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My husband took it once a day, immediately before going to bed. In fact, he had to be in his pajamas and in the bedroom before I'd give it to him. It enabled him to sleep through the night. After he was at a therapeutic dose (for him, 100 mg) he stayed at that level for 9 years. When he went on hospice we discontinued it but then added it back, because with out it he had hallucinations.
So for us it was wonderful and allowed me to keep my husband at home. But I know that everyone does not have this kind of success. As far as I know, there is no permanent problem with side effects -- if your have them, they go away when you stop.
My advice would be to work with a doctor experienced in dealing with dementia, start at a small dose and increase slowly, and only introduce ONE new medication at a time.
Good luck! And if you try this, let us know your experience with it.