Side effects: what to expect and when to call us

Most people who take ADHD medication experience some side effects, particularly during titration. Most are mild and manageable. A small number need a quick review.

Common, usually mild

• Reduced appetite, particularly at lunchtime.
• Difficulty getting to sleep if the dose is taken late.
• Mild headache in the first week.
• Dry mouth, mild stomach upset, or feeling slightly wired.
• Mood changes, including increased focus paired with reduced flexibility.

Less common, contact us

• Persistent or severe headache.
• Significant changes in mood, including low mood or anxiety that does not lift.
• Heart palpitations, chest pain, or fainting.
• Tics or unusual movements.

Rare, treat as urgent

• Severe chest pain, breathing difficulties, or signs of a serious allergic reaction. Call 999.

Practical tips that help

• Take medication early in the day to protect sleep.
• Eat a substantial breakfast before taking your dose.
• Hydrate well.
• Track your experience daily during titration.

If anything feels off, contact us between appointments. We adjust dose or formulation rather than push through.