Antidepressants and alcohol: What's the concern?.Antidepressant withdrawal: Is there such a thing?.Understanding the difference between dementia types.Talk with your loved one's health care provider if you suspect that an underlying condition, such as a urinary tract infection or sleep apnea, might be worsening sundowning behavior, especially if sundowning develops quickly. It's possible that a medication side effect, pain, depression or other medical condition could be contributing to sundowning. Some research suggests that a low dose of melatonin - a naturally occurring hormone that induces sleepiness - alone or in combination with exposure to bright light during the day may help ease sundowning. Play familiar, gentle music in the evening or relaxing sounds of nature, such as the sound of waves.In a strange or unfamiliar setting, bring familiar items - such as photographs - to create a more relaxed, familiar setting.In the evening, try to reduce background noise and stimulating activities, including TV viewing, which can sometimes be upsetting.Turn on a night light to reduce agitation that occurs when surroundings are dark or unfamiliar.Limit caffeine and sugar to morning hours.Plan for activities and exposure to light during the day to encourage nighttime sleepiness.Keep a predictable routine for bedtime, waking, meals and activities. Presence of an infection such as a urinary tract infection.Difficulty separating reality from dreams.Disruption of the body's "internal clock".Factors that may aggravate late-day confusion
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