diff --git a/lib/database.js b/lib/database.js
index fef430b..f1e269e 100644
--- a/lib/database.js
+++ b/lib/database.js
@@ -84,6 +84,7 @@ Database.prototype.exec = wrappers.exec;
 Database.prototype.close = wrappers.close;
 Database.prototype.defaultSafeIntegers = wrappers.defaultSafeIntegers;
 Database.prototype.unsafeMode = wrappers.unsafeMode;
+Database.prototype.loadExtension = wrappers.loadExtension;
 Database.prototype[util.inspect] = require('./methods/inspect');
 
 // Export SQLITE_SCANSTAT_* constants from native addon
diff --git a/lib/index.d.ts b/lib/index.d.ts
index c4949dd..e57c14c 100644
--- a/lib/index.d.ts
+++ b/lib/index.d.ts
@@ -96,7 +96,7 @@ declare namespace BetterSqlite3 {
                 result?: ((total: T) => unknown) | undefined;
             },
         ): this;
-        loadExtension(path: string): this;
+        loadExtension(path: string, entryPoint?: string): this;
         close(): this;
         defaultSafeIntegers(toggleState?: boolean): this;
         backup(destinationFile: string, options?: Database.BackupOptions): Promise<Database.BackupMetadata>;
diff --git a/lib/methods/wrappers.js b/lib/methods/wrappers.js
index 0914ed3..67d80a4 100644
--- a/lib/methods/wrappers.js
+++ b/lib/methods/wrappers.js
@@ -25,6 +25,11 @@ exports.unsafeMode = function unsafeMode(...args) {
 	return this;
 };
 
+exports.loadExtension = function loadExtension(...args) {
+	this[cppdb].loadExtension(...args);
+	return this;
+};
+
 exports.getters = {
 	name: {
 		get: function name() { return this[cppdb].name; },
diff --git a/src/objects/database.cpp b/src/objects/database.cpp
index 1fcacc0..19e615f 100644
--- a/src/objects/database.cpp
+++ b/src/objects/database.cpp
@@ -132,6 +132,7 @@ INIT(Database::Init) {
 	SetPrototypeMethod(isolate, data, t, "function", JS_function);
 	SetPrototypeMethod(isolate, data, t, "aggregate", JS_aggregate);
 	SetPrototypeMethod(isolate, data, t, "table", JS_table);
+	SetPrototypeMethod(isolate, data, t, "loadExtension", JS_loadExtension);
 	SetPrototypeMethod(isolate, data, t, "close", JS_close);
 	SetPrototypeMethod(isolate, data, t, "defaultSafeIntegers", JS_defaultSafeIntegers);
 	SetPrototypeMethod(isolate, data, t, "unsafeMode", JS_unsafeMode);
@@ -171,7 +172,9 @@ NODE_METHOD(Database::JS_new) {
 	sqlite3_busy_timeout(db_handle, timeout);
 	sqlite3_limit(db_handle, SQLITE_LIMIT_LENGTH, MAX_BUFFER_SIZE < MAX_STRING_SIZE ? MAX_BUFFER_SIZE : MAX_STRING_SIZE);
 	sqlite3_limit(db_handle, SQLITE_LIMIT_SQL_LENGTH, MAX_STRING_SIZE);
-	int status = sqlite3_db_config(db_handle, SQLITE_DBCONFIG_DEFENSIVE, 1, NULL);
+	int status = sqlite3_db_config(db_handle, SQLITE_DBCONFIG_ENABLE_LOAD_EXTENSION, 1, NULL);
+	assert(status == SQLITE_OK);
+	status = sqlite3_db_config(db_handle, SQLITE_DBCONFIG_DEFENSIVE, 1, NULL);
 	assert(status == SQLITE_OK); ((void)status);
 
 	if (node::Buffer::HasInstance(buffer) && !Deserialize(buffer.As<v8::Object>(), addon, db_handle, readonly)) {
@@ -206,6 +209,28 @@ NODE_METHOD(Database::JS_prepare) {
 	if (!maybeStatement.IsEmpty()) info.GetReturnValue().Set(maybeStatement.ToLocalChecked());
 }
 
+NODE_METHOD(Database::JS_loadExtension) {
+	Database* db = Unwrap<Database>(info.This());
+	REQUIRE_ARGUMENT_STRING(first, v8::Local<v8::String> filename);
+	v8::Local<v8::String> entryPoint;
+	if (info.Length() > 1) { REQUIRE_ARGUMENT_STRING(second, entryPoint); }
+	REQUIRE_DATABASE_OPEN(db);
+	REQUIRE_DATABASE_NOT_BUSY(db);
+	REQUIRE_DATABASE_NO_ITERATORS(db);
+	UseIsolate;
+	char* error;
+	int status = sqlite3_load_extension(
+		db->db_handle,
+		*v8::String::Utf8Value(isolate, filename),
+		entryPoint.IsEmpty() ? NULL : *v8::String::Utf8Value(isolate, entryPoint),
+		&error
+	);
+	if (status != SQLITE_OK) {
+		ThrowSqliteError(db->addon, error, status);
+	}
+	sqlite3_free(error);
+}
+
 NODE_METHOD(Database::JS_exec) {
 	Database* db = Unwrap<Database>(info.This());
 	REQUIRE_ARGUMENT_STRING(first, v8::Local<v8::String> source);
diff --git a/src/objects/database.hpp b/src/objects/database.hpp
index 87fb2c3..bd8889d 100644
--- a/src/objects/database.hpp
+++ b/src/objects/database.hpp
@@ -75,6 +75,7 @@ class Database : public node::ObjectWrap {
 	static NODE_METHOD(JS_function);
 	static NODE_METHOD(JS_aggregate);
 	static NODE_METHOD(JS_table);
+	static NODE_METHOD(JS_loadExtension);
 	static NODE_METHOD(JS_close);
 	static NODE_METHOD(JS_defaultSafeIntegers);
 	static NODE_METHOD(JS_unsafeMode);
diff --git a/test/15.database.load-extension.js b/test/15.database.load-extension.js
new file mode 100644
index 0000000..6ee725a
--- /dev/null
+++ b/test/15.database.load-extension.js
@@ -0,0 +1,50 @@
+'use strict';
+const { execSync } = require('child_process');
+const path = require('path');
+const Database = require('../.');
+
+const isWindows = process.platform === 'win32';
+const extensionSrc = path.join(__dirname, '..', 'deps', 'test_extension.c');
+const sqliteInclude = path.join(__dirname, '..', 'deps', 'sqlite3');
+const extensionPath = path.join(__dirname, '..', 'temp', 'test_extension');
+
+(isWindows ? describe.skip : describe)('Database#loadExtension()', function () {
+	before(function () {
+		const ext = process.platform === 'darwin' ? '.dylib' : '.so';
+		this.extensionFile = extensionPath + ext;
+		execSync(`cc -shared -fPIC -I "${sqliteInclude}" -o "${this.extensionFile}" "${extensionSrc}"`);
+	});
+	beforeEach(function () {
+		this.db = new Database(util.next());
+	});
+	afterEach(function () {
+		this.db.close();
+	});
+
+	it('should throw an exception if a string is not provided', function () {
+		expect(() => this.db.loadExtension(123)).to.throw(TypeError);
+		expect(() => this.db.loadExtension(null)).to.throw(TypeError);
+		expect(() => this.db.loadExtension()).to.throw(TypeError);
+	});
+	it('should throw an exception if the extension is not found', function () {
+		expect(() => this.db.loadExtension('/tmp/nonexistent_extension')).to.throw(Database.SqliteError);
+	});
+	it('should load the extension and make its functions available', function () {
+		const r = this.db.loadExtension(extensionPath);
+		expect(r).to.equal(this.db);
+		const result = this.db.prepare('SELECT testExtensionFunction(1, 2, 3) AS val').get();
+		expect(result.val).to.equal(3);
+	});
+	it('should not allow loading extensions while the database is busy', function () {
+		this.db.exec('CREATE TABLE data (x)');
+		this.db.exec('INSERT INTO data VALUES (1)');
+		const iter = this.db.prepare('SELECT * FROM data').iterate();
+		iter.next();
+		expect(() => this.db.loadExtension(extensionPath)).to.throw(TypeError);
+		iter.return();
+	});
+	it('should not allow loading extensions after the database is closed', function () {
+		this.db.close();
+		expect(() => this.db.loadExtension(extensionPath)).to.throw(TypeError);
+	});
+});