What are your preferred strategies for managing sundowning in patients with moderate Alzheimer’s disease?

It's not a one-size-fits-all as expected. I tend to strongly push for behavioral/environmental adjustments and minimize polypharmacy.

On top of my head, behavioral strategies may include:

• Creating a rigid, predictable, simple schedule for naps, baths, meals, and medication.
• More stimulation as tole...

Behavioral modifications are important, including good “sleep hygiene. “However, medication is unavoidable at times, and in fact can make all the difference as to whether a loved one can be kept at home, without burning out the caregiver.

With regard to medication choices, I tend to use something se...