If you would like additional information, or to book an appointment with Dr. Grana, please feel free to either call the office at 256-429-2212, or to email Dr. Grana’s office manager and assistant, Juan, at firstname.lastname@example.org.