Start low, go slow... but go! "Growing old is not for cowards" - this was already known by Hollywood star Mae West. Beyond the age of 70, physical and mental abilities decline. Age-related illnesses such as high blood pressure, diabetes, or dementia often lead to polypharmacy - a significant challenge for seniors themselves, as well as for doctors and pharmacists. The author is a hospital pharmacist who has extensively studied the pharmacotherapy of older adults. Her toolkit for optimal patient care includes: Foundations: changes in aging and typical illnesses. Strategies: guidelines, lists of potentially inappropriate medications, and methods for enhancing medication therapy safety. Aids: medication plans, compounding, blistering, and tube feeding. Practical tips: vaccinations, traveling with medications, and gerontoprophylaxis. Make life easier for your older patients.