ADHD medication titration
What to track during ADHD medication titration
You do not need a perfect log.
A few clear notes are usually more useful than trying to remember everything at your appointment.
General information only, not medical advice. Last reviewed: 26 May 2026. Clinical/content review: Lisa Hudson, ADHD Nurse Specialist.
Useful things to record
- What time you took your medication
- What dose you took, exactly as written on the label
- When you first noticed any benefit
- When the benefit seemed to reduce
- Appetite and eating
- Sleep quality
- Focus
- Task initiation
- Mood, anxiety, irritability or emotional changes
- Pulse, blood pressure and weight if your prescriber has asked you to monitor them
- Side effects you want to discuss
- Anything that felt different from your usual pattern
Record what happened rather than deciding what it means
Titrio Focus is designed to help you collect these everyday notes without turning titration into another full-time job.
“I felt more irritable at 4pm” is more useful and safer than “my medication wore off”.
“Lunch was harder today because I had very little appetite” is more useful than “the dose is too strong”.
“Focus felt easier this morning, but I still struggled to start admin tasks” is more useful than “the medication did not work”.
Safety note
This guide is for general information only. It does not replace advice from your prescriber, GP, pharmacist or specialist ADHD service. Do not change your medication, dose or timing without speaking to your prescriber.
If you feel seriously unwell or unsafe, seek urgent medical help using the emergency route in your country. In the UK, use NHS 111 for urgent advice or call 999 in an emergency. If you are outside the UK, use your local urgent or emergency medical service.
Sources and review
This page was informed by:
- NHS ADHD information
- NICE guideline NG87
- Last reviewed: 26 May 2026
- Clinical/content review: Lisa Hudson, ADHD Nurse Specialist
Want to make your next review easier?
Titrio Focus helps you track daily medication notes, side effects, sleep, appetite, health checks and questions for your prescriber without trying to give medical advice.
