Sundowners in dogs is a common problem for our grey-muzzled companions. To help shed some light on this condition, integrative veterinarian Dr. Julie Buzby discusses the cause, symptoms, diagnosis, and treatment for sundowners in dogs. Plus, she provides a variety of practical ways to calm a dog with sundowners so you both can get more sleep.
Senior dogs can make wonderful companions for many pet parents. But sadly, with advancing age can come a variety of challenging medical conditions. Some health problems can be brought to light with a physical exam, routine blood testing, or special imaging. But cognitive function problems such as sundowners syndrome tend to be a bit harder to pinpoint in older dogs.
Can dogs get sundowners?
You may have heard the term “sundowners” as a condition that a grandparent or other human family member is afflicted with. It generally applies to older adults who are experiencing abnormal behavior or confusion that starts late in the evening and extends into the night hours.
As it turns out, dogs can have sundowners too, and it even looks sort of like it does in people.
What is sundowners syndrome in dogs?
In dogs, sundowners syndrome is part of canine cognitive dysfunction syndrome (CDS), which can also be called doggie dementia. All of these terms describe a slow process of cognitive decline which occurs in older dogs. It is a recognized medical condition, not just “normal aging” or “slowing down.”
Since dogs are living longer, doggie dementia is becoming a more prominent problem. In fact, one research study indicated that 28% of 11 to 12-year-old dogs, 48% of 14-year-old dogs, and 68% of 16-year-old dogs will have some degree of cognitive dysfunction.
In general, sundowners can affect activity levels, personality, and sleep-wake cycles. Affected senior dogs may sleep more and play less as they get older. Aging dogs who were once outgoing and sociable may suddenly become reserved, fearful, or in rare cases, more aggressive. And it may also become harder for them to sleep through the night, resulting in them pacing around the house in the dark at odd hours. This last behavior is why doggie dementia sometimes gets called sundowners syndrome in dogs.
Why does sundowners occur?
While the true cause of sundowning in dogs is unknown, researchers believe that a senior dog’s brain may undergo some of the same physical changes as the brain of a human with Alzheimer’s disease. Over time, proteins called beta-amyloid accumulate in the brain’s tissues. These proteins form plaques that lead to brain inflammation and irreplaceable loss of nerve cells.
This loss of neurons has many consequences, one of which is a disruption of the dog’s biological clock. Normally the body runs on a 24-hour cycle known as a circadian rhythm. One of the big regulators of circadian rhythm is a hormone (i.e. chemical messenger) called melatonin. A small gland in the brain, the pineal gland, releases melatonin when the body senses less light (e.g. when the sun goes down). This makes a normal dog tired and helps to reset the circadian rhythm for another day.
However, this process doesn’t always work right for dogs with dementia. Due to the structural changes in the brain and a drop in melatonin levels, dogs with sundowners can have problems with their sleep-wake cycles. This may help explain why sundowning in dogs is more common in the evening and night hours.
What are the signs of sundowners in dogs?
As I alluded to, issues with sleep-wake cycles are but one of the many manifestations of cognitive dysfunction in dogs. Generally, the symptoms may appear mild in the beginning and then intensify over time. This is particularly true in dogs who live longer than 12 to 13 years.
To help remember the different signs of dementia in dogs, you can use the acronym DISHAAL. It stands for the following:
- Disorientation
- Interaction changes
- Sleep changes
- House soiling
- Activity changes
- Anxiety
- Learning and memory
Let’s take a look at each of these symptoms in a bit more detail.
Disorientation
Affected dogs may seem confused or almost as if they are zoned out. A disoriented pup will have trouble navigating his or her surroundings, and you may find him or her stuck in corners or behind furniture. Additionally, sundowning dogs might gaze into space, staring at a wall, or pace or wander without stopping. Sadly, sometimes they won’t even recognize their family members.
Interaction changes
Dogs with sundowners may not greet their owners like they used to. Some dogs may even go to great lengths to avoid interaction entirely. This may include hiding from people and other pets or becoming visibly upset when someone touches them.
Alternatively, a normally aloof pup may suddenly stick to your side like glue. All of these scenarios could point to sundowning if they are abnormal for your dog.
Sleep changes
Instead of staying asleep until morning, dogs with sundowners might wake up several times a night. Sometimes you may notice senior dog anxiety at night, including pacing, panting, whining, or barking. Or you might wake up to a furry face breathing near yours or the sound of ceaseless tag-jingling.
For dog parents, the loss of sleep seems to be one of the hardest aspects of sundowning to deal with. Once your dog wakes you (and potentially the rest of the household), it can be hard to get back to sleep. Dealing with this night after night can feel overwhelming and discouraging. Your dog can (and likely does) sleep all day, but you probably don’t have that luxury.
House soiling
Dogs potty-trained from a young age will rarely have accidents inside the house. But because dogs with sundowners become confused, they might start urinating and defecating in your home. It can also seem like they cannot hold their bladders for as long as they used to. This might result in you having to walk your furry friend more frequently and/or purchasing “piddle” pads for your pup.
Activity changes
Some dogs may suddenly become more active while others start sleeping the day away instead of playing. The excitable, energetic dog that suddenly shows less interest in running or playing fetch could be showing signs of sundowners. So could a dog who was normally a “couch potato” but now endlessly paces or walks in circles.
Anxiety
Senior dogs with sundowners can become fearful of new things in the home (e.g. furniture). Or, where once your dog wanted to be in the center of the activity, he or she may now spend more time on the outskirts, shaking or hiding. Your dog may also be more reactive to loud sounds or fast activity. This might explain why some older dogs can show signs of anxiety around young children or excitable new pets.
Also, in addition to increased noise and visual sensitivity, dogs with sundowners who were normally calm being away from their family members might start to develop separation anxiety as they age.
Learning and memory
Dogs with dementia may forget some of the basic tricks they learned like “sit” and “stay.” Plus, it may become more difficult for them to learn new commands or behaviors as they get older. Even though most dog parents don’t agree with the old adage, this might be where the phrase “you can’t teach an old dog new tricks” was coined.
Sundowning dogs may also forget where their food and water is. Or they may go to the wrong side of the door, or not even remember which door takes them outside. This can make necessary daily tasks like eating and going outside much more difficult.
How is sundowners syndrome diagnosed?
As you have probably gathered, dogs with sundowners can have a wide array of different symptoms. Cognitive decline isn’t a one-size-fits-all process. This also means that diagnosing it isn’t always very straightforward because there isn’t an easy diagnostic test with a “yes” or “no” result.
To further complicate matters, sometimes other conditions may have signs that also look a little like sundowners. For example:
- Congestive heart failure in dogs and kidney failure in dogs may negatively affect blood flow to the brain. This can lead to cognitive changes.
- Osteoarthritis in dogs can cause a dog to be less active or more touchy when handled.
- Withdrawing from the family, not resting well, and changes in activity level can also be signs your dog is in pain.
- UTI in dogs, diabetes insipidus in dogs (i.e. the type of diabetes where a dog can’t concentrate his or her urine), pyelonephritis in dogs, urinary incontinence in older dogs, diabetes mellitus in dogs (i.e. the type of diabetes that causes high blood sugar), and pyometra in dogs can all cause urinary accidents.
Due to these factors, your vet often needs to do a bit of detective work to find the cause of your dog’s symptoms.
He or she will start by talking with you about what you are seeing at home. Then he or she may ask you to fill out a canine cognitive dysfunction checklist. These checklists can be a helpful way to visually see how many symptoms of sundowners the dog is showing and which areas are most problematic.
Additionally, your vet will want to perform a complete physical exam and some routine testing to rule out medical problems. This might include blood tests for dogs, urine testing, and imaging like X-rays or ultrasound. Once it is clear that the symptoms are not coming from a physical ailment, your vet may conclude that your furry friend has sundowners syndrome. Then it is time to talk about how to help your sundowning dog.
What is the treatment for sundowners?
While there is no definitive cure, dogs suffering from sundowner syndrome have lots of different therapeutic options. It is important to remember, though, that no one particular therapy will be 100% effective. And it can take several weeks or months before you may see a positive response.
Medications
In recent years, the antidepressant selegiline has been approved for use in dogs for the treatment of CDS. Selegiline for dogs (Anipryl®) works by increasing dopamine levels in the brain. Since dopamine is a signaling molecule, increased levels can help with memory and improve the ability of nerve cells to “talk” to one another. It isn’t the solution for every dog, but one study indicated that 77% of dogs with CDS showed improvement on selegiline.
Additionally, sundowning dogs may benefit from anti-anxiety medications like trazadone for dogs. Since it is a serotonin antagonist/reuptake inhibitor (SARI), trazadone increases the level of serotonin (i.e. the happy hormone) in the brain. This can help dogs feel more calm.
Supplements
There are also a variety of useful supplements for sundowners syndrome in dogs:
- Solliquin® and Zylkene® contain ingredients that are naturally calming and/or can help with the creation of serotonin.
- Adaptil® contain pheromones that mimic those of a nursing mother dog, which is meant to help with relaxation.
- Medium chain triglycerides (i.e. MCT oil for dogs) can help support cognitive function and provide fuel for the brain.
- Antioxidant supplements like Novifit® or products containing resveratrol may reduce the formation of harmful free radicals and help with overall brain function.
- Melatonin for dogs can help dogs with sleep-wake cycle disturbances sleep better at night. Just ensure the supplement you chose does not contain xylitol, which is toxic for dogs. This sugar substitute, which is also known as birch sugar, can show up in some human products, especially melatonin gummies.
- Omega-3 fatty acids for dogs have anti-inflammatory effects and are good for brain health.
- CBD oil for dogs may be beneficial for dogs with sundowners because of its purported anti-inflammatory and calming effects. However, there is still little data proving its efficacy.
Brain-health diets
Diet can also have an impact on your dog’s brain health, and may help calm a dog with sundowners. Prescription diets like Hill’s® Prescription Diet b/d canine and Purina® Neuro Care are rich in omega-3 fatty acids and antioxidants. Plus, Purina® Neuro Care contains MCT oil. The goal of these diets is to help minimize inflammation, support brain function, and delay the onset of age-related changes in the brain.
Purina also makes a probiotic called Calming Care that has been shown to have a naturally calming effect on dogs.
How can you calm a dog with sundowners?
Besides relying on calming medications and supplements, try out some of these at-home tips to help decrease sundowning:
1. Maintain a calm household (or give your dog a quiet spot)
This means trying to lower the amount of noise or sounds at home, especially during the daytime. If loud sounds and chaos is unavoidable (like at my house with 8 kids!), try to find a quiet area for your dog to relax in peace.
2. Play calming music
Consider playing a variety of calm, quiet music in the background throughout the day. When researchers investigated the effects of music on shelter dogs, they found that classical, jazz, and reggae music had a calming effect. That would make those genres (or something similar) a good option. However, based on the study at least, you should avoid rock music because it made the dogs more nervous.
3. Avoid bright lights, especially in the evening or at night.
Since melatonin release is tied to light levels, keeping the lights down in the evening may lead to higher melatonin levels. This could translate to better sleep at night.
4. Exercise and explore together.
Getting outside for a walk, hike, game of fetch, or even a dog wagon ride has many benefits for your dog. Exercise is great for mobility and weight management. Plus, doing activities together strengthens your bond and stimulates your dog’s brain.
There are a few safety considerations to keep in mind, though. If your dog is used to a sedentary lifestyle or has orthopedic issues, work with your vet to create a safe exercise plan. Also, be careful with letting your dog off leash. Sometimes dogs with sundowners can get confused and wander off, fall in a pond, or get into other dangerous situations.
5. Keep your dog’s surroundings familiar and safe.
To help minimize confusion and injury, try to avoid rearranging the furniture or moving your dog’s food and water dishes. Also, consider purchasing a baby gate to block your dog’s access to areas where he or she could get hurt (e.g. at the top of a flight of stairs).
How long do dogs live with sundowners?
The medications, supplements, and strategies we just discussed can improve the quality of life for dogs with sundowners. And since sundowners syndrome doesn’t directly impact the dog’s physical health, some dogs can live for several years after the diagnosis. However, eventually the mental toll sundowners takes on dogs (and their families) may raise the question, “When do I euthanize my dog with dementia?“
This isn’t a question I can answer for you, but I can help you start to think through it. Like many euthanasia decisions, it comes down to quality of life. But in this case, quality of life might look a bit different because the dog’s mind, not the dog’s body, is sick. For example, a physically healthy dog can still have a poor quality of life if he or she is awake all night, severely anxious, getting lost frequently in the house or yard, not recognizing family members, etc.
You know and love your dog so I suspect that you will have an idea of when it might be time to say goodbye. But you can, and should, also lean on your veterinarian during this time. He or she can provide tools like a quality of life scale for dogs and answer any questions about preparing for your dog’s euthanasia.
Finally, I want to remind you that you are not being selfish when you make the decision to euthanize your dog with sundowners. You aren’t doing it because you are tired of caring for your dog and cleaning up messes or want to get some sleep. Instead, you are making a loving decision to set your beloved dog free from the confines of his or her mind. That isn’t selfish at all.
Tackle sundowners in dogs with your vet’s help
Watching your sundowning dog struggle can be heartbreaking, but it doesn’t have to leave you feeling powerless. If you notice changes in your dog’s behavior or cognitive function, please contact your vet. While there’s no cure for sundowners, there are things that your vet can recommend to help calm your dog and boost his or her mental function.
It may seem difficult in the moment but try to remind yourself that sundowners may alter what your dog’s sunset years look like, but it doesn’t have to take the enjoyment out of them. In many cases, there is still a lot of smiles, snuggles, and fun left to be had.
Does your dog have sundowners syndrome?
Please comment below.
Thanks for publishing this article; some of the details helped fill in the gaps I had after having a relatively short conversation with our vet. Our dog, a pointer mutt, is going on 12 and the vet suspects he has CDS. A bit over a month ago, the pup had a generalized seizure that lasted only about a minute with no reoccurrence. Two weeks ago while I was out of town for a week and my husband was with the dog, he started biting and scratching at our doors, trim, and drywall when left alone and pacing, panting, and being needy when not alone. He’s always had separation anxiety and sound sensitivity, so some of this is expected if something has caused him extra stress, but the recent episodes are significantly worse and have no obvious trigger. Then, several days after I came back, he developed the panicked sleepless behavior at night that has now persisted for close to 2 weeks. It’s very clearly sundowning behavior because he sleeps deeply during the day. The vet prescribed fluoxetine for the separation anxiety, which we started him on a week and a half ago, and melatonin for the nighttime anxiety that we’ve used 4 times. He’s also been on daily carprofen for leg pain for several months. We haven’t left him alone since before starting the fluoxetine because we’re concerned he’ll hurt himself, let alone do more damage to the house. We’re hoping to easy him back into being alone during the day once the fluoxetine becomes effective because we can’t work from home much longer. And the nights have only gotten worse. The melatonin doesn’t seem to help and even seems like it may be making it worse. The dog jumps on and off our bed, stands on our heads, pants, paces, lays on our pillows, circles the house, nudges us, and occasionally tries to bite the doors several times a night and sometimes all through the night. When we didn’t give him melatonin, he woke a few times but settled back down in minutes. He only eats about half his meals (happily eats all the treats), I’m wondering if the melatonin at night makes him feel sick if he hasn’t eaten recently, … or something? Considering trying CBD because we all need some sleep.
Dear Aly,
I am sorry you are in this difficult situation with your senior guy. I can only imagine how hard it is trying to help your boy while suffering without sleep for so many days in a row. It does sound like the melatonin may be having the opposite effect and I think you are right to discontinue it. If you give CBD a try, let me know what you think! I just don’t have much personal experience with my clients using those types of products and like to hear firsthand accounts. Please make sure you are taking care of yourself. Caregiver fatigue is very real, and your quality of life matters too. Wishing you all peace and rest. Bless you and your sweet boy.
Our almost 15-yr old Shepherd/Lab mix is experiencing some symptoms of CCD and the sundowning has been the most prominent symptom. Pacing/walking in circles, stopping & staring off into space, what appears to be falling asleep while standing (yet not just laying down) are the most common we’ve noticed. Until recently he had been waking several times a night and barking/howling (which also got our younger bulldog joining him…that was fun), which woke us up multiple times during the night. We started giving him Melatonin for dogs about an hour before bed and it has helped IMMENSELY. He is sleeping through the night now (or at the very least is no longer barking/howling). Our vet also added gabapentin to help sleep and some joint pain. Between the two of them, we’ve all gone back to getting a full night sleep.
Hi Chris,
I am sorry your senior guy is dealing with the symptoms of dementia. What a blessing the melatonin and gabapentin worked as hoped and peace has been restored to your household. Thank you for sharing your experience with us as this could be exactly what someone else needs to hear. Wishing you and your sweet boy continued success and many happy days ahead.
Acupuncture and cold laser therapy
Full spectrum CBD oil was the only thing that helped my dog with CCD. We were out of options and tried a holistic vet. The oil stopped all of our girl’s symptoms. It’s a shame more traditional vets aren’t knowledgeable about it. Other supplements like Senilife and Melatonin were a complete waste of money and time. We got an extra year with our girl without the awful side effects of the typical medications.
Hi Angeline,
I am glad you were able to find something that offered your girl the benefits she needed for relief of her CCD symptoms. You are correct that many vets are not knowledgeable about CBD products but that is mostly due to the fact that we are just now seeing scientific studies being done to provide this critical information. Because of the increasing incidence of lawsuits and board complaints, many vets are hesitant to recommend anything that doesn’t have a ton of research to back up its efficacy and safety. While I realize some dogs do not respond well to Senilife and melatonin, there are many that do. Here is a link to our article on CBD oil that was recently updated with the most current information: CBD Oil for Dogs: Facts, Benefits, Concerns [2024]
Thank you for bringing up this important topic!
How much MCT per pound were you advised to give?
Each dog is different I tried several vet recommended cbd oils and none of them worked huge difference with acupuncture and cold laser therapy going to try melatonin next as she is a lab and approaching 16 get them on homemade dog food cooked and that made a huge difference…..obviously I’m doing something right as she’s coming up on 16 and walks a couple miles every other day
My Shiba will be turning 8 in October, and she is a really well-behaved dog. Up until around a week ago, she had no issues sleeping through the night. Now, around 2-3 in the morning I am awoken by her whining—even though she has free roam of the house (always has), knows she is welcome in my room to jump on her blanket at the end of the bed, etc.
The first night I thought maybe she didn’t do her business well enough before we went to bed, but she had no urgency in alerting me that she needed anything at all. Didn’t run to the back door and look at me, or anything else. Even when I asked if she needed outside she didn’t get excited or go to the door. So, I was confused with what she wanted, and now it’s been a solid week of this. Obviously this is not conducive to my own sleep cycle, but I am more so concerned about hers because I don’t know what she needs/wants and how to help her!
Dear Dakota,
My heart goes out to you as you face this difficult situation with your senior girl. While this definitely sounds like dementia, it would be best to have your vet do a thorough evaluation to make sure nothing else is contributing to the issue. If they determine this is truly dementia/sundowners, then you may be able to try a supplement such as melatonin to see if it helps to resolve your girl’s sleeping problems. There are also anti-anxiety medications that can be helpful for this condition. I will attach links to other articles with more information. Hoping you can find the answers you need to restore the peace in your home. Praying for comfort and rest. Bless you both.
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
3. MCT Oil for Dogs Can Help Dogs with Dementia or Epilepsy
4. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
Thank you so much for your very thorough explanation of Sundowners. At the annual checkup with our vet last year we brought up some of these concerns and he said it might be Sundowners but didn’t fully explain the condition, your article explained everything to us. Our 15 year old rescue mutt (said with complete love and pride) is exhibiting all of the symptoms you describe. My wife and I take night time shifts with her but it doesn’t seem to help. It has all happened so fast. She can’t eat dry food anymore because she has lost most of her teeth due to aging, (and she’s also deaf from age) so we started giving her moist canned food and yet she still has lost about 20 pounds. She used to be a consistent 62 pounds for her whole adult life. Again, thank you for the article and to all the respondents on here. It’s kind of like group therapy to know that we’re not going through this alone. Thank you ALL!
Dear Scott,
I am sorry your senior girl is struggling with this type of dementia. I am glad the article was informative and gave you some clarity on the situation you are facing. Thank you for sharing your experience with us. It does help to build community with our readers and allows us to encourage and support one another. Praying for your strength as you navigate this difficult path. Bless you and your sweet girl.
My yorkie just turned 16. He is almost completely deaf and blind except for seeing shadows. I believe he is in the beginning stages of sun downers. He has become very clingy, but gets agitated if you pick him up. He has also started peeing in the house, but will still use the doggie door for pooping. He starts to pace non stop about 7 pm each evening, and eventually tires out about 11 pm, but will sleep through the night. He will stand in corners or up against things. He is pretty healthy and spry, except for some bad arthritis in his hips. He has a very healthy appetite, and is VERY food driven, but his teeth are getting pretty bad. He takes 1/2 of a Rimadyl 25mg daily. Would LOVE to find something to “calm his mind” when he is pacing, pacing, pacing.
Dear Shannon,
I am sorry your senior guy is having issues with nighttime anxiety. I understand your concern and think he is lucky to have you searching for ways to improve his quality of life. There are many different calming products such as supplements, sprays, collars, etc. Some readers have had success with melatonin or CBD products. Also, it may be a good idea to talk to your vet about anxiety medications or dementia treatment. I will attach links to other articles with more information. Hoping you can find a way to offer your boy relief and rest. Best wishes and bless you both!
1. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Marvelous Melatonin for Dogs
4. CBD Oil for Dogs: Facts, Benefits, Concerns [2024]
5. Trazodone for Dogs: Could it Decrease Your Dog’s Anxiety?
My 18 yr old has Sundowners an̈d hip and muscle pain. but he still has a few good days a week. today he played with his sister getting in an̈d out of the pool and playing with her.
But he is on tramadol for pain and trazodone for Sundowners. If we forget his meds, we give at 530 after his dinner, at almost 7 each night he starts breathing hard, gets restless ànd whines nonstop. as soon as the meds hit, he calms down.
he does move around starting about 2 or 3. but doesn’t whine or breath hard most nights.
I can tell he is In pain without meds and at 18 I know We are blessed he is still with us.
I just need to know if he is in severe pain and meds are masking it.
I of course don’t want to lose him, but I don’t want him to live in pain.
he gets very skittish if he feels anything near or behind him. I think he has lost his hearing and alsoʻ is going blind. But he still is so loving and We just do not know how or when to make that decision. He also just started to not hold his bladder and about 1x a week doesn’t make it.
it is the hardest decision to make. I have been through it 3 Xs but like each, I guess we have to know in our heart that he is hurting and no longer having a good quality of life.
I wish their is an easy way to decide. This is the 1st one I have had with Sundowners so it’s a little harder with him on meds. for it and pain.
praying for all of your furbabies.💙
Dear L. Z.,
My heart aches for you as you face this difficult situation with your senior guy. From what you describe, it does sound like he is experiencing pain, but the medications seem to be relieving the discomfort (he calms down when the meds hit). There is a window of time near the end of a dog’s life when it is ok to say goodbye, but it may not be urgent. Your boy may have just entered his window. Without playing a personal role in his medical care, it is hard to make specific conclusions about quality of life. Don’t hesitate to discuss this important topic with your vet. They should be able to offer guidance as you navigate this emotional path. I will attach links to other articles with more information on when to make this hard decision. Praying for comfort and strength. Bless you and your sweet boy.
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
My Bella is almost 13 and is a 13 lb. Pekingese. She has always had some anxiety and does not like being petted unless she instigates it. Last 3 years she has grown more anxious and especially around loud noises. Then she paces or runs to us and we hold her until she calms down. Bella sleeps in her cage at night. No problems with her at bedtime except I think she is awake a lot, looking at the door. She trembles so bad when she gets frightened, it is pitiful! Around 3 or 4 pm, she starts getting more anxious, watching windows and doors. Will go out to wee but only long enough to do so. Late at night , around 10 pm, we have to practically pull her out to wee wee. She is good until morning when we get up. I feel she is starting sundowners. My friend had it and that is why I found your post, as I was looking for answers. I did purchase Peaceful Pup roll on oil and put on her ears when there are fireworks or loud noises. It seems to help but just a little. I guess I need the vet to advise me. Thank you
Hi Rose Puff,
I am sorry your girl is dealing with these ongoing anxiety issues. I am not sure this sounds like sundowners since you said your girl sleeps through the night after 10pm, but maybe more like overall dementia/cognitive dysfunction with nighttime anxiety. Either way, all of these are symptoms of dementia and have some possible treatments. I will attach links to other articles with more information that should help to guide your discussion with your vet. Hoping you can find the best combination of treatments to offer your girl comfort and rest. Best wishes to you both.
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
Thank you for all this info. We have a 17 year-old golden retriever/cocker spaniel mix who has been diagnosed with Doggie Sundowners some three years ago. Our Nugget can’t hear, has limited vision, constantly paces around our house, sometimes I think he’s mapping it. He’s had three leg surgeries (2 on one leg, 1 on the other), so he is arthritic, but does get some relief from his monthly injection of Librela. He also has several benign growths on him, including one good size one on his gums, which occasionally tremble. He’s not much for going for walks anymore, but he still has a healthy appetite. We give him Melatonin at night, but sometimes he awakens to go outside; thankfully, we hear his nails on our floor. He has occasional accidents, but not too bad. I am worried about his quality of life, even with a good appetite. It seems like he’s just existing, and not really living. It breaks my heart to see him this way, as I remember him being so spunky just four years ago. It seems like his decline accelerated after the death of his big brother three years ago, is that possible?
Dear Carol,
I am sorry your senior guy is dealing with these symptoms of dementia and his health is starting to decline. It is definitely possible for a traumatic and emotional event, such as the loss of a housemate, to have an affect on cognitive ability and function. Your pup is very lucky to have you taking such good care of him and advocating for his well-being. I will post links to other articles with more information on dementia in hopes you will find the answers you need to make the best choice for your sweet boy. Wishing you all the best and praying for a clear path forward.
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. Do Dogs Grieve? Helping Your Dog Cope With Loss
4. Using a Quality of Life Scale for Dogs
My 15 yr old yorkie always has slept with me and I work nights so we sleep all day. over the last couple months she has decided that 11 a.m. is her hour to start barking. I NEED my sleep so I put her in another room with bed, food, water as a trial, she barked for 3 hrs straight, I could go back to sleep but only lightly as my conscience heard her barking, its so strange. Seems I’m going to have to find something natural for her (I dislike Rx, nor can I afford them),what would be the thing with best results to try first? its hard enough to work night shift so I must find a way we both can sleep. She was NEVER a barker except for doorbell but this is getting out of hand.
Hi Lori,
I am sorry your senior girl is experiencing these episodes of anxiety. I can only imagine how difficult and stressful this situation must be. There are calming supplements, sprays, diffusers, chews, and shirts you can try. Some of my clients have reported good results from CBD products. Melatonin is also a great option. I will attach links to other articles with more information. My main concern is that in order to get your girl adjusted to your schedule, it requires you to completely change her body’s natural sleep/wake cycles. I am not sure if this is a healthy choice. And as always, please consult with your vet before starting any new supplement as you want to ensure it will not cause any negative effects or interact with any medical conditions your girl is already dealing with. Hoping you can find a solution that works best for everyone involved. Praying for comfort and peace.
1. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
2. CBD Oil for Dogs: Facts, Benefits, Concerns [2024]
3. Marvelous Melatonin for Dogs
4. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
5. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
My 14yr old Shiba Inu was recently diagnosed with Sundowners Syndrome. She paces from 11pm until 6-7am in the morning, along with heavy panting and relieving herself multiple times. She was placed on 1 100mg Gabapentin in the morning and 3 of them at night, along with 1 Trazadone daily. It worked for about 2 days and is back at it again. I’ve been up with her each night and nothing calms her. She’s been crate trained, but now howls and barks after entering her crate, even when it’s open. She only has 1 eye, but still bumps into everything. She doesn’t always recognize the other dog she played with and can snap at him easily, like she forgot who he is. Still waiting to hear back from the vet for other options. Is there anything else I can do for her? She used to be my mom’s diabetic alert dog, but has been retired for a while. I haven’t had a restful night of sleep for myself.
Dear Alydia,
I am sorry you are facing this difficult situation with your senior pup. Unfortunately, it sounds like she may be in the final stages of dementia, and I am not sure there is anything else that can be done to improve her quality of life. Sometimes saying goodbye is the most loving option and only way to offer relief from suffering and struggles. I will attach links to other articles with more information on how to navigate this emotional decision. Praying for comfort and peace for everyone involved. Bless you and your sweet girl.
1. Using a Quality of Life Scale for Dogs
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
4. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
Our 14 year old girl is suffering from
Sundowners and our family is falling apart. Walking on eggs shells and even though she has been on meds for 8 days no real changes only a 6am wake up call barking and waking the neighbours, please help 🙏
Hi Amy,
My heart goes out to you as you face this difficult situation with your senior girl. Without the ability to examine her personally, it is hard to make specific recommendations. I would encourage you to try and evaluate her quality of life (and yours too!). Sometimes the most loving option is to offer relief from suffering and say goodbye. I will attach links to other articles with more information. Hoping you can find the answers you need to make the best choice for everyone involved. Bless you and your family. ♥
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
3. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
4. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
5. Using a Quality of Life Scale for Dogs
My Yorkie will be fifteen in June and she exhibits symptoms of Sundowners by
anxiety , head butting the blankets, trying to frantically dig in the blankets, panting, jumping in and out of the bathtub.
The hard part for me is trying to calm her down so I can get some rest. I took her to the vet who did a blood panel and all of her levels were great.
The vet put her on trazedone and gabepentin. The problem is they wear off in a few hours and she is back at it. During the day, she sometimes has a spell where she pants and has tremors. Can valium be used for this condition?
Hi Karen,
I am sorry your Yorkie is having these nighttime anxiety issues. I understand your concern and think it is good you are reaching out for help. Is your vet aware that the medications are wearing off too quickly? It may be possible to make some small adjustments to the dosage to achieve the desired effect. While Valium may offer a mild level of sedation, I am not sure it would be more beneficial than the trazodone and gabapentin combination you are already using. I encourage you to discuss these concerns with your vet and see if they have any other suggestions or ideas about treatment. Here are links to other articles that may offer additional information:
1. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
2. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
3. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
Hoping you can find the answers you need to restore peace in your home. Wishing you and your sweet girl all the best. Bless you. ♥
This article was very helpful. Our almost 13 year old lab x has recently started to wake up earlier (around 4.30am – 5.30M). It began with an onset of GI issues (chlostridium bacteria overgrowth) about 6 weeks ago, which he is now on a second course of antibiotics for. We thought it was his tummy upset and he would wake and just want to go outside for a few seconds to look around and then come back inside. He has always done this when his tummy has felt off. It was happening a few times a week and now it is occuring every night. We have tried Adaptil diffuser and feeding him a little later and giving him a snack before bed. We wake early and he usually gets breakfast at 5.30am anyway but has never been restless before breakfast. He settles as soon as he is fed around 5.30am or 6am. We are starting to get concerned that is sundowning behaviour? He will be going to the vet for a recheck in a few days and we will mention it to them again as it has now become a daily occurance. He has had bloods taken recently too which showed everything in the normal range.
Hi Dani,
I am sorry you are facing this difficult situation with your senior guy. Sundowners is definitely a possibility as dementia is quite common in older dogs. I would encourage you to talk to your vet about options to help keep him calm and allow everyone to get the rest they need. It may be worth trying a melatonin supplement or discussing the use of anti-anxiety medications. Hoping you can find a solution to this tricky problem. Wishing you all the best and praying for a positive outcome.
my dog lives between 2 houses due to a separation. At my house she shows signs of sundowning -panting, digging, hiding, rabbit in headlights and generally unsettled and wont go to bed. At her other house she barely has any symptoms. Is it possible that sundowners could be far worse at one house and not the other? – we cant find any other explanation and have had vets checks etc. At my house she is fine in the day, plays, eating, not anxious but after about 830pm the symptoms start
Hi Lisa,
What a strange situation! I honestly have no idea why your girl would have symptoms at one house but not at the other. I guess anything is possible. I would try to see if you can find any details about the evening routine or environment at the other house that you could mimic or reproduce at your house to see if there is any change in her behavior. If nothing else, it may be time to try an anxiety medication or discuss with your vet the possibility of using a melatonin supplement. Calming sprays and collars are also useful and don’t have any side effects to worry about. Unfortunately, it may come down to having to make some tough choices about where your dog lives on a permanent basis. I know that is the last thing you would want, but it may be in her best interest. Hoping you can find a way to give your sweet pup some relief. Praying for answers and a clear path forward.
I have an 11.5 year old Brussel Griffon mix, Luna. She’s incredibly smart. Tricks have always been her thing….she even learned to recognize the number on a card and tap your hand with her paw that many times!
Anyway, she’s also always had a bit of a problem with anxiety. Especially with loud sounds like fireworks or thunderstorms. Several years ago we started giving her Prozac at night to help with panic attacks. She was perfectly fine. But in recent months, in the evenings and nights her anxiety levels have been off the charts. We can’t seem to calm her. Even her normal happy places don’t work. I can’t seem to distract her with doing tricks either. When she does calm down, suddenly she will wake up and start barking at the big window at nothing. She also has been waking up more … wanting to go potty, or just to get me to pet her.
Her vet did increase her anxiety meds a bit and gave her a supplement for CCD. She is “normal” during the day. Is this sundowning? Are we just at the beginning? She really isn’t that old….
Hi Jennifer,
I am sorry Luna is exhibiting these worrisome behaviors. This definitely sounds like the early stages of dementia or CCD and sundowners is a form of this. Here are links to other articles with more information that may be helpful as you navigate this difficult situation:
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
3. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
Unfortunately, this probably is just the beginning, but I am hopeful you can find a way to offer some relief and keep her symptoms as mild as possible. Wishing you both comfort and peace. Bless you.
YOUR ARTICLES WERE HELPFUL FOR ME AND DUNCAN MY 15 YR OLD SHIH TZU. HE IS HAS FUNKY FRONT PAWS SO HE DOESNT WALK REAL WELL, BUT HE WILL GO FOR HIS 3 OR 4 WALKS A DAY. HE HAS CUSHINGS NOW FOR ALMOST 2 YRS AND WE THOUGHT WE HAD THAT UNDER CONTROL, HOWEVER THE NOT SLEEPING AT NIGHT IS KILLING ME. HE IS UP EVERY 2 HOURS OR SO TO EAT, PEE OR JUST GO OUTSIDE AND BACK IN TO SNACK. I WORK OUTSIDE THE HOUSE ALL DAY AND HE SLEEPS ALL DAY. DINNERTIME TO BREAKFAST HE “NAPS” AND EATS.
WE FEED HIM FRESH PET BISON FOR THE CUSHINGS, WE TRIED MELATONIN WITH NO HELP AND BENEADRYL AT NIGHT. I HAVE STARTED HIM ON SEGILINE BUT I THINK IT MAKES HIM THIRSTY, MORE WATER, MORE PEE IN HOUSE AND OUT…..
HE IS ONLY BEEN ON THIS FOR 10 DAYS AND I STOPPED IT FOR ALL THE PEEING.
ANY SUGGESTIONS? HE IS OLD AND RICKETY BUT SWEET, WE ONLY RESCUED HIM 3 YRS AGO BUT I CANT GO ON WITH NO SLEEP.
THANKS
Dear Diane,
I am sorry you are in this difficult situation with your senior Shih Tzu. I can only imagine how tired and frustrated you must be with the nighttime restlessness and lack of sleep. I am not sure if there are any other medications or supplements that will be helpful, but you may be able to make some changes to your home that will allow for a better quality of life for you and your boy. Could you use a large kennel or baby gate to keep your boy in a small room away from your bed? This way he would be able to pace and have access to his food and water without you having to get up or be aware of his movements. Also, if you have not used diapers or male wraps, I highly recommend you give them a try. Some dogs just rip them off, but others are not bothered by them at all. This would ensure there are no accidents overnight if you are not getting up to let him outside. Caregiving for a senior pup can be a heavy burden. Please make sure you are taking your own happiness and well-being into account. Here is a link to an article with more information: When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
Hoping you can find the best way to get some peace and rest back in your home. Praying for relief and wishing you both brighter days ahead.
I have a 9 year old springer spaniel he’s been to the vet has arthritis in his back knee lots of lumps the vet thinks are possible cancer as they are growing and he’s getting more of them . He has always had a barking problem that has got worse. He has also been diagnosed with dementia. I have had problems now two Tuesday nights where he is barking and won’t settle and I have had to get up with him. Could he have sundowner syndrome as well. We also have a young dog who the older one can be aggressive towards and also towards us . We are maintaining him on painkillers as have tried the medication for the dementia but it made the barking worse. Thanks
Hi Eileen,
I am sorry your senior guy is having issues with nighttime restlessness. Sundowners is just another manifestation of cognitive dysfunction (also known as dementia), so these new behavioral issues are probably a sign that your dog’s dementia has progressed a bit. You could talk to your vet about adding in something to help him sleep. Many people have had success with anti-anxiety medications or even a melatonin supplement. I will attach links to other articles with more information. The thing that has me concerned is your mention of aggressive behavior toward you and your other dog. While this can be seen with dementia, it is dangerous and may lead to you having to say goodbye sooner rather than later. Please make sure you are taking your own quality of life into consideration. Hoping you can find the answers you need to make the best choices for everyone involved. Best wishes and take care. ♥
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Using a Quality of Life Scale for Dogs
3. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
4. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
.My 15 year old female border collie has changed her night behaviour.
She starts getting anxious then starts jumping up and pacing and goes in and out her doggie door at least 50-100 times. This behaviour goes on all night. I’m getting no sleep either.
I cannot calm her no matter what I do.
She pants non stop all the time.
I don’t know what to do.
She also is riddled with arthritis which the Vet is treating her for.
She will not let me out of her sight. It’s terrible to see her so distressed but it is now distressing me too and I’m about to have major surgery and need to get her minded but who wants to mind a dog that is so distressed every night.?
Dear Lynne,
My heart goes out to you as you try to navigate this difficult situation with your senior pup. I understand the heavy burden of being a full-time caregiver to a senior dog with cognitive issues. I know you want to do what is best for your girl and sometimes saying goodbye is the most loving option. I feel strongly that mental disease can cause just as much suffering (if not more) than physical disease. You really have to think about quality of life if your girl is dealing with restlessness, lack of sleep, stress, separation anxiety, arthritis pain, and confusion daily. I will attach links to other articles with more information and great advice from other readers. Hoping you can find the best solution for you and your sweet girl. Praying for peace and comfort.
1. Using a Quality of Life Scale for Dogs
2. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
3. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
My 13 year old cocker spaniel was diagnosed with sundowners. At first she started pooping on the bedroom floor at night, then needed to go out at least 3 times a night. She was put on trazodone but it didn’t help. After a few weeks she started to sleep all night again., without the medication. We found out leaving a light on helped her stay calm. I was surprised to read that you should avoid lights at night. For our dog it’s the opposite. She starts to show signs of anxiety and paces as it gets dark but leaving the lights on seems to fool her and she acts fine. What I’m experiencing now is whining. It upsets me. I don’t know why she is whining. I can usually distract her then she’s fine for a while. The whining makes me sad. I wonder if she feels tormented. Physically she is great for her age. She is now deaf and doesn’t see well, but she moves great, eats normal, still gets excited, knows her night-night routine, rings the bell to go out. She recognizes us, comes when she sees me wave my hands signaling her to come. It’s the whining that is making me wonder if it’s her time. I don’t want her distressed. She doesn’t whine all day, probably 3 or 4 times a day. Is there any research on if sundown dogs are mentally distressed when they whine?
Hi Margaret,
I understand your concern for your senior girl and think it is great you are searching for answers. I am not sure there is any way to know for sure if the whining is due to distress or just cognitive dysfunction. Sundowners can be a symptom of dementia and these odd behaviors are very common with for dogs with this condition. Dementia is cruel and it is hard to truly evaluate quality of life when all of the issues are mental instead of physical. I will attach links to other articles with more information and great advice from our readers. Hoping you can find the best way to ensure your girl is finding joy in her days and praying for peace.
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
3. Selegiline for Dogs: A Helpful Medication for Canine Cognitive Dysfunction
4. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
Good evening Dr. Buzby,
This article was extremely helpful. I have a 14y.o. miniature poodle who started voiding on the bathroom floor (easy to clean up, icky to step in) at night 8 months ago. At that time I was concerned about renal failure, but his renal function blood work was normal (although at the upper end of the range). I put down pads—problem solved. But recently, he has seemed anxious and confused at night. He barks to be let out. Sometimes he stands on the end of the bed and whines. I thought maybe he was having joint pain (I do 😜). I started giving him a very small dose (~5 mg) of CBD oil at night. Not only did it help him sleep better, he seems perkier during the day. I am a retired nurse, and it occurred to me this evening that the behaviors he was exhibiting were very like sundowners syndrome in humans. So, I looked it up and wound up here. I’m a bit disappointed that it took me this long to think of it and the vet I saw when all of this started didn’t mention it as a possibility. But I will be following up.
Warmest regards,
Susan
Hi Susan,
I am sorry your little guy is dealing with symptoms of cognitive dysfunction. What a great idea to try the CBD oil! Your boy is lucky to have you taking such good care of him and advocating for his health and well-being. Thank you for sharing your experience with us. Best wishes to you and your sweet boy!
Our Great Pyrenees is only 7 and we are almost convinced she has sundowners. We have ruled everything out so far, except brain issues, which will be done with an MRI soon. The reason we are thinking sundowners is because she is fine during the day if she is outside. The problems typically start in the late afternoon and go through the night. She has been on 3 different anxiety meds, which have not done much. She started Valium last night and we will add Melatonin tonight. Have you heard of sundowners in dogs this young?
Hi Julie,
I am sorry you are facing this puzzling issue with your Pyrenees. I have not seen sundowners in a dog of this age but that does not mean it isn’t possible. You mentioned your girl does fine during the day while outside. With her being a livestock guardian breed, it makes me wonder if being outside is the key to her anxious behavior. Is there any way she could do a one-night trial run of sleeping outside to see if it helps? I do think it is good you are planning to move forward with the MRI. Hoping for clear answers and a way to give your pup some relief. Please keep us updated on what you find out!
We have a Black Mouth Cur mix that will be 7 in July, and recently has been waking in the middle of the night to early morning and exhibiting sundowners behavior, seems to not know the only house he’s lived in, and paces anxiously appearing unable to recognize his surrounding. Seems to always happen in the 2-6am range. Appointment with the vet this Monday.
Hi Jonathan,
I am sorry your boy is experiencing these episodes of restlessness and anxiety. I can only imagine how this is affecting you and your family as your sleep is being disrupted. I am glad you already have an appointment scheduled to discuss treatment with your vet. Hoping they can find the best combination of therapies to offer everyone peace and rest. Best wishes and bless you all.
Our dogs have always slept in the living room (not with the people). After our oldest died, our 12-year-old started jumping the babygate to get to us at night! So he ended up in the bed with us for a while, then he started jumping down and wandering around. By December, he was completely bonkers at night, knocking things over, crying, wandering under the Christmas tree and tables. We have finally had to tether him at bedtime (we stay in the room with him) because he was such a nuisance – plus for his safety, as we’ve been trying all sorts of med combos (melatonin, trazadone, acepromazine, gabapentin) and he’s loopy but trying to fight through and has fallen on the hardwood floors. Even heavily medicated and tethered, he still wanders around, settles down, jumps up like something poked him and wanders around some more, crying, panting, or just standing sometimes for HOURS at night. He also digs aggressively on his dog bed. While he fights the meds at night, they seem to wear on long throughout the day. He used to be ok during the day, but more and more seems anxious – follows us around, gets up under the desk or table when we’re sitting there. He’s eating and drinking like normal, no accidents, is excited to see us, etc. So how the heck do we decide when his life is no longer good for him? What else can we do to help him?
Dear Jill,
I am so sorry you are in this difficult situation with your senior guy. This sounds terrible and I can only imagine how much stress you are under especially considering the lack of sleep each night. Dementia/Cognitive dysfunction is so cruel. It is hard to know just how bad things are when all the problems are mental and cannot be seen physically. But I am convinced that the suffering caused by mental disease is just as bad, if not worse, than physical disease. Your boy is suffering daily with anxiety, confusion, fear, lack of sleep, and is a danger to himself. These are all reasons it would be ok to consider saying goodbye and offering your pup freedom and peace. I will attach links to other articles with more information and great advice from other readers as well. Hoping you can find the answers you need to make the best decision for everyone involved. Best wishes and bless you and your sweet boy.
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
My beagle will be 15 in May. He paces and pants when he is awake during the day and is up all night pacing. He was crate trained but has since become anxious In his crate. He is mostly blind, mostly deaf. He was lost for 7 days last spring and that has seemed to worsen his anxiety. I have tried all the supplements to get him to sleep at night. Either my husband or myself has to sleep with him every night since April. He goes out 4 times a night.and that’s after I cannot get him to settle I was just diagnosed with metastatic breast cancer and cannot continue to do this it’s exhausting. I just need a sleeping pill for him during the night.
Hi Jen,
I am sorry you are in this difficult situation. I can only imagine how stressful this must be especially with your own health needing to take priority. Unfortunately, there is no true sleeping pill for dogs. There are medications that may be helpful, and it would be good to discuss options with your vet. Some dogs do well with melatonin and others need something stronger such as trazodone. Then there are many dogs in the late stages of dementia/cognitive dysfunction for which medications and treatments just aren’t effective. I am not sure if there will be a medical solution or if you are facing a hard quality of life decision for your sweet boy. Sometimes saying goodbye is the most loving option and only way to offer relief from anxiety and struggles. I will attach links to other articles with more information and great advice from other readers. Hoping you can find what works best for your family. Praying for your healing and strength as you continue life’s journey. ♥
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Using a Quality of Life Scale for Dogs
3. When Caring For A Sick Pet Becomes Too Much: Pet Caregiver Fatigue
4. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
5. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
oh my goodness my heart aches for you guys.
my 15 1/2 year old Staffordshire mix has had this going on two years now. we were at the vet Monday. I was ready to if the vet suggested putting her down instead he said her quality of life is still good. she’s excited when people approach her. she enjoys receiving attention. she eats really good , drinks normally. she enjoys watching her siblings play and she has control of her bladder and bowels (MOST OF THE TIME). IT’S taking more of a toll ON ME.
you have to put yourself and your health first. I’m a cancer survivor. it will be the battle of your life. you will get through it . I know you will !
one thing I can suggest is keep your dog up and active as much as you can throughout the whole day. let em have lots of fresh air. get em some snuffle mats.. make up games.. engage during the day…. I’m saying WEAR HIM OUT. Then hopefully they’ll sleep more during the night and so can you.
I wish you all well. it’s a rough world. more for some than for many.
sending you LOVE
Dear Connie,
Thank you for reaching out and offering advice to other readers. Your sympathy touches my heart, and I am grateful for you! Hoping these final days with your sweet girl are filled with love and happiness. Bless you. ♥
Like many of the other comments, I am reading this at 12:15am after being up for over an hour trying to comfort my dog. His dementia symptoms seem to come sporadically and sometimes he is totally fine for weeks or even a month to 2 at a time. This started a few months ago when we noticed him start to get up 4-5 times a night be let out to pee and also pacing around in the dark and a soft whimper when he was lying still. We then found a calming chew from True Leaf and it’s been life changing. We have had weeks of good sleeps since giving it to him. He gets up once a night to pee but that normal for him.
Tonight however, he’s had his calming chew and he is also on gavapentin as he had eye surgery last week. Despite both, he is up and active at night.
Incontinence wise, it’s only happened 6-7 times now. The first was 2 years ago where he pooped in his sleep. That never happened again. That same year he would also go out onto the patio and be unsure how to get back in. We gave him something called “old friend” that we found on amazon and it’s never happened since .
Then in late 2023, he started just peeing in the middle of the kitchen floor randomly but it’s a week or more apart.
Is it generally this random and sporadic?
Thank you so much for this article and your kindness.
Hi Serena,
Yes, dementia symptoms can definitely be random and happen at varying intervals. I am sorry your senior guy is dealing with this terrible condition. Here are links to other articles with more information and great advice from other readers:
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
It sounds like you are doing a great job with finding supplements and treatments to give your sweet boy some relief. He is a lucky pup to have you advocating for his health and well-being. Wishing you both all the best and keep up the good work!
It’s 2am as I’m reading this and it’s breaking my heart. I don’t think she checks all the boxes -if any- but my almost 14-year-old Jack Russell might be at the early stages of… well all this. She’s great physically, still active, eats well but she’s changing.
She’s always been a very independent dog but now follows me everywhere in the house, sometimes crying. She’s always been vocal but now she’s next level vocal, fixating on her treats, insisting to get one like never before. She does this weird, new thing when she gets in the elevator, staring at the wall in front of her to the point I have to nudge her to turn around when we get to our floor. She developed this unprecedented nose fixation on our walks. I used to be able to read her and know exactly what she wanted when she whined but now not so much. We might just be sitting together and she suddenly looks at me and I can feel her whine. For no reason. I rarely leave her off her lead anymore because she won’t listen to me like she used to and I can’t tell if she’s getting deaf or she’s just ignoring me. Everything can happen at any time though, I haven’t noticed any night time patterns, she’s sleeping normally. Oh and no aggression. If anything, she mellows with age.
Am I over reacting, over analyzing her behavior? Sometimes I look at her and think she might read me like I do and manipulate me. She IS capable… 🤨 The girl is smarter than most people I know and she’s had 14 years worth of experience. Is there anything I can do to help her anyway?
Dear Maria,
My heart goes out to you as you navigate this difficult situation with your senior girl. From what you describe, I am fairly certain your pup is dealing with dementia/cognitive dysfunction. Of course, without a lot of testing and imaging I can’t make a diagnosis, but the symptoms seem to fit. I will attach links to other articles with more information and great advice from other readers. I think it would be good to discuss these concerns with your vet and see if there are treatments or supplements they would recommend. I definitely don’t think you are overreacting, and I don’t think your girl is trying to manipulate you. She is lucky to have you searching for answers and advocating for her health and well-being. Wishing you all the best and keep up the good work!
1. Signs of Dementia in Dogs: Stages, Symptoms & Treatment
2. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
3. Selegiline for Dogs: A Helpful Medication for Canine Cognitive Dysfunction
4. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
My German shepherd mix Rory is almost 14 and I believe based on the fact my vet said he has ccd is experiencing sundowners. He has also been paralyzed for the last two years in his back legs but we have done our best to make him as comfortable as possible ( he hated his wheels that we tried for him so we just carried him around and spend as much time with him as we can which for me is all day). Buy in the last month he has started barking and falling over on his bed in what seems like mental agony at certain times throughout the day but more so from around 3:30-4pm and then during the night at times for hours. After an episode of barking he usually then falls asleep for a bit from exhaustion for an hour or two until he wakes and then starts to have another episode. Then in the mornings he seems calm and fine, eats and drinks well and all bodily functions otherwise normal. I started him on Selegiline 4 days ago as a last resort because the frequency of his barking has increased – so far he was quiet last night but he just had another 30 minute barking episode and is now sleeping. Given his state of paralysis it is really weighing on me as to whether or not I should euthanize- because this is nothing like anything I’ve experienced with any dog in the past – and it truly is breaking my heart to think that maybe there’s a way for him to be calm again so I can let him live out his days with love.
Hi Martina,
What a heartbreaking and exhausting situation. CCD is so hard on the dogs we love, and it is also so hard on us as dog parents. As your vet probably mentioned, usually Selegiline takes around a month for full effect (but can take up to 12 weeks). Hopefully he responds well to it and it solves some of his confusion and barking at night so you can both get more sleep and he won’t be feeling so anxious and disoriented. While you can’t combine many of the common anti-anxiety medications with Selegiline, you could also ask your vet about giving Rory a melatonin supplement. Sometimes that can help a bit with sleep as well.
Additionally, since you mentioned considering if you should euthanize him, I also wanted to offer you some resources that might be helpful (see the links below). Is is such a difficult decision, and it is easy to second guess yourself. However, I always try to remind my clients that mental disease like CCD are still diseases, and they can take a toll on a dog’s quality of life the same way other more obvious conditions like kidney disease or arthritis do.
I hope the way forward becomes clear to you. Thinking about you in this difficult time. ❤️
Here are the links I mentioned:
1. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
2. Using a Quality of Life Scale for Dogs
3. Selegiline for Dogs: A Helpful Medication for Canine Cognitive Dysfunction
My mother in law passed away May 2022 from dementia and we took in her 2 senior dogs about a year before she passed away. Her very loved Tipetan Spaniel Cali. Cali is now 15 and started barking non stop for 30 minutes and more during the day and night. She did this for months….and she would sleep in odd places like under furniture and not socialize or engage with her other dogs in our house. Then she was not using her hind legs and dragging them to get around. It was pitiful and the vet prescribed carprofen and gabapentin for arthritis. This went on for weeks and weeks and she was not having accidents in home and still eating and all.
Then one day she just miraculously started walking again and even running outside….we were amazed cause we thought we were just about to make the decision to let her go cause watching her drag her hind legs around was very sad.
Well today she is walking just fine but like you mentioned in article, she walks around the house pacing and looks lost and just wanders. She only wants to sleep on a hard tile floor in my master bathroom and closet in the dark. She has been peeing in the house in certain spots and I have put pee pads down and she pees wherever. She is still eating but at times start to eat and walks away and I have to put bowl down in front of her again to finish eating. She walks on a leash in cool weather now for a very short walk but she seems happy to be outside and in cool air.
We will keep her comfortable and happy as long as we can for my Mother in Law loved her and before her dementia took her away she thanked me for taking care of her dogs.
Hi Linda,
My heart goes out to you on the loss of your mother-in-law. Dementia, be it in animals or people, is such a cruel and heartbreaking disease, and I’m sorry that it took her from you and is now affecting her beloved dog. Cali has had her fair share of health issues recently, but I’m glad to hear that she regained the ability to walk and is still able to enjoy her short walks outside. Many of the other things you described do very much sound like dementia unfortunately, which as you know all too well, can definitely be challenging. It sounds like you are already keeping a careful eye on her quality of life, but I wanted to mention that filling out a quality of life scale (see link below) on a weekly basis can sometimes be a helpful tool for tracking her comfort and happiness. I’ll also include a link about an article that my dear friend Dr. Woodruff wrote that talks about how to know when to euthanize a dog with dementia. I know you may not be at that point yet, but I think that sometimes reading about and thinking about that inevitable loss can be helpful ahead of time.
Thank you for loving and caring for Cali so well. I hope you are able to have some more good days together and that you will have a sense of peace and clarity about how best to care for her in her remaining days.❤️
Here are those links:
1) Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
2) Using a Quality of Life Scale for Dogs
Thank you so much for this article, and for all of the comments and replies. I am reading this article at 2 am, after trying to comfort my 12 year old dog for the past 2 hours to no avail, despite the gabapentin/trazadone cocktail my vet prescribed just last week. Now, thanks to you, I understand that it’s Sundowners. I will call my vet in the morning to ask about Anipryl, and will consider the supplements you referenced. I am so grateful for the information, compassion, kindness and support you’ve offered all of us who are suffering right along with our dogs. I too believe that psychological pain is every bit as real as physical pain. I pray I can help her, and I’m grateful I’ll have the option of letting her go if the time comes.
Hi Holly,
I am sorry your girl is struggling with this nighttime anxiety and her medications don’t seem to be helping. Thank you for the kind words about the article. I am glad it offered some guidance and comfort in this difficult season of life. I hope you were able to partner with your vet to find the right treatments for your pup. Praying she has found some relief, and her quality of life is improved. Feel free to leave an update if you have a chance. Wishing you both the best!
I watched my father-in-law try to deal with sundowners several years ago. It was the most difficult thing I’ve ever done taking care of him with his dementia and Alzheimer’s,and so many times I second guessed myself if I as doing enough, or doing the right thing. Now I’m going through the same thing with my 13 year old shar pei. In the last year and a half, she’s lost her sister she’d been with since birth, and we moved into my daughters home. Watching her decline is breaking my heart, but all I can do is try to help her. She’s also in heart failure, has arthritis and cataracts. When she’s having a good spell, I’m so happy she still feels good, even when I know it won’t last but a little while. She’s gotten clingy, shows some aggression to her beagle cousins, goes to the bathroom in places she never would have a few years ago, paces into the night and sleeps most of the day. Your article helped a lot! I’m discussing new medications with her vet and hope they will give her some relief in the time she has left. I recently found out that she has 4-6 months with me due to her heart failure. Thanks to what you’ve written, I’m determined to make those months the best I can give her.
Dear Marie,
I am so sorry your senior girl’s health is declining and your time together will be short. I am glad the article was helpful and offered some comfort in this difficult season of life. Your sweet girl is lucky to have you by her side advocating for her well-being and happiness. Wishing you both peace and joy each day. Bless you. ♥
My Lab, Molly, definitely has sundowners. Manageable during the day. Up all night. We also suspect laryngeal paralysis but not doing expensive test on a 13 yo dog. Surgery would not be an option. My husband and I are definitely sleep deprived. I am working with my vet but I am going to return with your list of suggested drugs/supplements. I also appreciate comments on when to say good bye. As the symptoms get worse, I am more sure of what we are dealing with. It helps to at least have a diagnosis that fits 100%..
Dear Carol,
I am sorry you are facing this difficult situation with Molly. I am glad you found the article to be informative and comforting. Hoping you can partner with your vet to find the best way to maintain your girl’s quality of life for as long as possible. Bless you as you navigate this unknown path. ♥
Thank you very much for the explanation. Our Stella is 14 and has recently been exhibiting many of these symptoms, including a nightly burst of agitated pacing around 8pm, which we originally mistook for needing to go outside to do her business. Then I started watching her and she’s really just wandering around and staring at things. Then she settles down for a couple hours, but the pacing starts up again at midnight. She’s always been spoiled because one of us has always been home (remote work and now retirement), and it used to not bother her in the slightest if went out for hours even but now she’s totally amped up when we get back home. We used to be lucky to get a “raised head” from the bed when coming home ;). This is all complicated by her not seeing or hearing so well anymore. Anyway, I’ve moved downstairs to the spare bedroom so that we can go out more frequently (in case it is P-time), and avoid stairs. Calming bites work well, but not always for the whole night. We’re going to try CBD oil next, and I’d also like to start giving her a couple of sardines with each meal too. Do you think 4 or 5 sardines a day is too much? Thank you. (PS: We’ve been regularly to her vet and ruled out other factors.)
Hi Scott,
I understand your concern for Stella. She is very lucky to have you advocating for her health and well-being. I am sorry she is struggling with this anxiety especially at night. I am not sure what ingredients make up the calming bites you are using, but encourage you talk to your vet about the possibility of incorporating melatonin. What benefit are you hoping to gain from the sardines? Without playing a personal role in your dog’s medical care it is hard to make specific recommendations on her diet. If supplements are just not enough to control the anxiety it may be time to discuss starting an anxiety medication such as trazodone. Hoping you can find the answers you need to ensure your girl remains happy and health for as long as possible. Wishing you both the best of luck!
Thank you for this article. My 14 year old border collie mix has had vestibular disease for several months (probably stroke related) but he seems to be coping well during the day despite the stumbles.. Symptoms come & go but the night has been the worst. I thought it was the vestibular disease, but it’s more than that since he is a different dog during the day. Always an active dog his whole life, my old puppy man has the stamina to walk to the moon & back so there is no rest. I just had to put him in the living room to let him pace because I need to sleep or he will outlive me. Since he stumbles from the vestibular disease, I hope he is safe out there but I am worried about driving safely and not making mistakes at work (I’m a nurse) due to exhaustion. He seems very happy & even curious during the day and plays with my other dog. He is also eating well & goes by the door when he has to go to the bathroom, but at night, he acts like a human does with sun-downers. I even put a diaper on him because he’ll stand over his bed and pee. I’m going to ask his vet about the trazadone. I know it helps humans so maybe it is what he needs. Melatonin did not work at all & Benadryl just made him wonky but awake. I keep questioning his quality of life and like I said before, he seems super happy. I bought him a hug vest for the night anxiety and I think it helped a bit but tonight is only the first night. Again, thank you for your article. It was comforting & reassuring.
Hi Laura,
I am sorry your senior boy is struggling with such severe symptoms at night. I agree this sounds more like Sundowners/dementia than just vestibular disease. I think talking to your vet about trazodone would be a good idea. And while I cannot necessarily recommend CBD products, I will say there are many readers that say they have shown great benefit for their dogs. Thank you for the kind words about the article. Hoping you can find the best way to restore your sweet boy’s quality of life. Best wishes and keep up the good work!
My mom passed away 3 years ago and we took her senior chihuahua. No idea how old but I’d say min 14, max 16 years old. She tore her ccl and has bilateral patella luxation (maybe saying that wrong). Because of her age we are treating her discomfort only and actually she doesn’t seem in pain but is unstable on her feet. Im a nurse and have seen sundowners a lot. My min pin had this as well but lived to be 19. But this baby “Missy”, starts her sundowners about 9 pm and usually slows down between 12-1am. Maybe more and I sleep through it. She urinates almost every night somewhere except her pee pad. Sometimes poops in odd places. Thankfully the downstairs is tiled. At her age and deciding not to do 3 surgery’s on her legs (the vet wanted me to take her. Not only was it 10,000$, but horrible rehab and recovery and her age it seemed incredibly cruel so my gut said no and mom would never do that either). But the sundowners is killing me. If I crate her she cries at night because I think it causes more anxiety, if I don’t she hobbles all over the place and I’m so worried she will tear her other ccl and then we’d have no option but to euthanize. I know her time is near but I still regret and second guess my 19 yr old and my heart dog’s euthanasia. Which I know is silly because being nearly 20, she had the best life but she ate that day. Wagged her tail and died in my arms licking ice cream. A nice way to go.. still I don’t want to rush this dog into a grave but I would hate if she suffered one day while I was gone. They say it’s inevitable she will tear or rupture her other ccl but when, they can’t say. I just don’t know what to do with a dog still happy but with a poor prognosis.
Hi Elizabeth,
I’m so sorry for the loss of your mom. It was so kind of you to take in Missy and care for her. As you experienced with your Min Pin and you are seeing now in Missy, sundowners can be so challenging and heartbreaking to navigate. I know that making the decision for euthanasia is never easy, especially in a dog who seems happy at other times in the day, but mental diseases like sundowners can take a toll on a dog’s quality of life just physical diseases do. My dear friend Dr. Woodruff wrote an excellent article on thinking through when to euthanize a dog with dementia (see link below) that I think could be helpful for you.
Regarding your heart dog’s euthanasia, I just wanted to say that I firmly believe that it is better to set a dog free one day too soon than one day too late. It sounds like she had a wonderful long life with you and that you made the right choice to set her free when you did. Her last moments were filled with love and ice cream rather than suffering, and that is huge.
Thinking about you as you wrestle with these tough decisions and all the emotions that go along with not only losing a dog you love, but also a dog who was a connection to your mom. ❤️
Here is the link to that article: Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
Thank you
My dog Sweetie is 16 and I think she does have sundowners. She fits all the symptoms. I have and amy trying different meds with her, more otc meds. She has congestive heart failure for the past 2 years now. She still eats and drinks well. She has her bursts of energy with her tail wagging and prancing around. Her physical being is good for a dog her age.
I have toggled with putting her down but since she is eating good and getting around good, I have continued her life. Am I being selfish to do so?
Dear Debbie,
I am sorry Sweetie is starting to struggle with Sundowners and maybe dementia. It is hard to know when to say goodbye, especially when most of the issues are mental instead of physical. I will attach links to other articles with more information. I am certain you will find answers and the advice you need to help guide you through this difficult process. Bless you and your sweet girl. ♥
1. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
2. Using a Quality of Life Scale for Dogs
3. How Will You Know When It’s Time to Euthanize Your Dog? 5 Caring, Heartfelt Messages
4. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
Thank you for the informative and supportive article. Our 12 year old Bostan Terrier is showing many of the signs of Sundowners. He paces in circles, presses his head against the wall, gets stuck in corners, soils, etc. Thank you for recognized how exhausting it makes the owners. We take turns staying up with him at night (just like having an infant again). It is worth it for our sweet little guy and all the love he gives us but it does decreases our quality of life. We found that giving him coconut oil slowed down some of the pacing and made him less anxious, but may upset his stomach.
Really, just want to say thank you again. Emmett’s parents
Dear Julie,
Thank you for the kind words and positive feedback about the article. I am sorry you are in such a difficult situation with Emmett. I appreciate you being willing to share your story. It is comforting for others to know they are not alone when dealing with this heartbreaking condition. Praying for your strength as you continue down this tough road ahead. Bless you and your sweet pup.
My beagle Checkers is going on 16. Has heart failure and a tumor on her neck. Given her health and age the vet decided not to treat the tumor. She and I have gone through a lot of grief lately. Losing my husband after 60 years of marriage and Checkers’ very best companion and the need to move to a smaller house has taken a toll on both of us. Checkers has started showing signs of dementia. I am torn with the thought of saying goodby to her. She eats well and wakes me up with a wagging tail in the mornings but through the day she sleeps. She doesn’t like me to touch her which breaks my heart. Cataracts have stolen a lot of her vision. My vet has not suggested euthanasia. I just hope she passes in her sleep but I wish there was a way to know when it’s time to say goodby. I love her so much but don’t want her to suffer. Thank you for your time.
Dear Glenda,
My heart goes out to you with all you have endured over the last year. I am sorry you are facing such a difficult decision about Checkers’ wellbeing and future. I think it would be a good idea to talk to your vet and possibly schedule a quality-of-life exam. Because the topic of saying goodbye can be so hard and emotional, many vets try not to bring this up unless specifically asked. If you ask your vet their opinion on Checker’s health and if euthanasia should be considered, I have no doubt they will give you their honest and loving recommendation. I will attach links to other articles with more information on this topic. I hope you can find the answers and advice you need to make a decision with which you can be at peace. Make sure you reach out to others and let them come along beside you during these hard times. No one should have to go through this alone. Praying for your strength and comfort. Feel free to reach out anytime. ♥
1. Using a Quality of Life Scale for Dogs
2. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
3. Preparing for Your Dog’s Euthanasia: 10 Thoughts for Peace
4. In-Home Dog Euthanasia: Heartfelt Answers to 12 FAQs
5. Grieving the Loss of a Dog After Euthanasia (& Finding Peace)
My Westie, Happy is 17 years old and is experiencing many of not all the symptoms of sundowners. Your article has been a good help when we go to our vet. Great read!
Hi William,
I am glad you found the article to be helpful. I am hopeful the conversation with your vet will be productive and you can find the right ways to give Happy some peace and rest. Best wishes!
Our 15 year old, German shorthaired pointer/rat terrier mix Bailey has CCD and Sundowners. The symptoms started a year ago with the pacing. She’s had anxiety for the last few years of her life. My mom has worked from home since Covid started so she has separation anxiety. These past few months the pacing has been nonstop. She still loves eating and going outside and on walks. But it seems that is all she is excited for. If my mom gets up to go to the bathroom, she thinks she is getting food. (Or is trying to convince my mom she needs it, she’s only 17 pounds). This past week at night, when my mom goes to bed, Bailey will fight going to sleep. She will pace, walk all over my mom, sit on her face. The vet prescribed trazodone with melatonin, but she still fights that. We are so conflicted because physically, she’s great. She gets fed brain food for snacks. But at night she seems so hopeless, so confused, so lost. It breaks our hearts to see it. She also has had a heart murmur since birth, I believe it’s a grade 4. But the vet has always said she doesn’t let it effect her. If you could offer any advice, I would appreciate it. We recently changed vets due to expenses, but this new vet does all the talking. Doesn’t let us ask questions and if we get the chance to, she doesn’t answer with compassion. This blog (I’ve stayed up late reading it) is such a breath of fresh air with answers that hug our hearts during this difficult time. Thank you for reading
Dear Jaycee,
I am sorry you are going through this difficult season with Bailey. Dementia can be very cruel and dealing with sundowners makes the stress level rise for everyone involved. Evaluating quality of life is never easy, especially when most of the issues are mental instead of physical. It sounds like you are doing just about everything you can to help Bailey feel more comfortable. I will attach links to other articles with more information that might help your decision-making process. Sometimes saying goodbye is the most loving way to release a beloved pup from suffering and offer them peace. I don’t know if your sweet girl is at this point, but I always feel like it is better to let go one day too early rather than one day too late. Prayers for clarity and strength to face each day. Bless you all. ♥
1. Canine Cognitive Dysfunction in Dogs: Signs, Symptoms, Solutions
2. Senior Dog Anxiety at Night? 9 Solutions for Better Sleep
3. Dementia in Dogs: When to Euthanize Your Beloved Senior Dog
4. Using a Quality of Life Scale for Dogs
Thank you for your article. I just put down my 15 and a half Lhasa Apso. you exactly pinpointed all of the sundowner symptoms that unfortunately I had to experience night after night. I had no sleep in the last several months as he cried continuously in bed and got up almost every hour or two and I had to carry him outside where he would pace up and down the backyard sidewalk. I used trazodone but I’m not sure how effective it was. I made the gut-wrenching decision to finally euthanize him he to save him from anymore suffering. But now I’m feeling the guilt of putting him down in the great sadness of missing him.
Dear Daniel,
I am sorry for the loss of your senior pup. Mental disease can be so cruel and often leads us down an emotional rollercoaster as we try to evaluate a beloved dog’s quality of life. I can only imagine how much you miss him, but know you made a loving choice to free him from his struggles. I hope with time your heart will heal and you can let go of the unnecessary burden of guilt you are carrying. May the memories of all the good times you shared stay with you forever and be a source of joy in your life.
I like so many others am so relieved & happy to have come across Dr Buzby’s site!! I’ve got a 13-14 year old ChiWeenie that has Congestive Heart Failure, Gallbladder & Doggie Dementia! I’ve seen a drastic change in the pass month that went from biting me to avoid bed to now glued to me! Wanders the house & is having episodes of panting & shaking! It breaks my heart to see my girl Bella like this & it feels so selfish to do right for her but it’s taking a toll on me in every way! I take her to the Vet in the morning & having the one hard conversation when do I let go? I’m heartbroken reading these comments & again thank you Dr for all you do!! Bella’s Mom, Jackie
Dear Jackie,
I am sorry your senior girl is struggling with the effects of dementia and sundowners. I think it was a good idea to schedule the visit with your vet and get their expert opinion on Bella’s quality of life. Thank you for the positive feedback and kind words about the article. Praying for comfort and peace. Bless you both. ♥
My dog fought the Trazodone too. The TIMING of the medication makes a huge difference. You have to give it to pup BEFORE onset- 4 hours before start of symptoms daily.. I give my dog the meds at 4pm. It also works better adding Gabapentin. Your dog is small so your vet would probably recommend 1 gaba 200mg with the Traz. Very safe med and can fill the RX at CVS.
My dog 14 years old /65lbs and her schedule is 200 mg Traz and 300mg gaba at 4pm, Then 1/2 Traz (50mg) with 600 mg of gaba at 11pm. It was all trial and error and my vet helped a lot.
Thankfully, I have a vet who is pro-medication and very open minded. He gave me courage and didn’t make me fearful. Too many vets are fearful and downplay dosing of medication. They end up under medicating. Small tweaks work!
Thank you so much for your time with this! YES, our little punkin has Sundowners. I saw it happening and suspected it 4mos ago. Didnt know anyone else labeled it as such. Thk you!
So hard to watch not only my mother going thru this, now my best friend!
Hi Kristie,
I am glad the article was able to give you some reassurance. I am sorry you are dealing with such a difficult situation with your mother and now your little pup too. Wishing you all the best.
My 13 year old dog Sadie has recently started pacing more, pacing late at night and looking a little confused and sad, and has small tremors 1-2 times a day. It’s been heartbreaking for my girlfriend and I. In all my research sundowners seems to be the closest thing to what I’m noticing in her. My question is could the small tremors be a symptoms of cds or something else?
Hi Jarred,
I am sorry your senior girl is struggling with sundowners and these worrisome tremors. Without seeing them happen myself or examining your pup, it is hard to make specific conclusions. Canine cognitive dysfunction can cause numerous strange symptoms and could be the underlying cause of the tremor episodes you are describing. With that being said, I always like to rule out other causes, such as seizure activity, before blaming CCD for new issues that pop up. I highly recommend you have Sadie evaluated by your vet. If you can get one of these episodes on video it could be very helpful in the diagnostic process. Hoping you can find some answers and receive good news about your sweet girl’s quality of life.