ADHD Medication Management in Queensland

If you've been diagnosed with ADHD, medication is one of the most effective treatment options available.¹² Here's how medication management works at ADHD GP Australia.

Types of ADHD Medication

There are two main categories of medication used to treat ADHD in adults. Your GP will discuss which option is most appropriate based on your symptoms, medical history, and preferences.

The Titration Process

Finding the right medication and dose is a gradual process called titration. Everyone responds differently to ADHD medications, so we start low and adjust based on your response.

What We Monitor

ADHD medications are safe and effective when used appropriately, but they do require ongoing monitoring. During titration and beyond, your GP will track:

• Symptom improvement — Are your focus, attention, and daily functioning improving?
• Side effects — Common effects include reduced appetite, difficulty sleeping, and increased heart rate. Most side effects are mild and often settle with time or dose adjustment.
• Cardiovascular health — Blood pressure and heart rate are checked before starting medication and periodically during treatment.
• Mental health — We monitor for any changes in mood, anxiety, or other mental health symptoms.
• Weight — Stimulants can suppress appetite, so weight is monitored, particularly in the early stages.

Ongoing Prescriptions

Once your medication is stable, you won't need frequent appointments. However, ADHD medications (stimulants in particular) are Schedule 8 controlled substances in Australia, which means:

• Prescriptions are typically written for one month's supply during titration
• Once stable, your GP may write prescriptions with repeats (with specified intervals between dispensing)
• Regular reviews (usually every 3–6 months) are required to continue prescribing
• Your prescriptions are recorded on QScript (Queensland's monitored medicines database)

What If Medication Doesn't Work?

Not everyone responds to the first medication, and that's normal. If your initial medication isn't effective or causes intolerable side effects, your GP may:

• Adjust the dose or timing
• Switch to a different formulation (e.g., short-acting to long-acting)
• Try a different medication class (e.g., methylphenidate to dexamfetamine, or vice versa)
• Consider a non-stimulant medication
• Refer to a psychiatrist for complex or treatment-resistant cases

Beyond Medication

Medication is highly effective for managing ADHD symptoms, but it works best as part of a broader approach. Many people benefit from combining medication with:

• ADHD coaching — Practical strategies for organisation, time management, and productivity
• Psychology — Particularly helpful for addressing co-occurring anxiety, depression, or low self-esteem related to ADHD
• Lifestyle factors — Regular exercise, adequate sleep, and structured routines can all support symptom management

Your GP can discuss referrals to allied health professionals if you're interested in additional support.