Programmable autotitrating of electrical parameters of implantable medical device

A method of automatically titrating an electrical therapy administered to a patient by an implanted medical device to a target dosage, comprising:

• programming the medical device with an electrical therapy, wherein programming comprises providing a first target value for a first electrical therapy parameter characterizing the electrical therapy;
• programming at least one titration parameter for automatically adjusting the first electrical therapy parameter from a first value to the first target value over a titration time of at least five days, wherein the at least one titration parameter is selected from the titration time period, a titration step interval, and a titration step magnitude;
• initiating the electrical therapy, wherein the first electrical therapy parameter comprises said first value;
• automatically titrating the electrical therapy by making a plurality of adjustments to the value of the at least a first electrical therapy parameter, whereby the first electrical therapy parameter is changed from the first value to the first target value according to a titration function;
• receiving a body signal after at least one of said plurality of adjustments to the value of the first electrical therapy parameter;
• determining whether there is an adverse effect associated with the at least one of said plurality of adjustments, based upon said body signal;
• returning the value of said first electrical therapy parameter to a prior value to provide a prior electrical therapy program, in response to determining that there is an adverse effect associated with said at least one of said plurality of adjustments;
• and
• providing said prior electrical therapy program to said patient.

A medical device system for providing an electrical therapy, comprising:

• a programmer for programming an implantable medical device with an electrical therapy, wherein the programmer enables a user to program into the medical device;
• a first value for a first electrical therapy parameter characterizing the electrical therapy,
• a first target value for the first electrical therapy parameter, and
• at least one titration parameter for automatically adjusting the first electrical therapy parameter from a first value to the first target value over a titration time period of at least two days, wherein the at least one titration parameter is selected from the titration time period, a titration step interval, and a titration step magnitude;
• an electrode configured to deliver an electrical therapy characterized by a plurality of parameters to a patient;
• and
• an implantable medical device, comprising:
• an electrical therapy module to provide the electrical therapy to the patient using said electrode;
• and
• a therapy titration module configured to automatically titrate the electrical therapy by making a plurality of adjustments to the value of the first electrical therapy parameter, whereby the first electrical therapy parameter is changed from the first value to the first target value according to a titration function.