Apologies for taking a while to catch up with things. MEds changes can be done at home and are normally a gradual thing. Usually the first drug is lowered and then the new drug is started gradually, working up to a theraputic dosage. Sometimes there can be an overlap where there is a little bit of both drugs. This can be carried out at home (usual practice) but can also be done on neuro wards. Given the shortage of beds in the NHS in UK, this is very rare.