What is the recommended approach for medication dosage adjustments in the elderly?

The recommended approach for medication dosage adjustments in the elderly emphasizes starting with a lower dose and gradually increasing it. This strategy is based on the understanding that older adults often have altered pharmacokinetics and pharmacodynamics, which can affect how medications are absorbed, distributed, metabolized, and excreted in the body.

Starting with a lower dose helps reduce the risk of adverse effects, which are more common in this population due to physiological changes associated with aging, potential polypharmacy, and the presence of comorbidities. By gradually increasing the dosage based on the patient's response and tolerance, healthcare providers can ensure that the medication is effective while minimizing the risk of complications or toxicity.

Monitoring the patient's response during this gradual adjustment phase is crucial, allowing for personalized care tailored to the individual's specific health status and needs.