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ADHD titration

Titration, watched every week.

Consent, baseline, weekly readings checked against your limits, and shared care with the GP. On its own beside your current system, or as part of the whole of Baton.

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How it works

The weeks between appointments, watched.

Titration is where a private ADHD clinic carries the most risk and sees the least: a new medicine, a rising dose, and a patient at home. Baton runs the whole process. The patient sends readings from their phone, Baton checks them against the limits your clinic sets, and the clinician sees the ones that need a decision.

When forms stop coming back, Baton notices and asks a clinician to confirm before anything is paused. Switching medicine sends the patient back through consent and baseline; stopping writes to the patient and the GP. It works beside the system you already use, or as part of the whole of Baton.

See the Titration plan
  1. StartConsent signed on the patient's phoneThe form fills itself in from the medicine chosen, with reminders at 3 and 7 days until it is signed.
  2. BaselineReadings before the first doseBlood pressure, pulse, weight and height from the patient, and a BP machine or ECG arranged when the clinician asks for one.
  3. PrescribeThe first four weeks, from the medicine's planPre-filled from your clinic's plan for that medicine, with stops for maximum dose, duplicates and allergies.
  4. Every 7 daysA check-in from homeReadings and side effects, with a reminder if the form is not back by day 5, and a flag when two are missed in a row.
  5. AlertsReadings outside your limits, flaggedRed and amber to the clinician, with the trend beside each one.
  6. StableHanded to the GP under shared careThe agreement filled in with the readings, a chaser at day 14, a summary letter, and recalls for review.

Six weeks of one patient's readings

Illustration
Systolic blood pressure over six weeks of titration Readings rise from 118 to 126 over the first three weeks. In week 4 a reading of 146 is above the clinic's limit of 140 and is flagged. The dose is stepped back, readings settle at 124 by week 6, and the patient is marked stable for shared care. Systolic blood pressure, mmHg 150130110100 Your clinic's limit · 140 Baseline: 118 Week 1: 120 Week 2: 123 Week 3: 126 Week 5: 128 Week 6: 124 Week 4: 146, above the limit Above your limit · reviewed Stable → shared care BaseWk 1Wk 2Wk 3Wk 4Wk 5Wk 6 Dose step Week 1: step 1 Week 2: step 1 Week 3: step 2 Week 4: step 3 Week 5: back to step 2 Week 6: step 2
Not a real patient. Each week's reading is checked against a limit your clinic sets. The week 4 reading goes over it, so the clinician is told, steps the dose back, and the readings settle before the patient is handed to their GP.
Weekly check-in
Week 4 of titration
Blood pressure146/88
Pulse92
Weight71.2 kg
Any side effects this week?
Trouble sleepingHeadacheLess appetiteNone
Send to my clinic

Between appointments

A weekly cycle, and four ways out of it.

The weekly titration cycle Every seven days: the patient sends a review form and their readings, Baton checks them against the clinic's limits, and a titration review falls due every four weeks, or three for NHS patients. The cycle repeats until the dose has been stable for 28 days. Every 7 daysuntil 28 dayson one dose Review formday 4, then weeklyReadingsBP · pulse · weightAlerts checkedred today · amber taskTitration review4 weeks · 3 for NHS
Stable for 28 daysThe dose is settled. The GP is asked to take over under shared care, with a reminder at day 14.
Not engagingTwo review forms missed in a row raises a red alert. A clinician confirms before anything is paused.
Switching medicineBack through consent and baseline for the new medicine, with the current one carrying on meanwhile.
StoppingSide effects, no benefit or the patient's choice: the forms stop and the patient and GP are written to.

See Baton with your own pathway.

A short walkthrough on a call, then 30 days free with everything switched on.

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