For information and guidance relating to treating Insomnia in adults on the SY MO website click here
For information and guidance relating to Melatonin, including the Shared Care documents on the SY MO website click here
For information and guidance relating to Daridorexant, including the Guideline on the SY MO website click Here
Bassetlaw CCG: For mental health medicines, please see Nottinghamshire Formulary CNS section
Insomnia
See guidance relating to treating Insomnia in adults on the SY MO website - link above
| Pack | Price |
|---|---|
| 28 tablet | £0.84 |
| Pack | Price |
|---|---|
| 28 tablet | £0.90 |
Insomnia (short term)
See guidance relating to treating Insomnia in adults on the SY MO website - link above
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 | £0.72 |
| Pack | Price |
|---|---|
| 28 tablet | £0.75 |
Melatonin 2mg Tablets MR
Sleep disorders - adults >55 years
See guidance relating to treating Insomnia in adults on the SY MO website - link above
Melatonin tablet is indicated as monotherapy for the short-term treatment of primary insomnia characterised by poor quality of sleep in patients who are aged 55 or over.
Please note - Multiple traffic light classifications
Chronic insomnia in adults
See guidance relating to treating Insomnia in adults on the SY MO website - link above
Short term insomnia
See guidance relating to treating Insomnia in adults on the SY MO website - link above
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 | £24.89 |
| Pack | Price |
|---|---|
| 28 tablet | £24.79 |
Sleep disorders in children and young people with neurodevelopmental disorders
For the treatment of sleep disorders in children and young people up to 18 years (off-label use)
Refer to Shared Care Protocol
NICE NG62 Cerebral palsy in under 25s: assessment and management
Short-term treatment of insomnia in adults in situations where the insomnia is debilitating or is causing severe distress for the patient
High cost warning to orodispersible tablets compared to standard formulation of generic zolpidem, only use where clinically appropriate to do so.
| Pack | Price |
|---|---|
| 28 tablet |
| Pack | Price |
|---|---|
| 28 tablet |
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
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 3mg & 5mg tablets
short-term treatment of jet-lag in adults
Rationale 5
Do Not routinely prescribe in Primary Care
Brand: Ceyesto ,Adaflex