Medical marijuana vape for pain relief from Peripheral Neuropathy?

Good morning @mcd123, how are you doing? It is nice to see you posting again. Let me see how I can help or even if I can help today. Perhaps I don't understand what you are asking. There is really no mixing of tincture and topical except that you might use both products at certain times during the day like morning and bedtime. But then, you also might use a calming tincture in the afternoon. The actual products are different. A topical is often called a "balm". That just means heavy cream or lotion that you rub on your hands or feet. So I may use a topical after my walk or exercises. Bedtime is mandatory for my hands because I am replacing some gabapentin. My two topicals are 3:1 CBD/THC for chronic pain and 1:3 CBD/THC for acute pain.

Tinctures are liquids in a dropper bottle that are placed in your mouth and held under your tongue for a minute or so to make sure the medical cannabis goes right to your brain. If you swallow it, it takes quite a while to get through your digestive system. They come in many different CBD/THC dosages. For example, I use a 2:1 CBD/THC tincture at bedtime. Then in the morning, I usually use a 1:1 CBD/THC tincture which I call my "get up and go...girl" dosage. The second measurement I use is how much I fill the dropper....1/3, 1/2, or by mg if the dropper has markings to measure it.

If might be helpful for you to take a look at the Papa and Barkley websites just because they explain the products and their purposes quite well. They have two sites...one is for CBD only which are legal everywhere. The other includes products with THC included in them.

And now for the mystery. What is "see cream"? I have never heard of that one.

May you have happiness and the causes of happiness.
Chris

My doctor told me to not use the or CBD. The pain is so I and the gabapentin isn’t helping. It make everything worse.

Hey Art hope you’re doing well. To add to Art’s wonderful explanation vaping only lasts a short time and many of us who suffer with PN will vape throughout the day as needed. Your statement about needing to wait until a specific time for your next hit intrigued me too? I have found that over time my pain control has increased, my mmj use has too but I no longer get buzzed, which is fine with me. You need to experiment to find your sweet spot and it took me a year.

what permanent damage can cannabis do to adults? We are talking about using it for pain and it is proven that it does work.

Thanks for responding, Amanda. Yes, it took a while to figure out that a single puff on a vape is what works best after testing several versions of cannabis. (Thankfully, it’s legal in Florida for medical purposes)

Yes, if I knew I wouldn’t lose the effectiveness, I wouldn’t feel as concerned about using it nightly if necessary… and although I’m not really a fan of the feeling of being intoxicated, the relief can be glorious.
.

Good evening @possiblecidp and thanks @amandajro for the introduction. First, Steve @possiblecidp have you been diagnosed with CIDP? Are you taking any medication for pain other than the medical cannabis vape? And second, another question for which your post appears a bit disconcerting. One single vape puff of medical cannabis reduces your pain to a tolerable level and you now are using it up to three nights in a row. Question #1....how many nights in between the three-night dosages? And #2.....are you really saying that one single draw on a vape is enough to reduce your pain and put you to sleep within 90 minutes?

The reason I am asking is this.......when I started with medical cannabis, I used a vape, and one draw was not able to reduce my pain so that I could sleep. So....you are way ahead of my journey which might be interpreted that you can always add another draw if your pain level continues to become higher.

Since you are in Florida and can visit a medical cannabis dispensary, perhaps the staff "pharmacist" could help you with that answer. And finally, are you familiar with the strain or strains used in your vape? If you are using Indica, that would potentially have less strength than a Sativa strain. So....changing strains can also be a way of increasing the potency of your vape.

I no longer do any vaping because of the danger to other parts of my body, e.g. lungs. However, I can tell you that as my neuropathic pain progressed, my dosage had to progress also. So...I may have stayed with the 2:1 CBD/THC dosage but upped the tincture amount used to 1/2 a dropper as opposed to 1/3 a dropper.

Hopefully, this will make sense and show you alternative ways to increase the pain dosage in one way or another. A final example: As you probably know, pain can create anxiety and anxiety can heighten pain. I began taking Duloxetine 3 years ago and was prescribed 30 mg every morning. It worked better with my anxiety than any other medication. So....as my pain began to ramp up so did my anxiety. My PCP and I made a shared decision to keep the medical cannabis at the same dosage and increase the Duloxetine. I am now at 120 mg every morning.

Please remember that neuropathy in all of its forms is symptom progressive. We must carefully increase our "treatments" to ensure that we can live with the degree of pain and discomfort that we encounter.

How does this sound to you? Helpful?
May you be safe, protected, and free of inner and outer harm.
Chris