Sleep has many restorative properties and is a highly important component of routine. I assume there was a recent infection of some sort based on the history of antibiotic treatment sought. Age, any comorbidities, recent infections, and disruptions to his vegetative routine—such as less sleep—can all contribute to changes in sensorium.
Nevertheless, the history is still not enough to pinpoint the exact problem. However, if he isn't improving with the aforementioned medications, a treatment revision is unquestionably necessary.
Next Steps
Consult a psychiatrist particularly for addressing the concerns developed with treatment and detailed history to rule out differentials.
Health Tips
With the right approach, the symptoms are curable and recovery is assured, so don’t worry and all the best !