Medway Community Healthcare Medway NHS Trust Foundation Trust
Medway Clinical Commissioning Group Swale Clinical Commissioning Group

4.7.1. Insomnia

Melatonin

 - For Kent and Medway PRGC Policy recommendation on Melatonin for Jet Lag
- For Kent & Medway Guideline on the Use of Melatonin for the Management of Sleep Disorders in Children, Adolescents, and Adults 
- For Melatonin Prescribing Checklist      
Click Here

Chloral Hydrate
 - For Position Statement on the Off label use of Chloral Hydrate in the Management of Intrusive Movement and Motor Disorders in Children and Young People 
 - Chloral hydrate, cloral betaine (Welldorm): restriction of paediatric indication MHRA Drug Safety Update
Click Here

For Controlled drugs/benzodiazepine prescribing patient treatment
agreement  Click Here

MEDWAY ONLY: For Benzodiazepine prescribing guidance in Primary Care (Do NOT Use the ‘treatment agreement’ in appendix 5. Please use the K&M Treatment agreement Mar/Apr 22) Click Here

Daridorexant
Daridorexant should be prescribed in line with this Kent and Medway guidance
- Daridorexant Prescribing Guidance (4. Nervous system - guidance page) Click Here 
- Daridorexant for treating long-term insomnia NICE TA 922

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. Treatment with Daridorexant should be assessed within 3 months of starting and 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. The initiating clinician is responsible for the 3 month assessment of efficacy.

Pack
28 tablet
500 tablet
7 tablet
Pack
250 tablet
28 tablet
7 tablet
Pack
200 ml
300 ml
Pack
28 tablet
Pack
28 tablet
30 tablet

Daridorexant should be prescribed in line with this Kent and Medway guidance
Daridorexant Prescribing Guidance (4. Nervous system - guidance page) Click Here 
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. Treatment with Daridorexant should be assessed within 3 months of starting and 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. The initiating clinician is responsible for the 3 month assessment of efficacy.

Pack
30 tablet (3 x 10 tablets)
Pack
30 tablet (3 x 10 tablets)
  • First Line Choice
  • On Formulary
  • Specialist Initiation Only
  • Hospital Only
  • KMPT Initiation Only
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