Consider other symptoms person experiencing. With nausea/vomiting, consider olanzapine to improve sleep, appetite, mood. Quetiapine option for sleep and delirium. Mirtazapine, 7.5–15mg for sleep, dyspnea/pain, mood or appetite.
Benzodiazepine medication leads to delirium in older adults. Sleep effects wear off, only use short term if not responding to medications below
Methotrimeprazine
- 2.5-10mg po/sc HS
Zopiclone
- 3.75-7.5mg po HS
Lemborexant
- 5mg po HS
Mirtazapine
- 7.5–15mg daily at bedtime. Effect on sleep at lower doses
- Best choice in frail elders