What is Naltrexone?
Naltrexone is a medication traditionally used in high doses to treat opioid and alcohol dependence by blocking the effects of these substances. However, at much lower doses—referred to as Low-Dose Naltrexone (LDN)—it has been explored for its potential to regulate the immune system, reduce inflammation, and alleviate symptoms in chronic conditions such as fibromyalgia, ME/CFS, and more recently, Long COVID.

How Naltrexone may Help for Long COVID
- Reducing Inflammation – LDN is believed to inhibit microglial activation in the brain and decrease the release of pro-inflammatory cytokines. Since chronic inflammation is linked to Long COVID symptoms such as fatigue, brain fog, and pain, LDN may help alleviate these issues.
- Modulating the Immune System – Some research suggests that Long COVID may involve autoimmune-like processes. LDN has been shown to help regulate immune function by reducing autoantibody activity, which could contribute to symptom relief.
- Improving Fatigue and Energy Levels – By enhancing endorphin production and cellular energy metabolism, LDN may support recovery from post-viral fatigue and improve overall well-being in Long COVID patients.
What the Research Says
Studies have explored the effectiveness of Low-Dose Naltrexone in treating Long COVID, showing promising results and significant general symptom relief.
Key Literature on Low-Dose Naltrexone and Long COVID
Clinical trials showing positive effects:
- This study found that LDN is a safe treatment option, with patients experiencing symptom improvement after two months. Improvements were noted in fatigue, cognitive function, and overall quality of life.
- This study observed that LDN helped reduce inflammation and immune dysregulation in Long COVID patients, leading to a decrease in persistent symptoms such as muscle pain and brain fog.
- This study designed a clinical trial to evaluate LDN’s impact on post-COVID fatigue. Initial data suggested a significant reduction in fatigue severity and an improvement in daily functioning.
- This study examined the combined use of LDN and NAD+, reporting that the combination improved energy levels and reduced neurological symptoms in post-COVID patients.
Final Thoughts
Low-Dose Naltrexone is emerging as a promising treatment for Long COVID, with multiple studies supporting its potential benefits in reducing inflammation, modulating the immune system, and improving fatigue. While more large-scale clinical trials are needed, the current evidence suggests LDN could be a safe and effective option for managing Long COVID symptoms. Of course, this is a prescription medication and its use can only be guided by a medical professional. While LDN is FDA-approved for other conditions at higher doses, its use for Long COVID is considered off-label