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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Insomnia Be Treated While Suffering From Dementia?

Dr put my 80 yr old Mom on remeron for sleep 7.5 x2....is that the appropriate dose for sleep....not working well...thanks.....she also has dementia....is there anything else that can be used for sleep.....over the counter meds stopped working...unisom
Wed, 12 Dec 2018
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General & Family Physician 's  Response
Hello,

Insomnia in patients with dementia can be associated with decreased quality of life, increased health care costs, increased nursing home placement, and increased caregiver burden.

Treatments may include pharmacologic and nonpharmacologic interventions.

So far as pharmacologic intervention is concerned, for most patients with dementia, melatonin may be a good alternative to the traditional clonazepam therapy.

Non-pharmacologic intervention includes good sleeping practices such as:

Exposure to bright light, try to socialize, optimize the timing of medications, avoid caffeine and alcohol, keep the bedroom dark, clean bed sheets and pillows.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Prabhash Verma, General & Family Physician
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How Can Insomnia Be Treated While Suffering From Dementia?

Hello, Insomnia in patients with dementia can be associated with decreased quality of life, increased health care costs, increased nursing home placement, and increased caregiver burden. Treatments may include pharmacologic and nonpharmacologic interventions. So far as pharmacologic intervention is concerned, for most patients with dementia, melatonin may be a good alternative to the traditional clonazepam therapy. Non-pharmacologic intervention includes good sleeping practices such as: Exposure to bright light, try to socialize, optimize the timing of medications, avoid caffeine and alcohol, keep the bedroom dark, clean bed sheets and pillows. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Prabhash Verma, General & Family Physician