I will ask about this naltrexone at my next visit. I got that lotion free, one time through a mis-handleing of the script up in Georgia. Billed to medicaid I guess. The thing is it works and I sure hate taking another pill. If this new med is anything like morhpine, I don't think I would do it. I am going through morphine withdral right now and it is miserable. I was sick of taking them, and living my life around them. This blasted RSD or PN is misery at times that is why this doc. tried the compound. You are right medicare/ medicaid would see you dead, before giving you a medicaiton like that. Thanks lit love for caring. ginnie