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I personally believe sundowning is too broad of a topic to know if one thing will work. And of course, what works for one person may not work for the next. I highly recommend starting a journal of everything that is occurring - from dogs barking, to the amount of sun that day, to the food eaten, etc. Sometimes trends emerge that can be changed. It won't be easy but it takes some detective work and creativity. You won't know about the lights unless you try them. Maybe purchase them from somewhere with a good return policy.
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Have your parent evaluated by a neurologist first. It may or may not be Sundowner's syndrome. The NH my father was in put him on Haldol without telling the family because they claimed he had Sundowner's, which he did not. There were other things going on. Get a rference to a good neurologist in your area, have the patient evaluated thoroughly to see if any other meds might be more appropriate. There are things like normal pressure hydrocephalus that can do weird things and you may need to have something like a CT scan, MRI or PET scan to figure out what is going on. Medicare should pay for most of it.
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We have a full-spectrum therapy light. Mom won't sit still with it any more. Back when she did use it, there was an overall improvement in her mood after about a week and a half of exposure one hour per day. As I recall, the instructions said to use it during morning hours because that's when the body normally is exposed to the brightest light. However, the benefits are all day.
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Keep the home well lit in the evening right up until bedtime.
Adequate lighting may reduce the agitation that occurs when surroundings are dark or unfamiliar. Vision loss often requires the patient has well-lit surroundings to prevent anxiety. Full spectrum lighting will benefit the entire family by converting cholesterol to Vitamin D. If you have 4ft. fluorescent lights, use the Grow-Lux tubes in a matching wattage.
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Some think so. We haven't tried one dexided to go the med route with Seroquel. I want some sort of assurance something will help Mom with sundowners. Our solution, seroquel.
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Short, Mom has been on seroquel about three years now. We started at 12.5 mg a day. We are up to 75 mg a day which hasn't been increased in about a year and a half. I give her 75mg about 4:30 pm. She goes to bed about 6:15. Some nights by 7 or so she becomes agitated about any number of things that she imagines. These are the nights that she also takes a Xanax. Then all is well, usually for the rest of the night.
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Thank u glad. Mom is on 50 mg at nite which she takes bout 630. But I can c see the change n mood between 5 and 530..she also takes attivan at nite which helps. She only takes 25 mg of sreoquel in morning..thank u for sharing good luck..
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Can you have her Vitamin D levels checked.
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Yes, "full spectrum" lights are very bright - much too bright after cataract surgery. The UV lights, which actually generate Vitamin D, are not nearly as bright in the visual spectrum, and you do not need to look at them anyway to get the benefit.
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TryingToCopeToo, I don't know if this will help or not, but I once heard a report that said it works just as well to shine the full spectrum light on the back of your knees. Why that would work, I don't have a clue. But it could be worth trying if you can figure out a way.
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