Commonly used drugs: In older adults these include:
Options include citalopram (Celexa), fluoxetine (Prozac), nortriptyline (Pamelor), paroxetine (Paxil), and sertraline (Zoloft). Side effects of these medicines can include drowsiness, dry mouth, constipation, and anxiety.
For those individuals, Seroquel (quetiapine) is considered the safest choice. These drugs tend to relax people fairly quickly so they’re used for anxiety, panic attacks, sedation, and to treat insomnia. 1. Antipsychotics
Haldol (also known as haloperidol) is an antipsychotic medication. In hospice, it is used to treat terminal delirium, severe agitation in end-stage dementia.
Treatment. The most common treatment for anxiety and agitation is low doses of atypical antipsychotic medications such as risperidone and olanzapine.
Hypnotics, benzodiazepines, and low-potency antipsychotics are among conventional therapy that used to manage evening agitation and behavioral disruptions associated with sundowning.
What are the symptoms of sundowning? Sundowning is a distressing symptom that affects people in mid to late-stage Alzheimer’s and other forms of dementia, and as the condition progresses, the symptoms tend to worsen.
Answer From Jonathan Graff-Radford, M.D. The term “sundowning” refers to a state of confusion occurring in the late afternoon and spanning into the night. Sundowning can cause a variety of behaviors, such as confusion, anxiety, aggression or ignoring directions.
WEDNESDAY, Feb. 3, 2016 (HealthDay News) — Taking one of a class of anti-anxiety pills that includes Ativan, Valium or Xanax does not increase older adults’ risk of dementia, a new study finds.
You know them as Xanax, Klonopin, Ativan and Valium, though there are dozens of approved benzos, as they’re known in medical slang. In a new study, scientists have found that these drugs, meant to calm Alzheimer’s patients and ease their suffering, may contribute to an earlier death.
Three cholinesterase inhibitors are commonly prescribed:
This medication is used to treat anxiety. Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA).
The primary hypothesis is that quetiapine will improve sleep in persons with Alzheimer’s Disease (AD), with higher doses producing greater total sleep time and sleep efficiency. Detailed Description: Quetiapine is frequently used to treat psychosis in patients with Alzheimer’s disease (AD) and other dementias.
Researchers found treatment with the drug Zoloft, which is commonly prescribed to treat depression, obsessive-compulsive disorder, and panic disorder, significantly improved the quality of life for Alzheimer’s patients with depression and reduced behavioral disturbances such as agitation, aggression and anxiety.
Calmly reassuring and giving cues to orient the person who has dementia is also helpful in the evening and closer to bedtime. Try to keep the person going to bed at the same time every night. Calm activities at the end of the day and before bedtime may help the person with dementia sleep better at night.
Buspirone is an anti-anxiety drug that has been shown to be effective for older adults. Benzodiazepines, another anti-anxiety drug, are effective but should be prescribed carefully to older adults because of risk of memory impairment, unsteadiness, and falls.