Thank you for letting yourself be that vulnerable Keith. I understand the angst of being responsible for directing the protocol for your child. Rest assured you can't do any harm, and that should give you comfort as well as courage.
Yes, I'd begin with capsules. if it were me, I'd be going with two different types of capsules, one CBD-dominant and the other THC-dominant, staggered through the day. In my opinion, the CBD would give you the best chance for pain reduction and decrease in inflammation, and I'd probably opt for four or five doses of this a day. I take five a day myself, starting at 9 AM and then take them every 3.5 hours until I take the last dose at 11 PM. It works for me, but I'm up all night. It's recommended that you don't take CBD right before bed. It can interfere with sleep. Find a schedule that works for him. These shouldn't have any euphoria concerns, which allows you to use them more frequently.
The THC I'd dose twice a day. I try to take my second one at 5PM to give the system slowing down by bedtime. This would give you a couple major shots of THC to hopefully get at the business of shrinking tumors. Keep in mind that the CBD strains have THC in them too, just a lower amount, so there'll always be THC circulating through the system, looking for attachment points. If you wanted to add a third THC capsule I'd consider an indica oil with high THC for an evening dose.
Starting at a 20:1 dose I think you're going to get immediate results for pain management. Does he have regular labs done that allow you to check the efficacy of the protocol? If so, and he's getting relief, I'd stay at the 20:1 dose until you have some labs to evaluate. If no labs are forthcoming and he's tolerating the THC dose, consider increasing the THC to 10:1 somewhere around the second week. Keep that in mind when you make the initial batch of capsules. You might want to do a partial batch so you don't have extras left when you increase the cannabinoid load. I'm not sure I'd increase the CBD dose unless he's not getting the relief you want at 20:1. If you go with 5 capsules a day of CBD-dominant you're going to be getting a major dose every day. Make sure you have good reason before you make them more potent.
Add in edibles and topicals as the need arises or as he desires.
We may be breaking new ground here Keith. Let's move forward with great caution. There's a tendency to think more will be better, but they're finding with cannabis that's not always the case. Very often patients respond better to lower doses. I'm hoping he'll be getting regular labs done to keep an eye on how it's going.
I've mentioned it before and I'll say it again now - We're all lab rats here, making our way through the maze as best we can. What a relief that we use a plant that can't hurt anyone.
Alright Keith, it's your volley.
Does this sound like a plan you can be comfortable with?