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Medication &
Titration

Where clinically appropriate, I offer medication titration and review — safe, structured and personalised, delivered by an Independent Nurse Prescriber.

FIRST APPOINTMENT

60 Minutes


PRESCRIBER

Sharon Fuller, INP


REGULATED BY

CQC


TITRATION

£140

Overview

Safe, structured medication management

Medication is one option among many — and it isn’t right for everyone. Where it is clinically appropriate, I’ll talk you through the options, the evidence, and what to expect at each stage. You’re reviewed regularly throughout titration so we can adjust dose, manage side effects, and find what works best for you.

What's included

01

Medication
selection

A personalised discussion of stimulant and non-stimulant treatment options, the evidence behind them, and which approach is most likely to suit your symptoms, health and lifestyle.

02

Baseline
health checks

Blood pressure, pulse, weight, relevant physical health screening and a focused medical history, in line with NICE guidance for adult ADHD prescribing.

03

Gradual
titration

Stepwise dose adjustments with structured check-ins — never rushed, always reviewed.

04

Response & side-effect monitoring

Tracking benefit, tolerability and any side effects, with the dose or medication adjusted accordingly.

05

Ongoing
review

Once your medication is stable, regular reviews support safe long-term prescribing, ongoing monitoring and continued access to your medication where clinically appropriate.

Medication is offered where it is clinically safe and likely to help — not as a default. You'll have time, information and choice at every stage.

01

Who this is for

02

This may not be right if

The titration pathway

A personalised discussion of stimulant and non-stimulant treatment options, the evidence behind them, and which approach is most likely to suit your symptoms, health and lifestyle.

01

Initial review

Diagnosis confirmation, baseline observations, and a full conversation about options and expectations.

02

First prescription

A low starting dose with clear written guidance on what to monitor and how to get in touch.

03

Titration reviews

Regular check-ins (usually every 2–4 weeks) to adjust the dose and manage side effects.

04

Stable maintenance

Once your medication is stable, you’ll move to routine six-monthly medication reviews (£140). Where clinically appropriate, ongoing private prescribing can continue between reviews at £40 every 28 days, including preparation of a 28-day private prescription and tracked/signed postage to your nominated pharmacy.

Medication and pharmacy dispensing charges are separate.

Working with your GP

With your consent, relevant clinical information can be shared with your GP. Once medication is stable, shared care may be requested where appropriate. However, shared-care arrangements are voluntary and acceptance is a decision for the individual GP/practice, so this cannot be guaranteed.

If shared care is not available or you choose to remain under private care, ongoing prescribing can continue through ADHD & Clinical Services Ltd.

Common questions

Do you prescribe stimulants?
Yes. As an Independent Nurse Prescriber I am able to prescribe the full range of medication licensed for adult ADHD in the UK, including stimulants and non-stimulants, where clinically appropriate.
How long does titration take?
Most people reach a stable, effective dose within 6 – 12 weeks, though this varies. The pace is set by your response, not a fixed schedule.
Will you write to my GP?
With your consent, yes. A summary letter is sent after your initial review and at key points during titration so your GP can support continuity of care.
Can I move to shared care with my GP?
Once you are stable on medication, shared care may be requested where appropriate. However, shared-care arrangements are voluntary and acceptance is a decision for the individual GP/practice, so this cannot be guaranteed.

Related services

If this isn't quite the right fit, these may be a closer match for where you are right now.

01

ADHD Assessments

Comprehensive, structured assessments for accurate diagnosis.

03

Ongoing Reviews

Regular reviews and continued care to help you maintain progress.

04

ADHD Coaching & Psychological Support

ADHD coaching with Solution Focused Therapy and CBT/DBT-informed strategies to help you move forward with clarity.