29th April 2024

An 84-year-old male with known Alzheimer’s Disease presents with insomnia

An 84-year-old male with known Alzheimer’s Disease presents with insomnia. His wife reports that he struggles to get to sleep at night and can wander around their home during the night. This has caused him to fall as a result of tripping over furniture in the dark. Besides his Alzheimer’s disease, he has hypertension, hypercholesterolemia, osteoarthritis and has had a transient ischemic attack years ago. He takes Donepezil 10 mg ON, Ramipril 2.5mg OD, Furosemide 20 mg OD, Atorvastatin 80 mg ON, Memantine 20 mg OD and Clopidogrel 75mg OD.

Which medication is likely to be contributing to this gentleman’s insomnia?

Select the SINGLE most appropriate option from the list below. Select ONE option only.