The question that catches most people off guard isn't the first missed dose — it's the missed dose that happens months in, when the routine has felt automatic and the early-days conversation with the prescriber is hazy. The brain is bad at retrieving 'what did my prescriber tell me to do in this situation' under mild stress. The mistake most people make is asking the prescriber the question in the abstract at appointment one — getting an answer like 'take it as soon as you remember, but if it's within X days of the next one, just skip' — and then never writing the answer down anywhere they'll find it again.
Eight weeks in, the answer isn't in the inbox, isn't in the appointment notes, isn't anywhere. So you're guessing, or you're emailing the clinic at 9pm on a Wednesday hoping for a reply. The fix is two minutes at the next appointment.
One. Ask the question explicitly: 'if I miss a dose, what do you want me to do?' Two. Write the answer down verbatim, on the first page of the journal or pinned to the top of the Titra entries — 'if I miss a dose: prescriber said X, agreed April 2026'.
Ask the question explicitly: 'if I miss a dose, what do you want me to do?' Two.
Three. Re-confirm at every dose-change appointment, because the rule can change when the dose changes. Titra lets you pin a note at the top of the journal that doesn't move when new entries arrive — that's the surface to put this on.
Organisational note, not medical advice — the rule itself is your prescriber's call, the writing-it-down is yours.