The day is winding down. Dinner is finished, the kitchen’s clean, and you’re finally settling in for some well-earned rest. Then it happens—your family member with dementia becomes unsettled. They’re pacing. Anxious. Confused. Maybe even angry. You’ve seen this shift before, and no matter how patient you are, it feels like nothing gets through.
This evening change in mood is a common challenge in dementia care. Known as sundowning, it’s a phenomenon where agitation and confusion tend to spike late in the day. And while sundowning triggers are often linked to things like fatigue or lighting changes, there’s another possible culprit many families overlook: medication.
What Exactly Is Sundowning?
Sundowning isn’t a diagnosis, but rather a term for late-day behavioral changes in individuals with dementia. Mornings might feel manageable, but as the sun sets, everything changes. The person might become restless, fearful, or even combative.
The reasons behind sundowning are complex and varied. But what often slips under the radar is how certain medications can amplify these symptoms—especially in older adults.
Medications That Can Contribute
Some of the most commonly prescribed medications for seniors can ironically make sundowning worse. These include:
- Anticholinergics – Found in medications for allergies, incontinence, and sleep, they can impair cognitive function.
- Benzodiazepines – Often prescribed for anxiety or insomnia, they can increase confusion and agitation.
- Certain antidepressants or antipsychotics – Though sometimes necessary, these can have side effects like restlessness or worsened anxiety.
- OTC sleep aids – Even “non-prescription” medications can interfere with mental clarity, especially at night.
These medications aren’t inherently harmful, but in someone with dementia, the impact can be significant and surprising.
What You Can Do
If sundowning has become more intense—or seemed to worsen after starting a new prescription—it’s worth a closer look. Bring a complete list of your loved one’s medications to their next healthcare visit, and ask whether any could be affecting their evening behavior.
Sometimes, adjusting the timing or dosage can help. In other cases, switching to a different option might reduce side effects without sacrificing benefits.
Looking at the Whole Picture
Beyond medications, other sundowning triggers include hunger, dehydration, poor sleep, or overstimulation. And after a long day, caregivers are tired too—emotionally and physically.
That’s why having professional support can make a real difference.
Compassionate Home Care When You Need It Most
At Comfi-Kare Homecare, we help families across Potomac, Silver Spring, Gaithersburg, and throughout Montgomery County navigate the ups and downs of dementia care—including sundowning. Our trained caregivers offer calm, consistent support during the most difficult parts of the day.
We can monitor medication side effects, structure the day to minimize evening agitation, and create a peaceful environment. Overnight care is also available, so you can finally rest.
Want to know how home care can bring peace back to your evenings? Call 240-750-6617 to schedule a free consultation—right at home.