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Zopiclone

Indication

Short term management of insomnia (NICE TA77)

NICE TA 77 - Guidance on the use of zaleplon, zolpidem and zopiclone for the short-term management of insomnia

The colour classification was determined as part of the collaborative work between LCFT and medicines Management leads. Local pathways and patient safety were taken into consideration.

Green

Brand:

Nice TA:

77

Commissioning responsibility:

CCG

PbR excluded:

No

BNF chapter:
Central nervous system

Background

For short term use only, if started in hospital not to be continued at discharge. NICE recommends that prescribers should consider using non-medicine treatments, and then, if they think that a hypnotic medicine is the appropriate way to treat severe insomnia that is interfering with normal daily life, they should prescribe one for only short periods of time and strictly according to the licence for the drug. Because there is no firm evidence of differences in the effects of 'Z' drugs, NICE recommends that doctors should prescribe the cheapest drug, taking into account the daily dose required and the cost for each dose. Treatment should only be changed from one of these hypnotics to another if side effects occur that are directly related to the medicine. If treatment with one of these hypnotic medicines does not work, the doctor should not prescribe one of the others. Purchase prices may vary, please refer to local organisational formularies to establish hypnotic of choice.

Recommendation

LSCMMG Recommendation:

Green

Reason for decision:

Suitable for initiation in primary care

Supporting documents:

Decisions of Lancashire local decision making groups

Pending
Pending
Green
Pending
Pending
Green
Green
Green
What do the colours mean?

Last Updated: 01 - Jul - 2015