Kathleen Toups

Low Dose Naltrexone (LDN) Prescriptions

General Information:

Dr. Toups has extensive experience with using Low Dose Naltrexone (LDN) in the management of:

  • Autoimmune disorders (Multiple Sclerosis, Parkinson’s, Crohn’s Disease, Ulcerative Colitis, Psoriasis, Hashimoto’s Thyroiditis, Graves Disease, Fibromyalgia, Chronic Fatigue Syndrome, Rheumatoid Arthritis, Sjogren’s, Ehrlos Danlos Syndrome, Lupus, Raynaud’s, Rosacea, Lyme, Mold, and more)
  • Cancer (current as well as any history of cancer in the past)
  • Pain Management
  • Psychiatric disorders (Anxiety, Depression, PTSD, Depersonalization/Dissociation).


She is able to provide a limited consultation solely for assessment, and if appropriate based on your condition, prescribing of LDN. Please note that these visits will only involve issues and concerns related to the LDN treatment, and other medical issues should be directed to your Primary Care Physician or Medical Specialist.


  1. Appropriate diagnostic indication for LDN
  2. Review of a Chemistry Panel from the past year, showing adequate liver and kidney function. (Please plan to bring in a copy of this, and if you have not had one in the past year, please ask your primary care provider to order this prior to our consultation.)
  3. Review of the Informed Consent document for LDN (click here). You will have an opportunity to discuss this informed consent and ask questions during your consultation with Dr. Toups.


Appointment Costs:

  • Initial 30" consultation $400
  • Brief 25” follow-ups  $350
  • Extended visits will be billed based on the amount of time involved, at the rate of $50 for each additional 5 minute increment after the initial times listed above.


* Note: Follow-up is required 4 to 6 weeks after beginning LDN, and every six months thereafter for refills.



Dr. Toups is an out-of-network provider, and will provide an Insurance Superbill invoice at each visit that can be submitted for insurance reimbursement. Patients with PPO insurance are often reimbursed 50% or more of the charges after their deductible has been met, though we are unable to guarantee this due to the variability and unpredictability of health insurance plans. 


Dr. Toups is not contracted with Medicare, so unfortunately you will not be able to bill Medicare for her services.



LDN Costs:

The current cost of LDN from a reputable pharmacy is approximately $46 for a 90 day supply. Shipping is free.



Additional Info on LDN:




www.HonestMedicine.com – info on LDN, Cancer, and other health issues



Requesting Appointments:

If you would like to request an appointment for a Low Dose Naltrexone (LDN) Medication evaluation, please complete the brief questionnaire on our website – it will be sent directly to our office.


Request an Appointment