What therapeutic strategy is utilized for hypertension in older adults?

Starting low and going slow with medication dosing is the recommended therapeutic strategy for managing hypertension in older adults due to their increased sensitivity to medications and the potential for polypharmacy. Older adults often have various comorbidities and take multiple medications, which makes them more susceptible to side effects and adverse drug interactions. By initiating treatment at a lower dose, healthcare providers can carefully monitor the patient's response and adjust the medication as needed, minimizing the risk of complications such as orthostatic hypotension, which can lead to falls and other health issues.

This cautious approach allows for gradual increases in dosage based on tolerance and effectiveness, ensuring that blood pressure is managed effectively while enhancing patient safety. It's especially crucial in this population, where managing blood pressure must be balanced with maintaining overall health and preventing negative outcomes related to aggressive treatment strategies.