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Lactose based fillers. If you are lactose intolerant.

D Bergy

Quoting Maarit <mervi111@...>:

> I cannot find the info about what fillings are not good for LDN

> capsules???? Can anyone help, please? I got the rx from my doctor

> today!!!!!!!!!!!!!

>

> Maarit

>

>

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In particular avoid slow release fillers like calcium carbonate. Apart

from that it's just a matter of personal choice or where you get it

from. For example Skip only uses Avicel so if you use Skip's you have no

choice in the matter (which to 99.5% of people is not an issue).

Message #71781 posted by Art only days ago says:

LDN FILLERS

If your Low Dose Naltrexone comes from a compounding

pharmacy and arrives as a liquid, then you're getting pure

naltrexone powder dissolved in distilled water. This is probably

the " purest " way to ingest naltrexone. You don't need to worry

about fillers.

BUT -- If you get your LDN in any other form, you're

swallowing filler.

A " filler " is an inert, inactive ingredient that accompanies every

dose of naltrexone you take.

If you make your own LDN --

If you make LDN by crushing ReVia (pronounced REV-yah)

or another commercially manufactured 50mg naltrexone tablet,

you're still ingesting filler, because each tablet is comprised of

about 16% Naltrexone and 84% filler.

What kind of filler is in your tablet? This depends on the

manufacturer. Here are the main manufacturers:

Barr Labs – Barr manufactures naltrexone under the brand

name ReVia for the US and Canadian markets. This tablet

contains 50mg naltrexone and these inactive ingredients:

lactose monohydrate, colloidal silicone dioxide, magnesium

stearate, crospovidone, microcrystalline cellulose, purified

water, Opadry beige (coloring). [information from Barr Labs

phone representative.]

Bristol Myers Squibb – BMS manufactures naltrexone under

the brand name ReVia in markets other than the US and

Canada. As of 2002, their 50 mg tablets contain 50 mg of

naltrexone hydrochloride, plus these inactive ingredients (filler):

lactose, microcrystalline cellulose, crospovidone, silicon

dioxide, magnesium stearate, and pale yellow Opadry

(colouring). [information from a 2002 leaflet by Australian

Prescription Products Guide.]

Mallinckrodt – makes a 50mg naltrexone pill called Depade.

This tablet contains 50mg naltrexone, plus these inactive

ingredients (filler): crospovidone, hydropropyl methylcellulose,

lactose monohydrate, magnesium stearate, microcrystalline

cellulose, polyethelene glycol, polysorbate 80, silicone dioxide,

titanium dioxide, yellow iron oxide, and red iron oxide.

[information from Mallinckrodt website.]

[Historical Note: The original ReVia was made by Dupont.

The inactive ingredients were: lactose, microcrystalline

cellulose, crospovidone, silicon dioxide, magnesium stearate,

and pale yellow Opadry (colouring). In 2001, Bristol Myers

Squibb acquired DuPont Pharmaceuticals. In April 2002,

BMS sold the ReVia brand-name rights in the US and Canada

to Barr Laboratories. BMS continues to market ReVia outside

of the US and Canada.]

If your LDN is made by a compounding pharmacy –

Ask your pharmacist how it is made.

1. Some compounders make LDN by crushing commercially

manufactured 50mg tablets and putting the powder into

capsules. Because the amount of powder that goes into each

capsule is not enough to fill the capsule, most pharmacies add

additional filler. If this is how you get your LDN, you can find

out which commercially manufactured tablet is being used and

what kind of additional filler is being added.

2. Other compounders don't crush 50mg tablets; instead, they

use pure naltrexone powder (purchased in bulk from

pharmaceutical companies), which they mix with filler. From

these pharmacists, you can learn what kind of filler you are

taking.

Here are some of the most common fillers used by

compounding pharmacists:

LACTOSE: Lactose is a naturally-occurring simple

carbohydrate, or sugar, found only in the milk of mammals. For

this reason, it is also commonly referred to as " milk sugar. "

Lactose has long been used as a soluble filler in the manufacture

of orally administered pharmaceuticals. It is safe, stable,

inexpensive, and has a fast dissolution rate. Pharmaceutical-

grade lactose powder is highly pure, and specifically produced

to meet government standards of safety and purity.

Lactose is easily tolerated by most patients. However, if you

are lactose-intolerant (that is, if milk products give you nausea,

diarrhea, abdominal cramping, bloating, or flatulence), you

might want to try another filler.

Note: Dr Bihari asks his patients to use lactose, unless they

have an adverse reaction… not because he believes lactose is

better than other fillers, but because he began his study of LDN

with lactose, and he wants his records to be consistent.

ACIDOPHILOUS – (pronounced Ah-SID-uh-FILL-us) – is

lactic bacteria, or one-celled micro-organisms, used by the

body to promote immunity and proper nutrition. Sold over the

counter as a nutritional supplement and digestive aid,

Acidophilus is sometimes used as a treatment for diarrhea and

constipation. It is commercially available as powder, tablets,

capsules or liquid.

Lactose-intolerant patients sometimes switch to Acidophilus

filler in their LDN capsules.

AVICEL – a brand name for microcrystalline cellulose. Avicel

has been used safely and effectively for 35 years in the food

and pharmaceutical industries. Virtually inert, it is not absorbed

into the system, and will not interfere or interact with other

nutrients, vitamins or minerals. Avicel is made of wood which

has been purified and powdered into extremely tiny particles --

between 0.000039 and 0.0001560 of an inch of pure fiber,

with the consistency of a very fine face powder.

Avicel is the filler used by Skip's Pharmacy in Boca Raton.

For a fun history of Avicel, " Let Us Have Nothing To Eat, "

CLICK HERE.

CALCIUM CARBONATE – a mineral that occurs naturally

in limestone, marble and coral. Crushed to a fine, flavorless,

odourless powder, it is a natural food additive, and the most

common ingredient in calcium supplements and antacids.

Calcium is absorbed by the small intestine and is used by the

body to build bone tissue. Calcium supplements are generally

well tolerated, but in some patients may cause constipation,

bloating, gas and flatulence.

People with kidney stones, hypercalcemia, sarcoidosis,

hyperparathyroidism, hypervitaminosis D or cancer should not

take calcium carbonate.

People taking calcium supplements are usually advised to take

them with food.

There has been some concern among LDN users that calcium

carbonate is occasionally packed too tight in the capsule, which

can cause a slow-release reaction, rather than the desired fast-

release.

IMPORTANT: Make sure to specify that you do NOT want LDN in a slow-

release form.

Reports have been received from patients that their pharmacies have

been supplying a slow-release form of naltrexone. Pharmacies should

be instructed NOT to provide LDN in an " SR " or slow-release or timed-

release form. Unless the low dose of naltrexone is in an unaltered

form, which permits it to reach a prompt " spike " in the blood stream,

its therapeutic effects may be inhibited.

Fillers. Capsules of LDN necessarily contain a substantial percentage

of neutral inactive filler. Experiments by the compounding

pharmacist, Dr. Skip Lenz, have demonstrated that the use of calcium

carbonate as a filler will interfere with absorption of the LDN

capsule. Therefore, it is suggested that calcium carbonate filler not

be employed in compounding LDN capsules. He recommends either Avicel,

lactose (if lactose intolerance is not a problem), or sucrose fillers

as useful fast-release fillers.

Any questions about filler should be referred to your

doctor or your pharmacist.

Maarit wrote:

> I cannot find the info about what fillings are not good for LDN

> capsules???? Can anyone help, please? I got the rx from my doctor

> today!!!!!!!!!!!!!

>

> Maarit

>

>

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IMPORTANT: Make sure to specify that you do NOT want LDN in a slow-

release form.

Reports have been received from patients that their pharmacies have

been supplying a slow-release form of naltrexone. Pharmacies should

be instructed NOT to provide LDN in an " SR " or slow-release or timed-

release form. Unless the low dose of naltrexone is in an unaltered

form, which permits it to reach a prompt " spike " in the blood stream,

its therapeutic effects may be inhibited.

Fillers. Capsules of LDN necessarily contain a substantial percentage

of neutral inactive filler. Experiments by the compounding

pharmacist, Dr. Skip Lenz, have demonstrated that the use of calcium

carbonate as a filler will interfere with absorption of the LDN

capsule. Therefore, it is suggested that calcium carbonate filler not

be employed in compounding LDN capsules. He recommends either Avicel,

lactose (if lactose intolerance is not a problem), or sucrose fillers

as useful fast-release fillers.

http://www.low dose naltrexone.org/index.htm#What_is_low_dose_naltrexone

>

> I cannot find the info about what fillings are not good for LDN

> capsules???? Can anyone help, please? I got the rx from my doctor

> today!!!!!!!!!!!!!

>

> Maarit

>

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How soon they forget!

Art

--

>

> In particular avoid slow release fillers like calcium carbonate.

Apart

> from that it's just a matter of personal choice or where you get it

> from. For example Skip only uses Avicel so if you use Skip's you have

no

> choice in the matter (which to 99.5% of people is not an issue).

>

> Message #71781 posted by Art only days ago says:

>

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> >

> > In particular avoid slow release fillers like calcium carbonate.

> Apart

> > from that it's just a matter of personal choice or where you get it

> > from. For example Skip only uses Avicel so if you use Skip's you have

> no

> > choice in the matter (which to 99.5% of people is not an issue).

> >

> > Message #71781 posted by Art only days ago says:

> >

>

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Say what?!!

The subject was fillers NOT to be used in LDN capsules.

CALCIUM CARBONATE must not be used as a filler as it may cause LDN to

be released slowly in ones system.

Art

--

>

> I have a neighbor who has a doctorate in Microbiology and has

written

> books on health and wellness, was Mr. Universe, has trained body

> builders for many years and has done a lot of cancer research as

well

> as other research. I always consult with him when I have a question

> about supplements, etc., and of course I trust him since he is so

> qualified in such matters. He says to take Calcium Citrate (liquid).

> It is more easily assimilated. -Biz

>

>

>

>

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ah, so that is Literally Apples & Oranges! LOL

[low dose naltrexone] Re: Fillings!!!

Say what?!!The subject was fillers NOT to be used in LDN capsules. CALCIUM CARBONATE must not be used as a filler as it may cause LDN to be released slowly in ones system. Art--> > I have a neighbor who has a doctorate in Microbiology and has written> books on health and wellness, was Mr. Universe, has trained body> builders for many years and has done a lot of cancer research as well> as other research. I always consult with him when I have a question> about supplements, etc., and of course I trust him since he is so> qualified in such matters. He says to take Calcium Citrate (liquid).> It is more easily assimilated. -Biz> >

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> >

> > I have a neighbor who has a doctorate in Microbiology and has

> written

> > books on health and wellness, was Mr. Universe, has trained body

> > builders for many years and has done a lot of cancer research as

> well

> > as other research. I always consult with him when I have a question

> > about supplements, etc., and of course I trust him since he is so

> > qualified in such matters. He says to take Calcium Citrate (liquid).

> > It is more easily assimilated. -Biz

> >

> >

>

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Oh dear! Then what about the 50mg naltrexone tablet (a small blue

tablet, not capsule) from CCM Pharmaceutical? Have been making my own

low dose naltrexone so far. Does that also contain fillings???

HP

> > I cannot find the info about what fillings are not good for LDN

> > capsules???? Can anyone help, please? I got the rx from my doctor

> > today!!!!!!!!!!!!!

> >

> > Maarit

> >

> >

>

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Yes the 50 mg Naltrexone Tablets also contain filler but not sure what kind it has.

May there be a miracle in YOUR life today and may you have the EYES to see it.From My Heart to Yours Love, Hugs & Blessings, CrystalLDN_Users Group OwnerDiagnosed November 2004 with Secondary Progressive MS, Transverse Myelitis and an Advocate for LDN!! 3 years on LDN with Skip's Pharmacy.....No Relapses......Crystal's MS,TM & LDN Websitehttp://www.freewebs.com/crystalangel6267/index.htm LDN Website http://ww.ldninfo.org/Crystal's LDN Support GroupLDN_Users/ Crystal's LDN Gift Shophttp://www.cafepress.com/crystalldngifts Skip's Compounding Pharmacyhttp://www.skipspharmacy.com/

From: chu_hui_ping <chu_hui_ping@...>low dose naltrexone Sent: Tuesday, October 28, 2008 8:12:22 PMSubject: [low dose naltrexone] Re: Fillings!!!

Oh dear! Then what about the 50mg naltrexone tablet (a small blue tablet, not capsule) from CCM Pharmaceutical? Have been making my own low dose naltrexone so far. Does that also contain fillings???HP> > I cannot find the info about what fillings are not good for LDN> > capsules???? Can anyone help, please? I got the

rx from my doctor> > today!!!!!!! !!!!!!> >> > Maarit> >> >>

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The 50mg tablets like Revia apparently contain about 85% filler

(composition unknown and probably varies). However, if you are making

your own by dissolving the tablet in water the amount of filler you are

ingesting each day is very minimal.

chu_hui_ping wrote:

> Oh dear! Then what about the 50mg naltrexone tablet (a small blue

> tablet, not capsule) from CCM Pharmaceutical? Have been making my own

> low dose naltrexone so far. Does that also contain fillings???

>

> HP

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If you're making homemade liquid LDN, as this is a very fast release

formula, then there's no need to worry about the filler unless you

happen to be alergic to that particular filler. Not sure what's in the

50mg tablet.

Art

--

>

> Oh dear! Then what about the 50mg naltrexone tablet (a small blue

> tablet, not capsule) from CCM Pharmaceutical? Have been making my own

> low dose naltrexone so far. Does that also contain fillings???

>

> HP

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Huiping, good to see you here!:-)) I guess with the ready made tablets the filler will not be quite so important since you are making a dilution which I would say would be more easily absorbed, certainly the liquid Dickson's chemist supplies provides a quicker 'hit' than the capsules. You could though, ask the supplier what filler is in the tablets - out of curiosity.....

Best

Celia

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