Medication Difficulties

Hello everyone. I can’t say I’m very new here, but this is my first post. I’ve been (what my husband would say is “lurking”) in the background - reading and learning from all of you who have travelled this path before me. Thank you so much for your comments and candor, it’s already made my life better by knowing you’re here.

My question is regarding medications. My DH is mixed Alzheimer’s/Lewy Body, solid stage 5. However, he is incredibly lucid regarding his medications. He looks closely and counts all of the pills carefully that I put in his cup every morning and evening, and if something doesn’t look right, he pitches a fit. He’s now refusing anything new regardless of what it’s prescribed for. He’s supposed to be on Fosamax for his osteoporosis, as well as meds for Alzheimers, Anxiety and Depression, and he will not take any of them. He’s worried he will (a) have a bad reaction or (b) they will make his ‘neurological’ condition worse. I tried just putting the Donezepil in with his other night meds, but because it doesn’t look like anything he’s taken before, he spotted it right away. He doesn’t eat soft foods, so I can’t hide any there. He’s also refusing the psych referral from the neurologist, as he was in therapy years ago and ‘can’t learn anything new from them’. He’s not in denial that he has this disease; he’s just more frightened of the meds than he is of what might be coming next. I’m not a doctor, but I know he would be doing so much better if at least his anxiety could be somewhat alleviated. I also worry about the ethical piece & guilt of forcing meds on him that he’s so afraid of and doesn’t want. If any of you can provide any counsel regarding this, it would be greatly appreciated, thank you.