Thanks for the questions .
I was not on any medication prior to this thing starting up again in January.
I started the low dose naltrexone at the beginning of February at 3 mgs a day moving up to 4.5 mgs twice a day as prescribed by the doctors at the university hospital. And yes, I had this compounded at the pharmacy. I believe there is a 4.5 mg dose available however I like my meds as clean as possible.
By mid march I had no improvement. In fact I was getting worse and I had already done all the hbot sessions and the 5 days of ketamine infusions .its possible the hbot had a cumulative effect but I can not say for sure
I saw my old pm doc at this time and he suggested the change in low dose naltrexone dosing to the evenings and remaining at 4.5 mgs only once.
I started the nudexta at the same time and ALL my symptoms seemed to dissipate so I cannot say for sure which had the most effect on which symptoms .this is only my experience and I certainly hope it can help someone .bear in mind we are different and respond differently to treatments.
In my 7 plus years of remission prior to this I guess I got complacent. I didn't even think about rsd anymore. I will definitely be more mindful of it moving forward !!
Let me know if I can be of further assistance