In many Ontario cases, the first signs look like something “medical”—not obviously “wrong medication.” Families may report patterns such as:
- A sudden change in alertness after dose adjustments (more sleepiness than usual, difficulty staying awake)
- Increased falls or near-falls after medication timing changes
- Confusion, agitation, or “not themselves” behavior that tracks with scheduled doses
- Breathing issues or a noticeable drop in responsiveness after opioid, sedative, or psychotropic medications
- Symptoms that seem to worsen when medication is resumed after tests, transfers, or weekend coverage
If these changes occur around the same time as medication additions, increases, or re-starts, that timing can be critical. Your observations also matter: what staff said, what you saw, and when you first noticed the change.


