Insomnia

Hypnotic Z-drugs e.g. zopiclone, zolpidem, zaleplon are inappropriate to use in patients aged 65 years and older if they have a history of falls (may cause protracted daytime sedation, ataxia).  

Non-drug management of insomnia should be advised before initiating pharmacotherapy

All hypnotics have abuse and addiction potential. Tolerance can develop within 3 to 14 days of continuous use and long term efficacy cannot be assured

Benzodiazepines should be used to treat insomnia only when it is severe, disabling, or causing the patient extreme distress

Short term insomnia should be treated for a maximum of 3 weeks (preferably only 1 week)

Chronic insomnia is rarely benefited by hypnotics

 NICE TA77 Guidance on the use of z-drugs for the short-term treatment of insomnia

Pack Price
16 tablet
56 tablet £2.96
Pack Price
10 tablet
14 tablet
30 tablet
56 tablet £4.65
Pack Price
1 ml
Pack Price
28 tablet £0.80
Pack Price
28 tablet £0.82
30 tablet
Pack Price
28 tablet £1.51
500 tablet
7 tablet
Pack Price
250 tablet
28 tablet £1.62
7 tablet

 

Licensed for short term use for insomnia in adults over 55 years

Unlicensed use in younger adults approved by the trust

First choice for the treatment of insomnia in people with learning difficulties

 

Pack Price
120 tablet
21 tablet
30 tablet £15.39
Pack Price
28 tablet £0.78
30 tablet
500 tablet

Daridorexant should be prescribed in line with this Kent and Medway guidance:

Kent and Medway Prescribing guidance for Daridorexant

NICE TA 922: Daridorexant for treating long-term insomnia

Daridorexant is recommended for treating insomnia in adults with symptoms lasting for 3 nights or more per week for at least 3 months in line with the NHS Kent and Medway guidance. The length of treatment should be as short as possible. KMPT clinicians will have the responsibility to review at 3 months and 12 months for efficacy. Ongoing prescribing in primary care can continue following initiation by a KMPT clinician. Treatment with Daridorexant should be stopped in people whose long-term insomnia has not responded adequately. If treatment is continued, assess whether it is still working at regular intervals.

 

Pack Price
30 tablet (3 x 10 tablets) £42.00
Pack Price
30 tablet (3 x 10 tablets) £42.00