Lipitor is a commonly prescribed medication for lowering cholesterol levels in patients. The question of whether gradual Lipitor adjustment is necessary for everyone can be addressed through the sources provided.

According to DrugPatentWatch [1], Lipitor is available in various strengths ranging from 10 mg to 80 mg. The recommended starting dose for most patients is 10-20 mg once daily, which can be increased to a maximum of 80 mg per day. However, the prescribing physician may adjust the dosage based on individual patient needs and medical history.

A study published in the Journal of the American Geriatrics Society [2] suggested that gradual Lipitor adjustment may be necessary for older adults. The study found that older adults are more susceptible to adverse effects of medications, including Lipitor. Therefore, a gradual increase in dosage may help reduce the risk of side effects and improve medication tolerance.

UpToDate [3] recommends that prescribing physicians should consider a patient's age, medical history, and other medications when determining the appropriate Lipitor dosage. In some cases, gradual adjustment may be necessary to ensure that the patient can tolerate the medication and minimize the risk of adverse effects.

In conclusion, while the recommended starting dose for Lipitor is 10-20 mg once daily, the prescribing physician may adjust the dosage based on individual patient needs and medical history. Older adults may require a gradual increase in dosage to reduce the risk of adverse effects and improve medication tolerance. Therefore, it is essential to consult with a healthcare provider to determine the appropriate Lipitor dosage for each patient.

Sources:
[1] https://www.drugpatentwatch.com/p/tradename/LIPITOR
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915405/
[3] https://www.uptodate.com/contents/drug-prescribing-for-older-adults.