What is a common rule when prescribing medications for elderly patients?

Beginning treatment with a lower dose and gradually increasing it is a common and advisable practice when prescribing medications for elderly patients. This approach accounts for the physiological changes that occur with aging, such as alterations in metabolism, organ function (particularly liver and kidneys), and increased sensitivity to medications. Starting with a lower dose helps to minimize the risk of adverse effects and allows for careful monitoring of the patient's response to the medication.

Additionally, as older adults often take multiple medications, this strategy can help manage the potential for drug interactions and cumulative side effects. Incrementally increasing the dosage also allows healthcare providers to assess tolerance and therapeutic efficacy over time, ensuring the patient receives the appropriate medication without compromising their safety and well-being.

This careful and methodical approach is a cornerstone of geriatric pharmacotherapy, emphasizing the need to tailor medication regimens for the unique needs of elderly patients.