Start Your Risk-Free Trial

Sundowning Medication Savings with TheDrugClub

Discount pricing may be available. Current formulary eligibility is being verified; a condition association does not establish FREE coverage.

  1. Join TheDrugClub as a member
  2. Receive your member card by email
  3. Present your card at a participating pharmacy
  4. Check active-formulary eligibility or available discount pricing

About Sundowning

Sundowning, or sundown syndrome, is a common phenomenon where individuals with cognitive impairment experience increased confusion, agitation, and anxiety as evening approaches. This challenging condition can significantly impact patients and their caregivers. At TheDrugClub, we understand the financial strain of managing chronic conditions, and our membership helps make necessary medications more affordable.

Sundowning refers to a group of symptoms that typically occur in the late afternoon, evening, or nighttime hours, primarily affecting individuals living with dementia, Alzheimer's disease, or other forms of cognitive decline. Symptoms can vary but often include increased confusion, anxiety, agitation, restlessness, pacing, wandering, and sometimes even hallucinations or delusions. The exact cause of sundowning isn't fully understood, but theories suggest disruptions to the body's internal clock (circadian rhythm), fatigue, changes in light, medication side effects, or unmet needs like hunger or pain can contribute.

Managing sundowning often involves a combination of non-pharmacological and, when necessary, pharmacological approaches. Non-drug strategies are usually the first line of defense. These include maintaining a consistent daily routine, ensuring adequate light exposure during the day and a calm, dim environment in the evening, limiting daytime naps, and avoiding caffeine or sugary snacks late in the day. Addressing underlying issues such as pain, hunger, thirst, or bladder discomfort can also help. Engaging in calming activities before bed, like listening to quiet music or a gentle walk, can be beneficial.

When non-pharmacological methods aren't enough, a doctor might consider medications. These are always used cautiously due to potential side effects in older adults. Common pharmacological treatments may include low doses of atypical antipsychotics (like risperidone or olanzapine) for severe agitation or aggression, or sedatives/hypnotics (

The information above is for educational purposes only and does not constitute medical advice. Consult your healthcare provider before making medication decisions.

Related conditions

Participating pharmacy savings paths

Start Your Risk-Free Trial
Start Your Risk-Free Trial