Medication Titration: Understanding the Process
| No | Description |
| 1 | Medication titration for ADHD is a personalised process designed to identify the most effective medication and dosage for each individual. This process begins once a treatment plan has been agreed upon. When starting on new controlled drugs for ADHD, the medication titration process is crucial. |
| 2 | The titration period is characterised by a series of regular, brief follow-ups with your Consultant Psychiatrist. These follow-ups allow for the monitoring and evaluation of the individual’s response to the treatment. |
| 3 | Titration involves gradually adjusting the dosage of the medication to find the most effective dose with the fewest side effects. This process requires close monitoring and communication with your Consultant Psychiatrist. |
| 4 | Given the unique nature of each individual’s response to medication, it’s challenging to predict the exact number of follow-ups required. Typically, this process involves between 3 to 5 follow-ups, but this can vary based on the individual’s response. |
| 5 | Titration can last between 8 and 12 weeks and potentially require multiple visits, depending on your response. to the medication. Our goal is to complete this process as quickly and safely as possible. |
| 6 | It’s important to note that General Practitioners (GPs) often review the frequency and number of these follow-ups before accepting a Shared Care Proposal. If they find the titration process unsatisfactory, they have the right to decline to take over the care on the NHS. |
Initial Dosage and Adjustment:
| No | Description |
| 1 | It’s important to note that when medication is started, sometimes the dosage could be too low to have an effect. It is crucial to let the doctor know as soon as possible – perhaps after 3 or 4 days. This will allow for timely adjustments and ensure the effectiveness of the treatment. |
| 2 | Many patients report feeling a sense of clarity and improved organisational skills once the medication reaches an optimal level. |
Target Symptoms of ADHD Medications
ADHD medications aim to improve several core symptoms:
| No | Type | Description |
| 1 | Inattention | You may notice an increase in your ability to focus, concentrate, and complete tasks. |
| 2 | Hyperactivity | There might be a reduction in excessive movements and fidgeting. |
| 3 | Impulsivity | You could experience better control over your actions, emotions and a decrease in impulsive behaviours. |
Potential Side Effects and What to Watch For
While ADHD medications can be highly effective, they can also cause side effects. It’s important to be aware of these and report them to your Consultant Psychiatrist
Common Side Effects
| No | Description |
| 1 | Appetite loss |
| 2 | Insomnia |
| 3 | Dry mouth |
| 4 | Headaches |
| 5 | Stomach-aches |
Less Common, but Serious Side Effects
| No | Description |
| 1 | Increased heart rate or blood pressure |
| 2 | Mood changes, including increased irritability, anger or nervousness |
| 3 | Small increase risk of psychosis & or tics |
Monitoring Emotional Changes
It’s important to monitor for any changes in mood or behaviour, especially during the initial titration period. Some patients may experience an increase in anger or irritability. Loved ones should be aware of this possibility and provide support and understanding during this time.
Tips for Managing Side Effects
| No | Description | Action |
| 1 | Appetite loss | Eat smaller, more frequent meals, and opt for nutrient-dense foods. |
| 2 | Insomnia | Maintain a consistent sleep routine, avoid caffeine in the afternoon and evening, take your ADHD medication early in the morning so that it wears off by the evening and create a relaxing bedtime environment. |
| 3 | Dry mouth | Drink plenty of water, chew sugar-free gum, or use over-the-counter saliva substitutes. |
| 4 | Headaches | Ensure proper hydration, take breaks from screens, and use over-the-counter pain relievers if needed (after consulting with your Consultant Psychiatrist). |
| 5 | Stomach-aches | Take medication with food and avoid spicy or greasy foods. |
Requesting a New Prescription
| No | Description |
| 1 | To ensure a seamless continuation of your treatment, please request any new prescription at least 7 days before your current medication supply runs out. This time frame allows your Doctor to thoroughly review your current treatment’s effectiveness, discuss any necessary adjustments or alternative options, and then issue and send the new prescription. This process ensures that the pharmacy has adequate time to dispense your medication, preventing any gaps in your treatment. |
Communicating with Your Consultant Psychiatrist
Regular follow-up appointments are essential during the titration process. Keep a journal of your symptoms, side effects, and any changes in behaviour. Share this information with your healthcare provider to help them adjust your dosage effectively.
Support from Loved Ones
Inform your family and close friends about the potential for mood changes, such as increased irritability or anger. Their understanding and support can be invaluable during this period. Encourage them to be patient and provide a calm, supportive environment.
Final Thoughts
Starting new controlled drugs for ADHD can be a transformative experience, leading to significant improvements in attention, focus, and overall functioning. However, the titration process requires careful monitoring and communication with your Psychiatrist. By understanding potential side effects and seeking support from loved ones, you can navigate this period more smoothly and achieve the best possible outcome.
If you have any concerns, contact your Psychiatrist.
If you experience severe side effects or a rash, contact emergency services immediately and stop your medication. Your safety and well-being are the top priorities. Your Psychiatrist can explore other alternatives with you.