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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Insomnia - newer hypnotic drugs
Description:   The summary of the published technology appraisal on Insomnia - newer hypnotic drugs. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage
NICE implementation uptake report: newer hypnotic drugs Practice appears to be in line with guidance 2009 National

External literature

External literature Assessment Coverage

Siriwardena AN et al (2006) GPs' attitudes to benzodiazepine and 'Z-drug' prescribing: a barrier to implementation of evidence and guidance on hypnotics British Journal of General Practice 56 (533): 964-967

Description: This study was a postal questionnaire survey of 84 GPs in a single primary care trust to assess practitioner's beliefs about hypnotics prescribing. The survey reported that responders rated Z-drugs as more effective than benzodiazepines in terms of total sleep time, tolerance, addiction, dependence, daytime sleepiness and road traffic accidents. The study concluded that attitudes were not consistent with current evidence and NICE guidance.

Doubts about or mixed impact in practice Local

NHS Information Centre for Health and Social Care (2009) Use of NICE appraised medicines in the NHS in England-Experimental Statistics

Description: The NICE costing template expected an annual number of 558.4 thousand patients. The recommended period of use is no more than 28 days. If we assume that all patients receive 28 days? treatment then this gives a predicted use of 15,634.4 thousand doses per year. The observed use in 2008 was 115,854.8 thousand defined daily doses, a ratio of 7.4 to 1. Temazepam, an alternative hypnotic, has been classified as a Controlled Drug, which may have led to increased prescribing of these medicines.

Practice appears not to be in line with guidance Local

Altaiar, H.A. (2011) The use of z hypnotics in the management of insomnia in forensic psychiatric units in Oxford, England Bulletin of Clinical Psychopharmacology (Turkish) Conference Publication: (var.pagings). 21 (pp S202), 2011.

Description: The aims of this study were to review if 'z-drugs' were prescribed according to the NICE guidelines and to investigate whether other measures were tried before prescribing a 'z drug' for insomnia. Inpatient notes and medication charts from January to June 2010 from the 6 forensic wards at the Littlemore Hospital, Oxford were reviewed. Of 74 patients, 3 were prescribed "z drugs". Of these, non-pharmacological measures were tried in one of the patients and documentation was found in one case too.

Practice appears not to be in line with guidance Local

This page was last updated: 01 January 2011

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.