Titration · Post-diagnosis service

ADHD Medication Titration

Clinically reviewed by Shamir Patel(GPhC) Last reviewed September 2026

Direct answer

What is ADHD titration?

ADHD titration is the process of starting medication at a low dose and adjusting it gradually, with regular reviews of benefit, side effects, blood pressure, pulse and weight, until the most effective tolerable dose is found. It typically takes several weeks to a few months.

Reviews usually every 2–4 weeks
Typically 3–6 reviews (varies)
£199 per review (prescriptions included)
Led by an ADHD specialist prescriber

What happens during titration

After a medication assessment, you start a low dose. At each review, the prescriber asks about symptom change, side effects, sleep and appetite, and checks blood pressure, pulse and weight. The dose is adjusted, or the medicine changed, as needed.

How long does titration take?

Most people need several reviews over two to four months, but this varies with response and the medicine used.

What if medication doesn't work?

The prescriber may adjust the dose, switch to a different medicine, or review whether medication is right for you.

After titration

Once stable, you move to periodic monitoring. You can ask your GP whether they will consider shared care; this is not guaranteed.

Costs

ADHD Path price breakdown
Item	What it covers	Price
AssessmentAdult ADHD assessment (16+) — onlineSecure video assessment. Pre-assessment questionnaires, clinical assessment including DIVA-5, review of collateral information, diagnostic outcome, written report and follow-up call.	Secure video assessment. Pre-assessment questionnaires, clinical assessment including DIVA-5, review of collateral information, diagnostic outcome, written report and follow-up call.Duration: 2–3 hours	£499one-off
AssessmentAdult ADHD assessment (16+) — in personFace-to-face assessment at one of our clinics. Pre-assessment questionnaires, clinical assessment including DIVA-5, review of collateral information, diagnostic outcome, written report and follow-up call.	Face-to-face assessment at one of our clinics. Pre-assessment questionnaires, clinical assessment including DIVA-5, review of collateral information, diagnostic outcome, written report and follow-up call.Duration: 2–3 hours	£699one-off
AssessmentAdolescent ADHD assessment (12–15) — onlineSecure video assessment. Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.	Secure video assessment. Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.Duration: 2.5–3.5 hours	£649one-off
AssessmentAdolescent ADHD assessment (12–15) — in personFace-to-face assessment at one of our clinics. Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.	Face-to-face assessment at one of our clinics. Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.Duration: 2.5–3.5 hours	£849one-off
AssessmentChild ADHD assessment (6–11) — onlineSecure video assessment. Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.	Secure video assessment. Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.Duration: 2.5–3.5 hours	£649one-off
AssessmentChild ADHD assessment (6–11) — in personFace-to-face assessment at one of our clinics (often recommended for younger children). Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.	Face-to-face assessment at one of our clinics (often recommended for younger children). Parent/carer interview, time with the young person, school information review, developmental history, diagnostic outcome, written report and follow-up call.Duration: 2.5–3.5 hours	£849one-off
ReportWritten clinical reportFull written report with diagnostic formulation and recommendations, sent within 10 working days. Included in both assessments.	Full written report with diagnostic formulation and recommendations, sent within 10 working days. Included in both assessments.	Included
Follow-upPost-assessment follow-up callA 30-minute call to discuss the report and next steps. Included in both assessments.	A 30-minute call to discuss the report and next steps. Included in both assessments.	Included
TitrationTitration reviewDose-adjustment review, usually every 2–4 weeks. Most people need 3–6 reviews, but this varies.	Dose-adjustment review, usually every 2–4 weeks. Most people need 3–6 reviews, but this varies.Duration: 20–30 minutes	£199per review
PrescriptionsPrivate prescription feePrivate prescriptions issued during titration are included within the titration review cost. Your prescription is written on a private prescription form (pink prescription paper) and can either be posted to your home address, so you can take it to a pharmacy of your choice, or sent to our partner pharmacy, Pharmacare in Bolton (GPhC premises 9012877), which will dispense your medication and deliver it directly to your door — typically within 24 hours of receiving payment for the cost of the medicine.	Private prescriptions issued during titration are included within the titration review cost. Your prescription is written on a private prescription form (pink prescription paper) and can either be posted to your home address, so you can take it to a pharmacy of your choice, or sent to our partner pharmacy, Pharmacare in Bolton (GPhC premises 9012877), which will dispense your medication and deliver it directly to your door — typically within 24 hours of receiving payment for the cost of the medicine.	Included
Additional costsShared care agreement letterOnce you have been stable and optimised on medication for 3 consecutive months, if your NHS GP will accept shared care we will complete the forms to request this. Shared care is at your GP's discretion and cannot be guaranteed.	Once you have been stable and optimised on medication for 3 consecutive months, if your NHS GP will accept shared care we will complete the forms to request this. Shared care is at your GP's discretion and cannot be guaranteed.	£150one-off
MonitoringOngoing monitoring reviewSix-monthly review of benefit, side effects and physical health, in line with NICE NG87. If your NHS GP approves shared care, we will still check in with you every 6 months to make sure your medication is being prescribed safely by your GP, and we will write to your GP after each review to confirm whether it remains appropriate to continue.	Six-monthly review of benefit, side effects and physical health, in line with NICE NG87. If your NHS GP approves shared care, we will still check in with you every 6 months to make sure your medication is being prescribed safely by your GP, and we will write to your GP after each review to confirm whether it remains appropriate to continue.	£99per 6 months
PrescriptionsRepeat prescription (clinician approved only)If you are not eligible for a shared care agreement, or your NHS GP declines shared care, an ongoing monthly repeat prescription service is available. The £49 monthly fee covers repeat prescription writing, issued only with clinician approval, and our clinicians will continue to monitor you under our care.	If you are not eligible for a shared care agreement, or your NHS GP declines shared care, an ongoing monthly repeat prescription service is available. The £49 monthly fee covers repeat prescription writing, issued only with clinician approval, and our clinicians will continue to monitor you under our care.	£49per month

Book an ADHD Assessment

Structured clinical assessment and written outcome.

Book an ADHD Assessment

Frequently asked questions

Can titration be transferred from another provider?

Possibly, with full records. Please speak to our team.

Is titration done online?

Reviews can be by video, with blood pressure, pulse and weight measured at home or locally.

How are doses adjusted?

Gradually, based on benefit, side effects and physical health measures.

Related ADHD Path services

Clinical authorship & review

Written by

Mark Thornton-Jones

MPharm (Liverpool John Moores, 2010), Non-Medical Prescribing (Distinction), CPPE General Practice Pathway, ADHD diagnosis & management (2025) · Specialist ADHD Pharmacist & Independent Prescriber

GPhC 2076283

Clinically reviewed by

Shamir Patel

MPharm, Independent Prescriber · CQC Registered Manager & Clinical Pharmacist

GPhC 2049338

Published: 1 September 2026
Last reviewed: 28 September 2026
Next review: 28 September 2027

References

Attention deficit hyperactivity disorder: diagnosis and management (NG87). National Institute for Health and Care Excellence (NICE), 2018, updated 2019. Source
Attention deficit hyperactivity disorder (ADHD) — Treatment. NHS. Source