Treatment of sundown syndrome may vary based upon when agitated behavior is observed throughout the day. Non-pharmacological treatments *If possible, a consistent sleeping schedule and daily routine that a sufferer is comfortable with can reduce confusion and agitation. * If the person's condition permits, having increased daily activity incorporated into their schedule can help promote an earlier bed time and need for sleep. * Check for over-napping. People may wish to take naps during the day, but unintentionally getting too much sleep will affect nighttime sleep. Physical activity is a treatment for Alzheimer's, and a way to encourage night sleep. * Caffeine is a (fast-working) brain stimulant, but should be limited at night if a night's sleep is needed. * Caregivers could try letting people choose their own sleeping arrangements each night, wherever they feel most comfortable sleeping, as well as allow for a dim light to occupy room to alleviate confusion associated with an unfamiliar place. *Light therapy can help regulate circadian rhythms. Older adults can struggle to receive consistent sunlight due to bedrest and institutional limitations. Mood and spatial positioning improvements have been noted in peoples experiencing dementia with exposure to indoor light, but evidence is currently inconclusive. *Reducing the amount of overwhelming noise in the late afternoon or early evening can help the transition to sleep. *Music therapy, aromatherapy, acupressure, psychosocial support, caregiver education, multi-sensory stimulation, and simulated presence therapy are possible treatment pathways, but evidence is currently lacking in clinical practice. *Exercising at consistent times daily has been proposed to improve circadian rhythm and reduce the symptoms of sundown syndrome in people with Alzheimer's and dementia. It has also been observed that people with Alzheimer's walking at morning or afternoon hours had improvements in<unk>  symptoms. Pharmacological treatments * Some evidence supports the use of melatonin to induce sleep. The length of time required for a person to transition from fully awake to asleep has been shown to be more regular in melatonin users. Better memory and more positive emotional states have also been observed in peoples experiencing Alzheimer's disease. *Drug classes such as hypnotics, benzodiazepines, acetylcholinesterase inhibitors (AChIs), N-methyl D-aspartic acid antagonists (NMDA), selective serotonin reuptake inhibitors (SSRIs), and sedative antipsychotics have been used to treat<unk> , but their side effects limit their overall effectiveness in a risk versus benefit balance. Various side effects in the risk category include increased fall risk, vivid dreams, or nocturnal agitation.
Sundowning
Food craving
Sleepwalking
Fear of trains
Snatiation
Fidgeting
Insomnia
Sleep-talking