This is from the LDN facebook group that will explain how to dilute it, I had joined it for a bit to see what I could learn. The admin there will answer all sorts of questions, so I do recommend it.
I started low and within just a few weeks I went up to 4.5 with no problems other than sleep. Definitely don’t start at 4.5.
In the fb group, I discovered many people don’t tolerate it well at all and don’t stay on it or need to be on ultra low doses, such as .5. For some it doesnt help, for many, it seems life changing. I wasn’t on there very long but most people I noticed had various forms of constant pain they were seeking treatment for.
Figuring out the dose seems to be the biggest challenge for most people. I noticed that some people needed to keep it low, but for others, they did poorly when it was low and had to go higher. I could see how many people would give up while trying to figure that out.
The main side effect most people seem to have, including me, is having very vivid dreams. I was disturbed by it for the first 1-3 weeks, but now I’m used to it. I rarely had any awareness of ever dreaming, so it was very different for me and felt unrestful.
Over the first couple of weeks or so, my sleep was actually very poor on it and I said I was probably not staying on it. I committed to staying on it for one month, and by then, things flipped, and all the sudden I started sleeping like a baby. BTW, for those who don’t sleep well on it, they recommend trying it in the morning. That seems to help. I was about to try it, but then didn’t have to.
So, for me, after a few weeks of poor sleep, I’ve never had any side effects I know of, aside from vivid dreams.
I take it daily and don’t know if there are other dosing protocols. The only thing that is concerning to me is I worry if I had to have emergency surgery that the pain killers might not work. I don’t know how much I should be worrying about this, and perhaps it’s not such a worry at low doses. I think if you have a planned surgery, you stop it a couple days prior, but I’d have to confirm this.
You might want to check this page out
https://www.lowdosenaltrexone.org/index.html
In googling the dilution instructions for you, I noticed it potentially helps some dermatological conditions! Here you go
https://jddonline.com/articles/an-update-on-off-label-uses-of-low-dose-naltrexone-in-dermatology-S1545961624P1224X/#:~:text=The%20efficacy%20of%20off-label,recent%20years%20throughout%20the%20literature.