Titration is how we find the ADHD medication and dose that works for you, step by step. This page walks you through how titration works at HealthHero, what you will be asked to track, what reviews involve and how you’ll know when you’ve reached a stable dose. It also covers common questions about safety, side effects, monitoring and timing.

Titration is available privately and only after a HealthHero ADHD diagnosis. We do not accept external diagnoses and we do not offer NHS or shared care prescribing at the moment.

Medication is optional and you and your clinician decide together whether it is right for you.

The titration process, step by step

Here’s what happens during ADHD medication titration, so you know what to expect at each stage. 

Before you start

HealthHero follows UK clinical safety norms. Monitoring your blood pressure, pulse and weight before and during treatment is part of safe ADHD prescribing and helps ensure any potential physical effects of medication are caught early.

• Your clinician will confirm your medical history
• You’ll be asked to submit baseline readings: blood pressure, pulse and weight
• In some cases, further checks (like ECG or blood tests) may be required, depending on your health

Starting medication

• You’ll begin on a low dose of ADHD medication
• You’ll be asked to track changes in attention, mood, sleep, appetite and any side effects
• Your prescription will be sent by post via a partner pharmacy

Review & dose adjustments

• You’ll have regular check-ins with your clinician via video or phone during titration
• Your clinician will review your progress and adjust the dose if needed
• If side effects are problematic, adjustments or medication changes can be made

When titration ends

• Once your dose is stable (your symptoms are managed and side effects are tolerable), you’ll enter ongoing care
• You’ll move to less frequent reviews and monthly prescriptions

The number of reviews varies depending on how you respond to medication and what is clinically appropriate.

How long does ADHD titration take?

Titration typically lasts 8 to 12 weeks. Some people stabilise sooner, others may need longer. It depends on your response, whether a dose change helps, or if you need to try a different medication.

There’s no rush. Your clinician will work at a pace that’s safe and manageable for you.

Monitoring and safety during titration

Throughout titration, we monitor:

• Blood pressure and pulse: Before starting and after dose changes
• Weight: Especially if appetite changes
• Symptoms and side effects: Tracked between reviews

Why this matters:

• ADHD medications can affect heart rate, appetite and sleep
• Monitoring helps us balance effectiveness and safety

These checks are part of UK prescribing standards and help ensure safe, effective care throughout the process.

You’ll be told what to track and when to get in touch. If something feels wrong, you can pause medication and contact us. You’re not on your own.

What happens once your dose is stable?

When titration is complete:

• You’ll stay under private care with HealthHero
• Prescriptions will continue privately (usually one month at a time) and remain paid by you
• We’ll write to your GP with an update, but they won’t take over your care

Shared care with NHS GPs is not currently available. This means all prescribing remains with HealthHero.

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Do I have to take medication?

No. Medication is optional.

You can:

• Choose not to start
• Start and later stop
• Use non-medication support like therapy or ADHD coaching

We’ll support whatever approach is right for you.