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Dementia: Evening Confusion Explained
5 Feb
Summary
- Sundowning causes increased confusion and distress in dementia sufferers.
- Symptoms may not be linked to sunset, but rather time of day.
- Medication exists but carries addiction risk, requiring careful balance.

Dementia sufferers may experience a condition known as 'sundowning,' which leads to heightened confusion, agitation, and distress as the day progresses into evening. This phenomenon can manifest as delusions or hallucinations, though its precise triggers remain unclear.
Experts suggest that sundowning is not necessarily connected to the actual sunset but rather occurs during specific hours of the day. It is advised that caregivers note the timing and nature of these symptoms. While medications such as lorazepam can be considered, their potential for addiction requires a careful risk-benefit analysis in relation to the individual's dementia.
It is crucial to understand that dementia is not a normal aspect of aging. If memory problems or other concerning symptoms arise, consulting a GP promptly is important, as these changes may not always be immediately apparent to the individual or their loved ones.




