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ADHD Titration Stimulants are the most common medication used to treat ADHD. These medications help with the symptoms of ADHD by altering the chemical pathways in the brain that regulate the behavior and attention. Visit Psychiatry UK and ADHD 360 to find out more about getting an ADHD assessment through the NHS. You can also get an ADHD assessment privately, which is faster since you aren't subject to the Right to Choose waiting times. What is the term “titration? Titration is a process of adjusting the dosage of medication to find the optimal level which maximizes the therapeutic benefit and minimizes side-effects. It could involve increasing the dose that a person receives over time until symptoms or lab values improve, or a desired result is achieved. Or it can involve cutting down on dosages over time until a minimal effective dose is reached. It is often used to adjust the dosage of medications that treat common disorders such as hypertension, hypercholesterolemia, and diabetes. However, it can also be applied to many other diseases and conditions that exhibit a variable response to medication. It is also an important element in the treatment of chronic diseases like asthma, hypertension and depression. There is no scientific evidence to support the idea that one titration method is better than another when it comes to changing the dosage of a medication. Therefore, clinicians must make use of their discretion and experience to select the best titration regimen for each patient. Titration is a complicated science that is typically performed in a laboratory. It requires a titrant, which is an organic compound that is being evaluated as well as an analyte. The titrant is usually added in small amounts until an equivalent point (point at which the amount of titrant consumed is equivalent to the amount of analyte consumed) is detected. The titration curve could be plotted in order to determine the concentration of analyte in the sample. During a typical titration process of ADHD medication, a doctor will gradually increase the dosage each week until the medication becomes effective or the side effects are unacceptable. The process of titration can take between 8 and 12 weeks. Once the proper dose is determined the patient will be taken to the consultant who is assessing them in order to complete an End of Titration Review. It can be useful for patients to keep track of their own progress during the process of titration. This can help them understand the complexity of titration as well as improve their compliance. It can be beneficial to track their progress by using a journal or computer software. In the case of ADHD there are a wide variety of medications that can be used and it is important to realize that not all will perform the same way for each person. Finding the right balance can be difficult and it may require several attempts before the best medication is found. Ask your GP to refer you to the Right to Choose route if you'd like to be treated with medication for ADHD. This is the most efficient method of getting the assessment and medication you need. You may still have to wait to schedule an appointment, and titration may take up to three months. However, you will only be charged NHS prescription costs. If iampsychiatry prefer, you can go private. It's more expensive, but it's the fastest route. If you choose to go private the assessment fee will cover the diagnosis as well as the treatment. However any follow-up appointments to assess the body's response will cost you extra. Stimulants Stimulants are a category of drugs that boost the activity of your central nervous system. They can be prescribed as medications or illicit substances like cocaine. They are very effective at improving focus and decreasing impulsivity for people with ADHD, but they can also lead to severe addiction and side adverse effects. Psychostimulants such as methylphenidates and amphetamines are often the first-line treatment for ADHD in adults. These medications are an effective treatment option for the majority of patients, especially those with mild to moderate symptoms, however they don't work as well in all. Many people also develop tolerance to stimulants and need higher doses with time. It is crucial that the doctor observes the patient's response to medication regularly and with care. It is quite common to have to titrate various medications before settling on one that is able to manage symptoms and has little or no negative side negative effects. It is important that someone suffering from ADHD is not forced to stop taking their medication without consulting with their doctor. It may take weeks to discover a combination of medications that has the desired effect, i.e. controlling symptoms with few or no side-effects. In titration, the doctor will begin with the lowest dosage that is able to be tolerated and increase it gradually to the highest dosage. When they do this the doctor will observe the patient's reaction to the medication and how it affects their ADHD symptoms. If the medication doesn't produce the desired results or produces too many adverse effects, it will be lowered again. Medication titration is typically used in conjunction with ADHD medications, but it can be performed with any medication that requires a prescription, which includes non-stimulant ADHD medications like Strattera. Titration can be overseen by a psychiatrist or a mental health professional, as part of shared care. When a psychiatrist is titrating patients, they'll take into account many factors, including the person's weight and height, prior experience with ADHD medications, genetic or metabolic differences and any comorbidities. They also take into consideration the severity of their symptoms. This individualized approach is why it is crucial that those suffering from ADHD cooperate closely with their doctor. It is also important to be aware of how the medication might affect sleep and diet. For example, some stimulants can decrease appetite and could be used to aid with weight loss in people with ADHD who are overweight. During the initial visit and each titration, the doctor will discuss these concerns with patients. Patients can also self-assess their ADHD symptoms to determine the degree of control they're receiving from medication. This can be extremely useful in assessing how effective the treatment is.