Medication is one option for treating ADHD, not an automatic next step after diagnosis. If you and your clinician decide it is right for you, it is started carefully through a process called titration.
Before starting medication
Your clinician reviews your medical and mental health history, any heart problems in you or your family, other medicines you take, and your blood pressure, pulse and weight. This helps make sure treatment is safe for you.
Types of ADHD medication
NICE guideline NG87 describes the medicines used for adult ADHD. They include stimulant medicines, such as methylphenidate and lisdexamfetamine, and non-stimulant medicines, such as atomoxetine. Your clinician will explain which option may suit you and why.
What titration means
Titration means starting on a low dose and adjusting it gradually. At each follow-up, you and your clinician look at:
- how much the medication is helping in daily life
- any side effects, such as reduced appetite, difficulty sleeping, headaches or feeling on edge
- your blood pressure, pulse and weight
The aim is the dose that gives meaningful benefit with the fewest side effects. Reaching a stable, optimised plan often takes at least three months, although this varies between individuals. Never change your dose without talking to your clinician.
Once your treatment is stable
When you are settled on an effective dose, routine titration appointments stop. Your clinician may ask your GP about shared care, and you will still need a medication review at least once a year.
Costs
See our fees page for titration packages. Medication, dispensing and delivery costs are separate.
This article is general information and does not replace advice from your own clinician.
