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Filling Prescription

Medication Titration Plan

ADHD Medication

Please note that I only prescribe if I believe it is clinically indicated and not on demand.

Before starting medication, I will complete a risk assessment (see FAQ's) and a full physical examination that will include weight, height, and blood pressure. 

There are a number of different medications available. See Resources

My practice is to start on the lowest dose and then slowly increase depending on response and any complications. This sometimes requires changing medication. As such, this will require a number of review appointments to find the right medication and dose and monitor your child's health. All appointments to be book via website.

Read more about medication: LINK1  LINK2

Standard medication titration plan:​​

  1. Prescription issued. Each prescription is for 28 days supply.

  2. Day1. Start medication. Every day. Roughly same time every morning. Methylphenidate Information leaflet. Elvanse Information leaflet.

  3. If worried about severe side effects then please book a medication review appointment (Video) or stop medication pending further discussion.

  4. Every 2-3 weeks please book a Medication Review video appointment - includes issuing a new prescription. 20-30 mins max. These consultations are focused only on medication titration. Unless I have specifically instructed I am unable to do medication reviews via email. These appointments are usually on Wednesday evenings.   Book an appointment.

  5. On average it takes around 3-6 appointments to stabilise medication. Sometimes longer

  6. Once on a stable dose, I can then write to your GP to carry on prescribing on a shared care basis. After this any further enquiries and reviews will need to be via a General Review appointment. 

  7. Any prescriptions required in between appointments will cost £20 and posted via special delivery

I follow NICE guidelines regarding first and second line medications and titration.  ​

ADHD medications are controlled drugs. A new prescription will need to be issued monthly or more frequently depending on any changes to treatment. 

Presently, I am unable to send the prescription to your local pharmacy. See FAQ regarding likely costs.  

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Long Term 

Once on a stable medication dose, I can then request shared care and on-going prescribing by your GP including referral to your local NHS ADHD care provider for on-going specialist care. Alternatively, I would be very pleased to provide on-going specialist review. Any young person on ADHD medication requires a specialist review 4-6 monthly. 

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