Understanding ADHD Titration and Medication Review – A Quick Guide

Starting ADHD medication isn’t just about getting a prescription—it’s a process. That process is called titration, and it’s essential to finding the right dose for your brain and body.

If you're considering private ADHD treatment, understanding how titration and medication reviews work will help you make an informed decision—and stay safe throughout.

What Is ADHD Medication Titration?

Titration is the gradual adjustment of medication dosage to:

  • Maximise symptom control (focus, impulsivity, hyperactivity)

  • Minimise side effects (e.g. anxiety, appetite loss, insomnia)

It typically takes 4 to 8 weeks, depending on the medication and your individual response.

Titration Process: Step-by-Step

Here’s what to expect in our nurse-led remote titration model:

  1. Initial Prescription
    Issued after diagnosis, based on your symptom profile and medical history.

  2. Starter Dose
    A low dose is prescribed for 5–7 days to establish baseline tolerance.

  3. Weekly Dose Adjustments
    You’ll complete a brief check-in form and, if needed, have a short review call.

  4. Final Dose Confirmation
    Once an optimal dose is reached, your prescriber will issue ongoing repeat prescriptions.

What Is a Medication Review?

Medication reviews are short consultations (15–30 mins) to:

  • Monitor treatment response

  • Identify and manage any side effects

  • Adjust your dosage if needed

  • Plan repeat prescriptions or referrals

Private services like ours offer flexible, remote reviews without waiting weeks for appointments.

Why Titration Must Be Supervised

Even if you've used ADHD medication before, supervised titration is legally and clinically required:

  • Controlled Drugs (e.g. methylphenidate) require prescriber oversight

  • Unsupervised dose changes increase risk of adverse effects or treatment failure

Our registered nurse prescribers manage this safely via structured check-ins and regulated systems.

Private Titration Pricing (Our Model)

  • Initial Assessment Package (incl. titration plan & 1 follow-up): £750

  • Medication Review (15 mins): £85

  • Repeat Prescription (no consult): £30

Our pricing is aligned with UK private sector standards for prescribing services.

Titration Is the Key to Long-Term Success

Skipping titration or rushing the process often leads to:

  • Poor adherence

  • Underdosing or overdosing

  • Unnecessary side effects

  • Treatment dropout

A carefully managed titration plan gives you the best shot at long-term focus, calm, and control.

Get Early Access to Our Nurse-Led ADHD Service

We’re preparing to launch a fully remote, CQC-compliant ADHD clinic for adults. If you’re interested in fast, safe, prescriber-led support:

👉 Pre-register now for priority access

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