Bonny, I am so very sorry to hear about Alexander's confusion. It is such a sad time in your friend's life. We are dealing with many of the same issues that others have listed in their replies with our elderly 14 1/2 year old Boo the Boxer.
Dr. Amy doesn't have a lot of confidence in the meds that are currently available for Doggie Dementia so we haven't pursued those meds. Boo is also having many other health issues which complicate things even more -- so what we have decided to treat each day that she is with us as a blessing. She is on two heart meds twice daily, and Rimadyl for pain. Recent blood work indicates that she is having thyroid issues so she will be starting a med for that as well.
Sending

and

and

to Alexander and to you.