How Often Should Dosage Adjustments Be Made in Children? 

Finding the right dose for a child with ADHD isn’t a one-time process. ADHD medication dosage adjustments in children are common during the early stages of treatment and may continue as the child grows or their needs change. 

Initial Titration Phase 

In the first few weeks of starting medication, doctors typically follow a process called titration, where the dose is gradually increased until the most effective amount is found with the fewest side effects. This phase may involve adjustments every one to two weeks based on the child’s response. During this time, parents and teachers often provide feedback on focus, behaviour, appetite, and sleep. 

Ongoing Adjustments 

After the initial titration, most children settle into a stable dose. However, paediatric dosing is not static. As children grow, gain weight, or encounter new academic or social demands, the dose may need to be revisited. Typically, healthcare providers review the medication plan every three to six months, or sooner if issues arise. 

Signs that a dosage change may be needed include return of symptoms, new side effects, or changes in school performance or mood. Sometimes a medication switch or adding a second treatment is more effective than increasing the dose. 

In conclusion, ADHD medication dosage adjustments in children are a normal part of treatment, especially during growth and developmental changes. Regular check-ins help ensure the medication stays safe and effective. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Medications for ADHD.