Understanding and Managing Sundowner Syndrome with Medication

Elderly people with some form of dementia may experience Sundowners Syndrome, which may also be referred to as sundowning. A physician can help determine which types of medication may be appropriate for treating individual cases of Sundowners Syndrome.

Definition

• Sundowners Syndrome refers to a worsening of dementia symptoms in the evening. The diminished light of sunset may make the unfamiliar surroundings of a hospital even more disorienting for those with dementia. According to SundownerFacts.com, the accumulated stress of the day may also contribute to Sundowners Syndrome.

Antidepresssants

• Antidepressant drugs called selective serotonin reuptake inhibitors (SSRIs) may relieve depression associated with Sundowners Syndrome. SSRIs include Prozac, Paxil and Zoloft.

Mood Stabilizer

• A mood stabilizer, such as lithium or valproic acid, may be prescribed to treat cases of Sundowners Syndrome that involve aggressive or agitated behavior.

Benzodiazepines

• A doctor may prescribe a benzodiazepine medication, such as Xanax, Ativan and Valium to treat Sundowners Syndrome that causes anxiety. According to MedicineNet.com, side effects of benzodiazepines may include memory loss and depression.

Cholinesterase Inhibitors

• Aricept, Exelon and Razadyne are cholinesterase inhibitors prescribed for the treatment of various forms of dementia. According to MayoClinic.com, these drugs may improve memory and cognitive functioning.

Haldol

• According to Dr. James Fanale of Mercy Medical Center and the Sisters of Providence Health System quoted in a 2005 article from HealthCareNews.com, Haldol, an anti-psychotic drug, may treat some cases of Sundowners Syndrome.