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Medication & titration

Medication is a monitored process—not an automatic next step.

When medication is appropriate and wanted, an ADHD specialist selects and adjusts treatment while monitoring symptoms, function, physical health and adverse effects.

An ADHD assessment does not guarantee a diagnosis, medication, prescription or shared-care agreement. Please do not email medical details.

A patient and clinician discussing a structured care assessment
Specialist pathway guideStart carefully. Adjust with evidence.ObserveUnderstandPlan
Illustrative image
GMC-registered doctorsRelevant ADHD expertise confirmed before booking
CQC-registered serviceCare within a regulated setting
30+ years combined experienceExperienced clinician-led care
At a glance

The detail that protects the decision.

ADHD care should be careful enough to consider history, daily function, strengths, other possible explanations and the support needed next.

01

A shared decision

The clinician discusses non-medication support, likely benefits, uncertainties, adverse effects and your preferences.

02

Baseline safety

Medical and mental-health history, current medicines, weight, pulse, blood pressure and cardiovascular risk are reviewed as appropriate.

03

Titration, not guesswork

Dose and medicine are adjusted against meaningful improvement, tolerability and agreed monitoring rather than a fixed timetable.

Clinical review

A pathway built around evidence and context.

The clinician brings together the person’s account, reliable supporting information, clinical expertise and recognised diagnostic and treatment standards.

The aim is an accurate, useful formulation—not a predetermined outcome.

01

Before starting

Confirm diagnosis, target symptoms, treatment goals, relevant examinations or measurements and safe prescribing information.

02

During titration

Record benefit, duration of effect, sleep, appetite, mood, adverse effects, pulse, blood pressure and weight as instructed.

03

Prescription and supply

A clinical prescription decision is separate from pharmacy stock, dispensing, delivery and medicine charges.

04

When stable

The specialist documents the effective regimen, monitoring plan, review interval and whether shared care can be requested.

Before you proceed

Make the scope clear.

Good preparation reduces delay, protects confidentiality and makes the clinical discussion more useful.

Have ready

  • The diagnostic report and treatment recommendations
  • Full medical, mental-health and family cardiac history
  • Every prescribed, over-the-counter and recreational substance used
  • Recent weight, pulse and blood pressure when requested
  • Pregnancy, breastfeeding, driving and occupational safety information

Important limits

  • A prescription is never guaranteed
  • Some health conditions, risks or interactions require further assessment first
  • Dose changes must follow the prescriber’s instructions
  • Private prescription and pharmacy medicine costs may be separate
  • Shared care can be requested only when clinically stable and is not guaranteed
A clear route

From question to next step.

Each stage should explain what is needed, who is responsible and what remains subject to clinical review.

01

Decide

Agree goals, options and whether medication is appropriate.

02

Baseline

Complete the required health checks and risk review.

03

Titrate

Adjust treatment gradually with planned monitoring and contact.

04

Stabilise

Document benefit, dose, side effects and the continuing review plan.

Useful answers

The practical questions.

Clear expectations matter before assessment, treatment or transfer of care.

Will I receive medication immediately after diagnosis?

Not automatically. Medication requires a separate clinical decision, baseline safety information and an agreed monitoring plan.

How long does titration take?

There is no guaranteed duration. It depends on response, adverse effects, medicine choice, dose changes, monitoring information and clinical availability.

Are ADHD medicines controlled drugs?

Some commonly used ADHD medicines are controlled drugs and require careful prescribing, storage and supply. Follow the clinician’s and pharmacy’s instructions.

What if the first medicine does not suit me?

Tell the prescriber about adverse effects or lack of benefit. The plan may involve adjustment, another option, additional assessment or stopping medicine safely.

Can I drive during titration?

Do not drive if symptoms or medicine impair safe driving. GOV.UK says DVLA must be told if ADHD or ADHD medication affects your ability to drive safely.

ADHD pathway enquiries

Start with the service details.

Email your name, contact details and whether the enquiry concerns an adult or a child or young person. Please do not include symptoms, reports, medicines or other medical information in ordinary email; the team will explain the secure clinical route.

Allhours GP ADHD Services

Eligibility, clinician, process, current fees and continuing-care scope are confirmed before payment.

Address22 Oxford Court,
Manchester
AssessmentSeparate specialist pathway
Official guidance used for this page:
General information only. Eligibility, diagnosis and treatment depend on an individual assessment by an appropriately qualified clinician with relevant ADHD training and expertise.

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