Shared Care Protocol for Melatonin click here & Proforma click here
Bassetlaw CCG: For mental health medicines, please see Nottinghamshire Formulary CNS section
Insomnia (short term)
See RDaSH Formulary Guidance click here
Prescribing Hypnotics within Doncaster and Bassetlaw Hospitals
Hypnotics may be prescribed for in-patients due to the occurrence of difficulty sleeping whilst hospitalised. Sleeplessness in hospital frequently results from strange surroundings or worry about a pending diagnosis. Hypnotics should not routinely be prescribed as part of a patients’ discharge medication unless
the patient was admitted taking them on their repeat prescription (JAC does not automatically add hypnotics to the discharge prescription).
| Pack | Price |
|---|---|
| 28 tablet | £1.07 |
| Pack | Price |
|---|---|
| 28 tablet | £1.07 |
Sleep disorders in children and young people with neurodevelopmental disorders
Refer to Shared Care Protocol
NICE NG62 Cerebral palsy in under 25s: assessment and management
Off label use in paediatrics
Insomnia
See RDaSH Formulary Guidance click here
| Pack | Price |
|---|---|
| 28 tablet | £1.23 |
| Pack | Price |
|---|---|
| 28 tablet | £1.65 |
Short term insomnia
See RDaSH Formulary Guidance Click here
Temazepam should not be routinely initiated, however, as with other
hypnotics, it must not be stopped abruptly in patients who have been taking it for any length of time
| Pack | Price |
|---|---|
| 28 tablet | £26.34 |
| Pack | Price |
|---|---|
| 28 tablet | £26.53 |
Sleep disorders (paediatrics) or other unlicensed indications
Rationale: 1,2
Slenyto is licensed for Insomnia in children and adolescents aged 2-18 with Autism Spectrum Disorder (ASD) and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient
NICE NG62 Cerebral palsy in under 25s: assessment and management
Melatonin is unlicensed for use in paediatric sleep disorders.
Forms of melatonin other than the 2mg MR tablet are excluded from the Shared Care Protocol for paediatric use. Prescribing responsibility should remain with the Specialist service.
Narcolepsy with cataplexy (under specialist supervision)
Brand : Xyrem
Rationale 1,2
Narcolepsy
Brand : Xyrem
Rationale 1,6
Insomnia in adults
Rationale 8
Pending training, universal availability of CBTi and pathway development. Note: ICB funding in place for any clinician who has competence to prescribe and where CBTi is available to be offered free to the patient and this has been tried and not worked or it is not suitable
Treatment of insomnia, in adults, usually for short-term duration
Brand : Qdenga®
Rationale 7
| Pack | Price |
|---|---|
| 30 tablet |
| Pack | Price |
|---|---|
| 30 tablet |
| Pack | Price |
|---|---|
| 30 tablet |
Melatonin 2mg Tablets MR (Circadin)
Sleep disorders - adult
Do not prescribe for adults
Melatonin 3mg & 5mg tablets
short-term treatment of jet-lag in adults
Rationale 5
Do Not routinely prescribe in Primary Care
Brand: Ceyesto ,Adaflex