@donfeld, Good afternoon. The sun just came out.......finally. I really feel that we might have a basket of apples and oranges here. We have an agreement that medical cannabis or marijuana can be very helpful for Small Fiber Neuropathy and one might assume the idiopathic diagnosis. We don't all agree on the distribution method. So without going to Leafy, I am going to reprint what I was taught. (By the way, I subscribe to "Leafy" and follow their lead in my research efforts.).

For immediate response to intense pain use a vape pen and a cartridge of a hybrid or other strain/formula you prefer. Within 10-15 minutes, the pain will begin to move to the background. However, it only lasts about 20-30 minutes. That is where I started. I no longer vape.

Then I graduated to tinctures, starting with 3:1 CBD/THC held under the tongue for just a few seconds or so. At first, 25 mcg, on up to a dropper plus 50 mcg. That lasts 3-4 hours or until you wake up in the morning after a bedtime dose. About a year ago, I upped the tincture ante to 2:1 CBD/THC in the morning before my yoga and mindfulness practice. That was done in concert with a taper off of nortryptyline. Recently I have progressed to 1:1 CBD/THC and have begun to reduce my nightly gabapentin.

At each step, I used medical cannabis to change the dosages of or eliminate medication which for me had too many side effects.

Just yesterday.......I moved over to a 1:3 CBD/THC. Called THC (rich).....so far so good. Again I started with the minimal .25mcg and will increase slowly. Only after this dosage is up and running will I begin the taper from anti-anxiety medication. Shoot....I am anxious just writing this reply.

So...... careful watching....digestive system, dry eyes, head zaps, etc. etc. We all have to be our own prescribers.

May you be content and at ease today.
Chris