The ADHD Prescription That Goes Wrong — Are You Covered?
Jeffrey Jeffrey

The ADHD Prescription That Goes Wrong — Are You Covered?

Nobody goes into a consultation intending to miss something. But when a complaint is made, the question isn't whether you're a good clinician. It's whether you can demonstrate — from your records — that you did everything that should have been done. That distinction is the difference between a defensible complaint and a referral to the NMC.

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ADHD Prescribing and Medico-Legal Risk — What Your Documentation Needs to Show
Jeffrey Jeffrey

ADHD Prescribing and Medico-Legal Risk — What Your Documentation Needs to Show

The complaint arrives weeks after the consultation. By then, the prescriber is trying to reconstruct what happened from notes that say "contraindications checked — suitable to proceed." That note is not a defence. It's a conclusion without any evidence of the process that led to it. Here's what defensible ADHD prescribing documentation actually looks like.

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Pre-medication ADHD screening
Gima R. Gima R.

Pre-medication ADHD screening

Learn why pre-medication ADHD screening matters, what it includes, and how it helps determine whether ADHD medication is safe and appropriate.

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The 19 QT-Prolonging Drugs Every ADHD Prescriber Needs to Know About
Jeffrey Jeffrey

The 19 QT-Prolonging Drugs Every ADHD Prescriber Needs to Know About

When we talk about drug safety in ADHD prescribing, the conversation usually starts with cardiovascular contraindications. These are the headline stops. Every prescriber knows them. What gets less attention is the patient on citalopram 40mg who wants to start atomoxetine. Or the patient on quetiapine and haloperidol where the QT risk compounds. Here are the 19 QT-prolonging drugs every ADHD prescriber needs to know — tiered by risk, with guidance on what your documentation needs to show.

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Why ADHD Pre-Medication Screening Is the Highest-Risk Step in the Private Prescribing Pathway — And What to Do About It
Jeffrey Jeffrey

Why ADHD Pre-Medication Screening Is the Highest-Risk Step in the Private Prescribing Pathway — And What to Do About It

If you prescribe ADHD medication privately, you already know the feeling. A patient in front of you. Confirmed diagnosis. Ready to start medication. And before you can write that prescription, you need to work through a mental checklist that isn't written down anywhere in one place. Ten absolute contraindications for lisdexamfetamine alone. Thirteen for methylphenidate — several unique to that drug. QT prolongation profiles. Named MAOIs. Baseline observations. ECG indications. The risk isn't that prescribers don't know this. The risk is that without a structured, documented process — the screening and the documentation aren't consistent. And inconsistency is where medico-legal exposure begins. Here's what good pre-initiation screening actually looks like, and what I built to solve it.

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