Miruvor

Low-dose naltrexone

59 people describe trying low-dose naltrexone (45 with ME/CFS, 14 with long COVID).

27%
recovered fully or nearly
16 of 59
66%
improved (substantial or partial)
39 of 59
7%
relapsed
4 of 59
0%
no benefit
0 of 59

How it went

Did it last?

  • 14 of 59 said the benefit wore off (including the 4 who relapsed).
  • 11 of 59 needed to keep doing it to stay well.

Read from what people wrote. A story that ends without a follow-up counts as lasting, so treat these as minimums.

Outcome describedAccountsShare
Full recovery1119%
Near-full58%
Substantial1932%
Partial2034%
Relapsed47%
No benefit00%

By how ill people were

Severity at worstHow it wentnRecovered
Moderate838%
Severe2730%
Very severe1136%

13 accounts don’t say how ill the person was.

Who published these accounts

Sells a treatment or program12 accounts
42%
Recovery advocacy site1 accounts
100%
Independent (blog, forum, news)46 accounts
22%

Right-hand number: share describing a full or near-full recovery. Pages that sell something, and advocacy sites, tend to publish only the successes.

Specific treatments in these accounts

Within the accounts on this page. Grey numbers rest on fewer than 10 accounts.

Side effects and harms people mentioned

Found by scanning the summaries for side-effect language, so this list is incomplete and may include a mention that isn’t about Low-dose naltrexone itself. Read the story before drawing conclusions.

  • Side effectsLauren used nicotine patches for Long COVID, starting with half of a 7mg patch (3.5mg) worn intermittently for 7-10 days at a time with a few days off, then shifting in October 2025 to near-daily half-patch use for about two months, before cutting back in late December 2025 to just one-eighth of a 7mg patch daily after side effects appeared.
  • Side effectsDuring the course her energy and blood pressure stabilized around 145/80 and her orthostatic intolerance resolved, though she developed constipation and MCAS flares as side effects.
  • Financial costHe separately paid £150/week for a 3-week trial of Rerum (a Ruggiero-linked GcMAF variant) and felt it "had good effects but couldn't afford it," settling on Bravo yoghurt long-term instead, which he says he still relies on "for maintaining a better level of health."

All 59 accounts

  • Australian Women's Weekly: For six years, Lily couldn't leave her bed

    Partial ME/CFS SevereIll 6 years emerge.org.au Sep 2026

    Credits pacing and family support. Lily was ill 6y with severe ME/CFS and reports a partial improvement. Bedbound at 16; now works part-time, still much reduced.

  • Has anyone achieved remission or recovery from treatment by any doctor?

    Partial ME/CFS Effect faded forums.phoenixrising.me Aug 2026

    Took 25mg of spironolactone plus 4.5mg of low-dose naltrexone (LDN), while already on physiologic cortisol replacement for non-functioning adrenals, following the approach from the Campo and Taylor 2021 clinical trial. The page does not state how long they…

  • Start here. You shouldn't have to do this alone.

    Substantial Long COVID SevereIll 4 years longcovidmd.substack.com Jul 2026

    Zeest Khan's post mentions she underwent a hyperbaric chamber treatment, a sleep study, and an unnamed surgical intervention around 2021, but gives no details on protocols, doses, or durations for any of them beyond photo captions. She pushed through…

  • ME/CFS patient substantially improved with spironolactone 100 mg daily

    Full recovery ME/CFS forums.phoenixrising.me Apr 2026

    Poster combined spironolactone 25mg/day with LDN, a GLP-1 agonist and NP thyroid and states plainly "My CFS is cured, yes cured...my health is amazing," while noting he still needs cortisol supplementation. Because several drugs were changed together it is…

  • My Recovery from Long COVID PEM Part 2: Microclots

    Substantial Long COVID SevereIll 3 yearsEffect faded longcovidbegone.substack.com Feb 2026

    Christy was prescribed the anticoagulant apixaban and the antiplatelet clopidogrel in June 2023 (omitting the aspirin normally used in triple therapy due to stomach sensitivity), continuing for 4 to 5 months after microclots and hyperactivated platelets were…

  • My update to nicotine patch usage for Long Covid recovery

    Partial Long COVID ModerateIll 1.5 years thewellnessaesthetic.substack.com Jan 2026

    Lauren used nicotine patches for Long COVID, starting with half of a 7mg patch (3.5mg) worn intermittently for 7-10 days at a time with a few days off, then shifting in October 2025 to near-daily half-patch use for about two months, before cutting back in…

  • Treatments. Yes, they do exist.

    Partial ME/CFS encephalogirl.substack.com Jul 2025

    In this follow-up post, Encephalogirl (Michelle) lists an expanded regimen: low-dose naltrexone, low-dose Abilify, guanfacine, about nine months of tenofovir as part of a planned minimum one-year antiviral course, six weeks of low-dose rapamycin at 1mg once…

  • Long Covid Healing Resources

    Substantial Long COVID SevereIll 4 years gretamorgan.substack.com · sells Jun 2025

    Followed a 10-point Mayo Clinic-informed protocol: a TruVaga vagus-nerve-stimulation device for 2 minutes three times a day, guanfacine at 0.5mg twice daily (with room to increase to 1mg twice daily), L-arginine 2000mg twice daily, vitamin C 500mg twice…

  • Caitlan's 1-2 punch works with her severe ME/CFS

    Full recovery ME/CFS Very severeIll 3 years healthrising.org · sells May 2025

    Caitlan was a healthy personal trainer who became bedbound after a vaccination followed by a stomach bug, developing severe neurological and cardiovascular ME/CFS symptoms. She tried IV therapy, hyperbaric oxygen and stem cells without lasting success. She…

  • Recovery from Long COVID Shouldn't be This Exhausting

    Substantial Long COVID SevereIll 4 years longcovidmd.substack.com Mar 2025

    In this post, Zeest Khan describes using a beta-agonist or steroid inhaler along with unspecified pills, injections for allergic triggers, and steroids — no drug names, doses, or durations are given. In 2021 she was bedbound, unable to stand without nearly…

  • Hyperbaric Oxygen Therapy Turns Mathew's Long COVID / ME/CFS / POTS Around

    Full recovery ME/CFS SevereIll 4 years healthrising.org · sells Dec 2024

    Mathew developed long COVID with ME/CFS and POTS after a COVID infection in February 2020 and cycled through severe crashes for four years, at times 20 hours a day in bed, despite midodrine, low-dose naltrexone, Abilify and Paxlovid. In late 2023 he…

  • Clinical trials explore how Low-Dose Naltrexone could help people with Long COVID

    Partial Long COVID Severe thesicktimes.org Oct 2024

    Kate Herbert, a nurse with Emerge Australia, first tried low-dose naltrexone at 1.5mg daily but stopped after two weeks due to insomnia, nightmares and anxiety, then restarted at a much lower 0.25mg daily, which she has continued taking. The article does not…

  • Drugs Get Mathew Most of the Way and Hyperbaric Oxygen Does the Rest

    Full recovery ME/CFS Very severeIll 4 yearsEffect faded healthrising.org · sells Jun 2024

    Dr Mathew Robinson, a university professor, developed long COVID with ME/CFS and POTS after infection in February 2020 and spent 20-22 hours a day in bed. Midodrine, low-dose Abilify and low-dose naltrexone under Bateman Horne Center care brought him to…

  • Rapamycin / Sirolimus for ME / CFS and Central Sensitization

    Partial ME/CFS forums.phoenixrising.me May 2024

    Alivenotkicking, on sirolimus since November 2023 at 1mg building to 3mg weekly, says he does feel more active and less easily fatigable. He immediately qualifies it: he is also on low-dose naltrexone which has definitely helped a lot, so it is hard to say,…

  • Radical Rest and Beyond

    Partial ME/CFS Severe encephalogirl.substack.com May 2024

    The author of Encephalogirl (who signs as Michelle) treats her ME/CFS-related dysautonomia and POTS with guanfacine and low-dose Abilify (titrated from 0.5mg down to 0.25mg after migraines, then back up to 0.5mg), an increased dose of low-dose naltrexone, a…

  • List of ME/CFS Recovery and Improvement Stories (page 10 discussion)

    Full recovery ME/CFS ModerateIll 7 years forums.phoenixrising.me 2024

    nolongerdiseased, ill with post-viral ME/CFS from age 12 to 19, progressed from moderate (50% function) to full remission over about 5 months using a 3-month Goldner autoimmune protocol followed by roughly 2 months of low-dose Abilify (0.75mg), with PEM…

  • Nina Bosselaar

    Full recovery Long COVID SevereIll 3 years longcovidcured.com Nov 2023

    Nina spent about two years trying physiotherapy, occupational therapy, haptotherapy, osteotherapy and a multidisciplinary rehab program without success before shifting to a Tension Myositis Syndrome (TMS) mind-body approach centered on expressive journaling,…

  • My Recovery Journey from Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS)

    Full recovery ME/CFS SevereIll 4.5 years healthrising.org Jun 2023

    Mediterranean diet was adopted as one strand of a broad, multi-modal recovery program that also included intermittent fasting, low-dose naltrexone, structured pacing and vagus nerve stimulation, with no separate dose or duration given for the diet itself. He…

  • Amber's Long MCAS, POTS, MCS, ME/CFS Recovery Story

    Substantial ME/CFS SevereIll 30 years healthrising.org · sells Jun 2023

    Amber had digestive and allergy problems since childhood that became severe MCAS, POTS, MCS and ME/CFS after a marathon at thirty and a bad flu-shot reaction at thirty-one, leaving her homebound and fainting daily despite seeing more than a hundred doctors.…

  • An ME/CFS Expert Helps a Long-COVID Patient Recover

    Near-full Long COVID ModerateIll 2.5 years healthrising.org Apr 2023

    A nineteen-year-old developed POTS and mast cell symptoms after a mild PCR-confirmed COVID infection, leaving him with a wellness score of 45 out of 100 and out of in-person classes for about fifteen months. Under Dr Peter Rowe at Johns Hopkins he was…

  • Impact of extended-course Paxlovid in established Long COVID (Case 11)

    Partial Long COVID Very severeIll 3 years pmc.ncbi.nlm.nih.gov 2023

    Case 11, a 33-year-old woman roughly three years into severe Long COVID/ME since March 2020, initially bedridden and dependent on caregivers and later "mostly housebound," had a 5-day Paxlovid course in May 2022 that brought significant improvement, ending…

  • Impact of extended-course Paxlovid in established Long COVID (Case 4)

    Full recovery Long COVID SevereIll 6 monthsEffect faded pmc.ncbi.nlm.nih.gov 2023

    Case 4, a 51-year-old man about 6 months into Long COVID with fatigue, daily headaches, brain fog, mental exhaustion, PEM, racing heart, palpitations, tinnitus and visual/sensory disturbances, took a 15-day extended Paxlovid course in March 2023 alongside…

  • Impact of extended-course Paxlovid in established Long COVID (Case 2)

    Full recovery Long COVID SevereIll 11 monthsEffect faded pmc.ncbi.nlm.nih.gov 2023

    Case 2, a 45-year-old woman about 11 months into Long COVID with orthostatic intolerance, tachycardia, short-term memory loss, word-finding trouble, fatigue, PEM and MCAS symptoms, took a 15-day extended course of Paxlovid (nirmatrelvir/ritonavir) in…

  • Jason's Eclectic Mix of Treatments Returns Him to Near Normal Health

    Substantial ME/CFS SevereIll 16 years healthrising.org · sells Sep 2022

    Jason Boyce fell ill in the early 2000s with what he believes was a flu or EBV infection and spent sixteen years bedbound for days after exertion and unable to play with his kids. He assembled an eclectic mix of treatments, crediting nebulised hydrogen…

  • Good, not great: some long Covid patients see symptoms improve

    Partial Long COVID SevereIll 1.08 years bu.edu Feb 2022

    Credits time alone. Joni White was ill 13mo with severe long COVID and reports a partial improvement. Almost there but couldn't resume work as a glass artist.

  • List of ME/CFS Recovery and Improvement Stories (page 4-5 discussion)

    Substantial ME/CFS ModerateEffect faded forums.phoenixrising.me 2022

    unicorn7 used a De Meirleir-style multi-part protocol (SIBO antibiotics, LDN, B12, subcutaneous immunoglobulin, mesalazine, plus strict pacing) to move from moderate to mild ME/CFS, and reported repeating that same moderate-to-mild recovery a second time…

  • Sarah's Story

    Partial Long COVID SevereIll 1 yearEffect faded longcovidsos.org · sells 2022

    Sarah tried an extensive list of treatments without full success: many hyperbaric oxygen sessions (costing "thousands" and giving only temporary relief before triggering relapses), acupuncture, kinesiology, diet changes, breathing exercises with osteopaths,…

  • Abilify plus LDN returns retired clinical psychologist to 80% health for two months

    Relapsed ME/CFS SevereIll 11 yearsEffect faded healthrising.org Nov 2021

    Marvin, a retired clinical psychologist, took low-dose Abilify (0.5 mg) combined with low-dose naltrexone (2.5 mg) from a compounding pharmacy after 11 years of fatigue, post-exertional malaise, cognitive problems, and unrefreshing sleep. The combination…

  • REMISSION! (suspected enterovirus, Dr. Chia treating)

    Near-full ME/CFS Moderate forums.phoenixrising.me Apr 2021

    Under Dr. Chia's care for suspected enterovirus, .jm. built up to running 40 miles/week by an April 2021 update (up from an initial "REMISSION!" post 18 months earlier), with insomnia and Raynaud's resolved, while tapering oxymatrine down to a maintenance…

  • Abilify Shows Promise in ME/CFS Study (Dian)

    Substantial ME/CFS Ill 38 years healthrising.org Mar 2021

    Dian takes Abilify at 4.5 mg along with low-dose naltrexone (LDN), a combination she has used for two years. She has had ME/CFS since a bout of mono as a teenager and is now 54; she went from needing a wheelchair or walker to walking 2 to 4 miles a day,…

  • List of ME/CFS Recovery and Improvement Stories (page 8 discussion)

    Substantial ME/CFS Moderate forums.phoenixrising.me 2021

    2Cor.12:19 has used 1mg LDN with turmeric for 6 years for significant pain relief from ME/CFS, osteoarthritis and axonal polyneuropathy, rarely needing additional pain medication - notable enough that a treating neurologist was surprised at the lack of…

  • How I solved my neuroinflammation

    Substantial ME/CFS ModerateEffect faded forums.phoenixrising.me Oct 2020

    Built up to pramipexole 2mg nightly over four weeks alongside LDN, as-needed ibudilast, ALCAR and curcumin, reporting about an "80% improvement" in neuroinflammation symptoms -- migraines down from 3-4/week to at most one, and PEM severity/duration cut by…

  • From very severe to moderate in two months

    Substantial ME/CFS Very severeIll 2.5 years forums.phoenixrising.me Sep 2020

    Combined low-dose Abilify (titrated up to 4mg), LDN 4.5mg and Celebrex 100mg under a GP's supervision. Went from very severe -- fed via a PEG tube -- to moderate within two months, stating "I don't need my PEG anymore" and managing about four hours out in a…

  • From Very Severe to Moderate in Two Months

    Substantial ME/CFS Very severeIll 2.5 years forums.phoenixrising.me Sep 2020

    Martin, tube-fed and very severely ill for 2.5 years, started Abilify (titrated 2 to 4mg) with LDN 4.5mg and Celebrex 100mg in September 2020 and improved from very severe to moderate within about two months, coming off the feeding tube and regaining enough…

  • From very severe to moderate in two months

    Substantial ME/CFS Very severeIll 2.5 yearsEffect faded forums.phoenixrising.me Sep 2020

    Martin's GP prescribed an anti-inflammatory combination of 4mg Abilify (titrated up from an initial 2mg), 4.5mg low-dose naltrexone, and 100mg Celebrex. He had been very severely ill for two and a half years beforehand, to the point of needing a PEG feeding…

  • Adrienne Dellwo Shares Her Fibromyalgia Remission Story

    Partial ME/CFS SevereIll 14 years cfsunravelled.com Feb 2020

    Adrienne Dellwo's regimen included low-dose naltrexone at 3mg (compounded, versus a standard 30mg dose per the article), plus rhodiola rosea, L-theanine, vitamin B and D, a custom herbal blend and acupuncture from her rheumatologist, meditation, yoga, a…

  • The Temporary Recovery Stories (Judi)

    Relapsed ME/CFS Effect faded healthrising.org Jan 2020

    Commenter Judi Warner described three separate temporary remissions from her ME/CFS: about a month after starting CPAP, about three months on low-dose naltrexone, and about a month on low-THC CBD oil. Each faded, and no further detail on severity is given.

  • The Suffering of One - Relieved: Kyle McNease's ME/CFS Recovery Story Detailed

    Near-full ME/CFS Very severeIll 3.5 years healthrising.org Sep 2019

    Kyle McNease, an Oxford student, became severely ill for three and a half years after arsenic poisoning from renovating an old barn, compounded by genetic detoxification impairments; at his worst he was emaciated, unable to communicate and near death. He…

  • Cumin (Cuminum cyminum): Possible PEM Blocker

    Partial ME/CFS ModerateEffect faded forums.phoenixrising.me Nov 2017

    Wishful found that eating about 2-2.5 teaspoons of ground cumin before strenuous exertion (2+ hours of chainsaw work) blocked PEM entirely for roughly 8 days of continued heavy activity, before the effect abruptly stopped working, as it had once before after…

  • Tried Dichloroacetate, Great Energy Return But Chemical Taste to It

    Relapsed ME/CFS Effect faded forums.phoenixrising.me Oct 2017

    XenForo took about 580mg of DCA on two separate occasions and got a marked energy boost lasting from afternoon into the next morning, allowing a late-night concert he couldn't normally manage, but crashed badly afterward and could not reliably reproduce the…

  • Easy Does It For Nathalie: A Chronic Fatigue Syndrome Improvement Story

    Partial ME/CFS Very severeIll 7 years healthrising.org · sells Oct 2017

    Tried Low Dose Naltrexone (immediate but partial relief from stiffness), a six-week high-dose course of Famvir that gave no benefit, and three years on Valcyte (valganciclovir), which brought her "back to life" out of a bedridden state within weeks but left…

  • Is Mold Making You Sick?

    Substantial ME/CFS Very severeIll 11 years medium.com · sells Jun 2017

    The article gives no specific drugs, supplements, binders, or formal medical protocol that Julie used; the one intervention described is behavioral — she spent two weeks in Death Valley with none of her own belongings to test whether mold exposure was…

  • GREAT Tips to improve (6 years experience)

    Partial ME/CFS SevereIll 6 years forums.phoenixrising.me Feb 2017

    Six years in, this poster describes a partial turnaround in energy timing and sleep - waking naturally without an alarm - after combining a supplement stack with a self-imposed "dopamine challenge" restricting stimulation after 6pm. He's explicit this is "my…

  • Aggressive Rest Therapy: My Experience

    Relapsed ME/CFS SevereIll 3.5 yearsEffect faded forums.phoenixrising.me Sep 2016

    Cheesus started Aggressive Rest Therapy about a year into a mild-to-moderate case and saw rapid improvement over roughly five months, then overdid it and drove himself into a horrendous two-year crash. By this post he was severe again and using low-dose…

  • Whats FINALLY worked for me.

    Substantial ME/CFS SevereIll 8 years forums.phoenixrising.me Jul 2016

    After eight years severe enough that she could stand only minutes and needed help toileting, and with co-diagnoses of babesiosis, candidiasis, leaky gut and POTS, this poster spent about a year on IV/oral artemisinin and curcumin, 4.5mg LDN and 450mg/day…

  • How I recovered.

    Near-full ME/CFS SevereIll 5 years forums.phoenixrising.me May 2016

    Combined a multi-part protocol -- twelve $325 Oxford "homeostasis" peptide shots starting September 2013, a rotary diversified (Theron Randolph) elimination diet, vitamin D, low-dose naltrexone, Remeron, the Gupta amygdala-retraining program, and removing…

  • Bravo GcMAF Probiotic Yogurt

    Partial ME/CFS forums.phoenixrising.me Oct 2015

    Took Bravo yoghurt and GcMAF cream twice daily (morning before food, night after dinner) for his ME/CFS. Reported increased energy, reduced brain fog, deeper/more vivid sleep and more regular digestion, but says plainly "it is by no means a cure" - benefits…

  • Ten Years of healing: No more congestive heart failure, FMS, CFS and minus 100 pounds

    Substantial ME/CFS SevereIll 10 years forums.phoenixrising.me Oct 2013

    After roughly a decade disabled to the point of managing only 8 minutes of rebounding exercise a day, she followed the Deadlock Quartet methylation protocol and reported "doing so well." A year later, in a separate thread, she described "massive…

  • My Valcyte pilgrimage

    Substantial ME/CFS SevereIll 2 years forums.phoenixrising.me Aug 2012

    About two years into illness with a persistent CMV infection (titer 107 against a normal range of 0-18), severe brain fog, extreme fatigue needing 12+ hours of sleep, and tachycardia and breathing trouble so bad she "felt like I was dying," started Valcyte…

  • Latested Updated Regimen

    Partial ME/CFS Very severe forums.phoenixrising.me Mar 2012

    Built an elaborate daily/weekly amino-acid, vitamin, mineral and chelation regimen (sodium ascorbate and amino acids with every meal, weekly LDN, sublingual B12 forms, EDTA chelation, periodic Tindamax courses and liver flushes). An earlier version of this…

  • Does anyone consider LDN to be a cure??

    Partial ME/CFS forums.phoenixrising.me Jan 2012

    Took 1mg LDN for 3-4 days at a time, over the last 4 months. Reports his white blood cell count doubled and he had "more energy," but muscle pain got worse over the same period -- a mixed, uncertain result rather than a clean win, which he presents with…

  • Does anyone consider LDN to be a cure??

    Partial ME/CFS forums.phoenixrising.me Dec 2011

    Has taken LDN for about 2.5 years and says it "helped me with fatigue and stamina" enough that she "would not want to give it up." She is explicit it isn't a cure, estimating LDN only helps "about half of us," and the improvement is ongoing/maintenance…

  • 3 Things that Help the Most!!

    Substantial ME/CFS forums.phoenixrising.me Nov 2011

    Manages orthostatic intolerance with midodrine, fludrocortisone, time-released potassium, salt tablets, 3 liters of water a day, deliberately reclining to rest, and a folding cane/stool for standing tasks. Says this combination substantially improves her…

  • EECP Treatment is Very Helpful/My Daughter Helped Alot

    Near-full ME/CFS SevereIll 5 years forums.phoenixrising.me Oct 2010

    As reported by her father: after 1.5 years on LDN, she started EECP sessions in late May (about 5 months of treatment by this post) along with immune-building supplements from Dr. Enlander. Her father describes a "night and day" change -- energy up, blood…

  • Low Dose Naltrexone (fiikus.net)

    Partial ME/CFS web.archive.org

    Index entry credits Finnish author Maija Haavisto with low-dose naltrexone for ME/CFS improvement; the archived page was blocked when fetched, so no further detail on duration of illness, severity, or durability beyond the index listing is available.

  • Louise's Client Story

    Substantial ME/CFS Severe theoptimumhealthclinic.com · sells

    Credits brain retraining, CBT or psychological work and diet. Louise had severe ME/CFS and reports a substantial improvement. Couldn't climb stairs or play with her kids.

  • Filip's Success Story

    Full recovery Long COVID Very severe guptaprogram.com · sells

    Credits brain retraining. Filip had very-severe long COVID and is described as fully recovered. Couldn't walk, eat, talk or listen to music; now normal.

  • Cedar Brown's Story

    Full recovery ME/CFS SevereIll 5 years the-recovery-hub.org · sells

    She recovered from ME/CFS, alongside POTS, mold illness, IBS and anxiety, using a combination of Low Dose Naltrexone (LDN), the Edison Effect Program by Anj Garneri, Trauma Healing Accelerated and somatics work, pacing, IFS parts work and mold remediation,…

  • Abilify plus LDN Returns Retired Clinical Psychologist to 80% Health for Two Months

    Partial ME/CFS healthrising.org

    Credits abilify and low-dose naltrexone. An unnamed patient had ME/CFS and reports a partial improvement. Improvement explicitly described as lasting two months.