For US residents, the easiest path is often a telehealth platform that combines a doctor's consultation with a pharmacy partner. Can You Get Naltrexone Over the Counter? - ChoicePoint

Low Dose Naltrexone (LDN) is a specialized therapy that requires a different approach than standard medications because the standard dose (50mg) is significantly higher than the low doses (typically 0.5mg to 4.5mg) used for chronic pain and autoimmune conditions.

: Standard retail pharmacies (like CVS or Boots) usually only stock 50mg tablets. To get LDN, you must use a compounding pharmacy that can precisely measure and create micro-doses in capsule, tablet, or liquid form.

: Sites claiming to sell Naltrexone "over-the-counter" often sell counterfeit, expired, or unregulated products that may be dangerous. 2. Where to Buy in the United States