Any experience with sundowners and medications to help sleep?

If he is in an assisted living facility, I am assuming he has his own apartment? That said, if he is not bothering anyone, who cares if he arises early? He can putter around thinking he has to go to work or the field (most 90 yr. olds had a farm and arose very early), and you should be unaffected because you do not live with him. So why medicate him? Try to have staff keep him busy during the day so he is not sleeping, then he will sleep at night (or not). What difference does it make? The only ones disturbed are staff, and they are awake anyway. He will move into another stage where he won't be getting up and getting dressed at all. Hang in there!

My mother did not do well on Seoquel, although I know several on this board have parents who tolerate it well. My mom is on klonopin at a fairly low dose, a bit more at night. Also Remeron and I believe Wellbutrin. It keeps her calm but alert.

Yes, the FDA warns against Seoquel for elders. But at that age, I believe that alleviating the terribly upsetting and maddening ( for the patient) symptoms of sundowning, some risks need to be faced.