‘Start low, go slow’: The smart, safe approach to drug dosage in the elderly
By Henry MIller
The article argues for starting low and titrating slowly when prescribing medications, especially to older adults. By beginning with smaller doses and carefully adjusting over time, clinicians can reduce the risk of toxicity without cutting effectiveness. The approach—often summarized as “start low, go slow”—helps avoid adverse reactions and still achieves the desired therapeutic outcome. The piece emphasizes thoughtful dosing over a one-size-fits-all plan, advocating for monitoring, patient engagement, and adjustments based on individual response and tolerance.