Hi Joanne, How are you? I hope you are doing ok. I know how hard it is, believe me. As far as the Naltrexone, I just raised my dosage to 4 and one half milligrams. I have absolutely no side effects that I can feel at all. I had to make a few phone calls, but I lucked out, and found a compounding pharmacy about 20 minutes from my house, in a Walgreens. Naltrexone is not covered by my Medicare, but not that expensive, thank God. About 35 bucks for a month. The last 4 days on it have definitely been an improvement to my pain level. No doubt about it. But it helps only with pain. It does not help with other crazy foot sensations, like toes that feel stuck together, or too wide spread. My feet still feel weak, and I cannot walk too much. I do foot exercises daily, and try to walk, daily. The best though, is that the pain level is definitely better. Probably from about a 7-8, to a 3-4. For me, that is like a miracle. I will keep everyone informed about the Naltrexone after at least 3 weeks or so. I am praying that less pain continues. Be well as you can, Joanne. I know our struggles. I hope your bro is ok. I hope the rest of your family is ok, and that your daughters new marriage works well with her. God bless, Lori