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South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
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 Formulary Chapter 4: Central nervous system - Full Chapter
04.01.01  Expand sub section  Hypnotics
 note 

NICE CG113: Generalised anxiety disorder and panic disorder in adults:management

Controlled Drug Temazepam Tablets
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Second Choice
Green
Temazepam Tablet 10mg
Temazepam Tablet 20mg

CSM Advice: Hypnotics and Anxiolytics are indicated for the short-term relief of sleep disturbance and/or anxiety. (For continuous use up to a maximum of 14 days).

This is second choice due to its higher cost acquisition compared to Z Drugs 
   
Melatonin  (Circadin ®)
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Formulary
Amber E

See link below for ESCA's. 

Please use the ESCA's under the title Agreements - South Staffordshire CCG Locality

When a patient cannot swallow, Circadin MR tablets can be crushed (note – this would change it from a modified-release tablet to an immediate-release one) and mixed or dissolved in 15-30mL of water for administration via enteral feeding tubes or easier swallowing.

 
Link  Essential Shared Care Agreements (ESCA’s) - MPFT
   
04.01.01  Expand sub section  Benzodiazepines
04.01.01  Expand sub section  Zaleplon, Zolpidem and Zopiclone
Zopiclone
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First Choice
Green

Zopiclone Tablet 3.75mg
Zopiclone Tablet 7.5mg


CSM Advice: Hypnotics and Anxiolytics are indicated for the short-term relief of sleep disturbance and/or anxiety. (For continuous use up to a maximum of 14 days).

Zaleplon, zolpidem and zopiclone for the short-term management of insomnia (April 2004)
Zaleplon, zolpidem and zopiclone are recommended for the short-term management of severe insomnia that interferes with normal daily life, and should be prescribed for short periods of time only. www.nice.org.uk/TA77

NB: Zaleplon is discontinued and Zolpidem is non-formulary

 
 ....
 Non Formulary Items
Flurazepam  (Dalmane®)

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Non Formulary
 
Loprazolam

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Non Formulary
 
Nitrazepam

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Non Formulary
 
Zaleplon  (Sonata®)

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Non Formulary

Zaleplon (Sonata) - DISCONTINUED (Mims June 2015)

 
Zolpidem

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Non Formulary
 
Zolpidem Tartrate  (Stilnoct®)

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Non Formulary
 
Zopiclone  (Zimovane®)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

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