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Judy, my father in law has had bouts with hallucinations with Sinement and with Permax. He is very sensitive to medication, he now takes only .05mg 3x aday of Permax now, when there is some stress or change in a routine he starts hallucinating, he had a bad cold for 6 days and the wild dreams and hallucination were wild and rampant. Many told us he was over medicated but Permax is all he is taking, it is very strong but his dr. is amazed at how well he responds to low doses. When he got over the cold and back to the normal routine the hallucinations and wild dreams decreased. His Dr said dementia from the disease, the aging mind and the meds all contribute to the hallucinations and wild dreams. We have gotten used to them. Joe is only 71, diagnosed 4 yrs ago. He lives with us and we do all the tough stuff for him. Routine is very important. Hope this helps some, Norma