Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
4. Central nervous system

4.1. Hypnotics and anxiolytics

4.1.1. Hypnotics

Preferred List
ZOPICLONE

Prescribing Notes:

Before a hypnotic is prescribed, the cause of the insomnia should be established and underlying factors should be addressed and non-drug management, such as sleep hygiene considered. If a hypnotic is essential, it should be prescribed at the lowest effective dose as a short course (preferably one week) and the choice of agent based on the patient’s medication and medical history and evaluation of the consequences of supplying a potential drug of abuse.

BNF Link

Total Formulary
CLOMETHIAZOLE
CHLORAL HYDRATE
NITRAZEPAM
DIAZEPAM
TEMAZEPAM

Prescribing Notes:

Before a hypnotic is prescribed, the cause of the insomnia should be established and underlying factors should be addressed and non-drug management, such as sleep hygiene considered. If a hypnotic is essential, it should be prescribed at the lowest effective dose as a short course (preferably one week) and the choice of agent based on the patient’s medication and medical history and evaluation of the consequences of supplying a potential drug of abuse.

BNF Link

4.1.2. Anxiolytics

Preferred List
PROPRANOLOL

Prescribing Notes:

Only beta-blocker licensed for anxiety with symptoms such as palpitation, sweating and tremor. It is not included in the Preferred List for hypertension, angina and heart failure

BNF Link

CHLORDIAZEPOXIDE
DIAZEPAM
Total Formulary
Specialist and GP
BUSPIRONE

Restrictions: Restricted to specialist initiation only.

BNF Link

Specialist and GP
LORAZEPAM

Restrictions: Retsricted to specialist initiation only.

BNF Link

OXAZEPAM

4.1.3. Barbiturates