Targeted Relief • Prescription Required
Low-Dose Naltrexone (LDN) Topical Cream
A gentle, customized approach to pain and inflammation relief. LDN topical cream delivers medication directly through the skin, providing localized relief, reducing inflammation, and modulating the immune response with minimal systemic effects.
Low-Dose Naltrexone (LDN) Topical Cream
Low-Dose Naltrexone (LDN) topical cream is a customized treatment option that delivers LDN directly through the skin to provide localized relief. This method targets specific areas of the body, reducing inflammation and modulating the immune response where it’s needed most.
Topical application is highly effective for managing chronic pain and inflammatory skin conditions with minimal systemic effects compared to oral or injectable forms.
By applying the cream directly to affected regions, patients may experience relief from conditions such as arthritis, psoriasis, and eczema without the broader systemic exposure of oral therapy. This localized approach makes LDN cream an excellent option for targeted symptom relief.

Why Choose Low-Dose Naltrexone (LDN) Topical Cream?
Localized Relief
LDN cream acts directly on the site of inflammation or pain, ensuring targeted treatment where it’s needed most.
Minimized Systemic Effects
Topical application delivers the active ingredient directly to affected areas, reducing the risk of systemic side effects.
Custom-Tailored Treatment
Formulations can be personalized based on your condition, skin sensitivities, and prescriber guidance for optimal results.
Key Benefits
• Directly targets inflammation and pain
• Reduces the risk of systemic side effects
• Effective for chronic pain, skin inflammation, and autoimmune skin conditions
What Conditions Can Be Treated with Low-Dose Naltrexone (LDN) Topical Cream?
Chronic Pain
Topical LDN cream can provide targeted relief for arthritis, fibromyalgia, and nerve pain, easing discomfort directly at the site.
Inflammatory Skin Conditions
Used for conditions like psoriasis, eczema, and dermatitis, LDN cream reduces local inflammation and irritation.
Autoimmune Skin Conditions
Beneficial for localized immune modulation in conditions like lichen sclerosus and other autoimmune skin disorders.
What Is the Recommended Dosage for Low-Dose Naltrexone (LDN) Topical Cream?
LDN topical cream is customized to suit each patient’s needs. Concentrations and frequency of use are tailored to deliver targeted, effective relief with minimal systemic effects.
Starting Concentration
Typical concentrations range from 1.5 mg to 4.5 mg per application, depending on the condition’s severity and treatment area.
Dosage Adjustment
Frequency and strength may be adjusted based on individual response. Application is usually recommended once or twice daily.
Application Site
The cream is applied directly to the affected area, such as inflamed joints or painful regions, ensuring localized relief with minimal systemic exposure.
Supplements to Support LDN Therapy
When using Low-Dose Naltrexone (LDN) , certain supplements may improve tolerance, reduce side effects, and support immune balance.

- Omega-3 Fatty Acids – support anti-inflammatory balance and immune modulation
- Vitamin D₃ – helps regulate immune function and may enhance LDN’s benefits
- Magnesium Glycinate – promotes relaxation, sleep quality, and muscle comfort
- Probiotics – support gut health and balanced immune response
- Alpha-Lipoic Acid (ALA) – antioxidant that supports nerve health and reduces oxidative stress
Note: These supplements are supportive and not a replacement for LDN. Always consult your provider or pharmacist before starting new supplements.
Storage & Safety Information for Low-Dose Naltrexone (LDN) Topical Cream
Proper storage and safe application of compounded LDN cream ensures effectiveness and minimizes risks.
Storage Guidelines
Store compounded LDN topical cream at 68°F–77°F (20°C–25°C) in a cool, dry place away from heat, humidity, and direct sunlight. Do not refrigerate or freeze unless instructed by your pharmacist. Keep the cream tightly closed and in its original labeled container.
Always wash your hands before and after applying the cream. Store out of reach of children and pets to avoid accidental exposure.
Questions about storage, expiration, or handling? Call (201) 444-4190 or email info@rockridgepharmacy.com.
Safety & Possible Side Effects
Common side effects may include mild skin irritation, redness, or itching at the application site. Temporary effects such as tingling or dryness usually improve with continued use or by adjusting the strength. Rare reactions may include rash, swelling, or worsening irritation — discontinue use and consult your provider if these occur.
Disclaimer: This content is for educational purposes only and is not a substitute for medical advice. Always consult your healthcare provider before starting, changing, or discontinuing compounded LDN topical cream therapy.
How Quickly Does Low-Dose Naltrexone (LDN) Work?
The onset of benefits depends on the condition being treated and individual patient response.

Autoimmune & Pain Conditions
For conditions like fibromyalgia, MS, or chronic pain, patients may notice improvements within 2–6 weeks, though steady benefits often build over several months.
Neurological & Mood Support
In cases of depression, PTSD, or neurological conditions, benefits may take several weeks to months, with gradual improvements as endorphin levels stabilize.
Key Takeaway
LDN works gradually and consistently. Close monitoring and open communication with your provider ensure dosing adjustments and the best long-term results.
Cost of Low-Dose Naltrexone (LDN) Topical Cream
Custom Compounding: LDN is prepared in personalized doses not available commercially, ensuring therapy tailored to your specific needs.
Affordable Pricing: Rock Ridge Pharmacy offers competitive pricing options, keeping LDN therapy accessible while maintaining the highest compounding standards.
Expert Guidance: Every prescription is compounded with precision and oversight from our pharmacists, who also provide ongoing support for dose adjustments, safety, and long-term use.
For details on custom LDN pricing, please call Rock Ridge Pharmacy at (201) 444-4190 or email info@rockridgepharmacy.com .
Is Low-Dose Naltrexone (LDN) Right for You?
Key considerations when evaluating whether LDN therapy may support your health needs.
Assess Your Condition
LDN is commonly used off-label for autoimmune conditions (MS, Crohn’s, Hashimoto's), chronic pain (fibromyalgia), and neurological disorders (Parkinson’s, Alzheimer’s). If you live with one of these, LDN may be worth exploring.
Consider Individual Variability
The effectiveness of LDN differs for each person. Factors such as overall health, severity of condition, and prior treatment responses influence results.
Monitor & Adjust Your Dose
LDN is usually started at 1.5 mg daily and increased gradually. Tracking symptoms and side effects helps find the optimal dose tailored to you.
Feedback & Risks
Stay in close contact with your healthcare provider to adjust treatment and monitor side effects. LDN is generally well-tolerated, with minor effects like vivid dreams or headaches balanced against potential benefits.
Disclaimer: This content is for educational purposes only and does not replace professional medical advice. Always consult your healthcare provider before starting or adjusting LDN therapy.

Why Rock Ridge Pharmacy for Compounded LDN Topical Cream?
- Custom concentrations — tailored to your provider’s prescription for localized relief.
- USP <795> & <800> compliant lab — ensuring purity, consistency, and safety.
- Targeted formulations — designed to minimize systemic effects while treating the affected area.
Our compounding pharmacists carefully prepare each prescription of Low-Dose Naltrexone Topical Cream, ensuring the correct concentration and base are selected to maximize absorption and patient comfort.
Patients also receive personalized pharmacist support — from application guidance to monitoring results — helping ensure LDN cream therapy is safe, effective, and customized to your needs.
FAQs about Low-Dose Naltrexone (LDN) Cream
What is Low-Dose Naltrexone (LDN) Topical Cream and how is it prepared?
LDN Topical Cream is a compounded medication that delivers low-dose naltrexone through the skin for localized relief. At Rock Ridge Pharmacy, our pharmacists prepare customized strengths to meet each patient’s needs.
How does LDN Topical Cream work?
Applied directly to the skin, LDN cream penetrates locally to reduce inflammation and modulate immune activity in the targeted area. This minimizes systemic exposure while providing effective symptom relief.
What conditions can LDN Topical Cream support?
LDN cream is commonly used for arthritis, nerve pain, psoriasis, eczema, lichen sclerosis, and other inflammatory or autoimmune-related skin conditions.
When will I start noticing results from LDN cream?
Some patients notice improvements within a few weeks, but maximum benefits may take 8–12 weeks depending on the condition and treatment response.
How is LDN Topical Cream applied?
The cream is applied directly to affected areas (such as painful joints or inflamed skin) once or twice daily, based on your provider’s instructions.
What concentrations are available for LDN cream?
Typical compounded concentrations range from 1.5 mg to 4.5 mg per application, though your prescriber may adjust the formulation for your specific condition.
Can LDN Topical Cream be used with oral medications?
Yes, in many cases. However, it should not be used with opioid medications. Always review your treatment plan with your provider or pharmacist before starting.
What are the most common side effects of LDN Topical Cream?
Mild skin irritation, redness, or itching at the application site may occur. These effects are usually temporary and improve with continued use.
Is LDN Topical Cream safe for long-term use?
Yes. LDN cream is considered safe for long-term therapy when monitored by your healthcare provider, making it an excellent option for chronic conditions.
Do I need a prescription for LDN Topical Cream?
Yes. LDN cream is a compounded prescription medication and requires a valid prescription from your healthcare provider.
How much does LDN Topical Cream cost, and is it covered by insurance?
Costs vary depending on concentration and volume. Most insurance plans do not cover compounded LDN, but Rock Ridge Pharmacy offers affordable options.
How do Rock Ridge Pharmacy pharmacists support patients using LDN cream?
Our pharmacists provide personalized counseling on how to apply LDN cream, monitor for side effects, and collaborate with prescribers to ensure treatment success.
Where can I learn more about LDN research?
You can visit the LDN Research Trust or speak with our pharmacists for additional resources.
Get Started with Low-Dose Naltrexone (LDN) Topical Cream Today
If you think LDN Topical Cream could be beneficial for your condition, consult your healthcare provider and reach out to Rock Ridge Pharmacy to learn more about our customized compounding services. Our expert pharmacists are dedicated to providing the personalized care you need to manage your condition effectively.