Melatonin
Indication
For the Treatment of Rapid Eye Movement (REM) Sleep Behaviour Disorder (RBD) in Parkinson’s Disease and Lewy Body Dementia
Adults with learning disabilities
Sleep disturbance in adults with ADHD
Sleep disorders in the blind
Adults with complex neurodevelopmental disorders that the specialist considers eligible
Brand:
Nice TA:
Commissioning responsibility:
CCG
PbR excluded:
No
Background
Initiation of melatonin must be by a specialist in the indication being prescribed for and have clear review guidance.
Prescribing and review of melatonin in adults must follow the principles outlined in the Melatonin Pathway (adults) **Under development**.
Melatonin is suitable for prescribing for the treatment of REM RBD in PD and LBD when clonazepam is not considered to be appropriate.
Recommendation
LSCMMG Recommendation:
Amber level 0
Reason for decision:
Suitable for GP prescribing following recommendation/initiation by specialist