ADHD medication titration
Missed doses, late doses and medication-free days
Missed or late doses happen.
They are not a failure. They are useful notes for your review.
If you miss a dose, follow the instructions from your prescriber, pharmacist or patient leaflet. Do not double up unless you have been specifically told to.
For your review, it can be useful to record
- Did you miss a dose?
- Did you take it later than usual?
- Was it a planned medication-free day?
- What did you notice in focus, appetite, sleep, mood or side effects?
- Did anything make it harder to remember, such as routine change, travel, work pressure, sleep disruption or pharmacy supply?
Record what happened. Your prescriber can help you decide what it means.
“Took medication two hours later than usual after a disrupted morning. Sleep was harder that night.”
“Missed dose on Sunday. Felt more distractible but appetite was better.”
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, seek urgent medical advice. In the UK, use NHS 111 for urgent advice or call 999 in an emergency.
Sources and review
- NHS ADHD information
- NICE guideline NG87
- NHS medicine information
- Patient Information Leaflet / Summary of Product Characteristics
- Last reviewed: 26 May 2026
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.