Sleepers/Hypnotics on formulary

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Thu, 05/28/2020 - 16:24
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Karin Terry
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Sleepers/Hypnotics on formulary

We are looking at our “sleepers/z-drugs/etc” on our formulary. Currently we use melatonin (83% of our use), zolpidem (14% of our use - almost exclusively at 5mg doses), and temazepam (3% of use). We are considering suvorexant and Ramelteon in our review as well.

We are getting a lot of different feedback from our physicians, and the evidence that we have found doesn’t highly favor any of the agents in the hospital setting. Would you be willing to share your experience?

What agents do you have on formulary?
Any dosage/frequency/duration restrictions for formulary agents?
Do you have any auto-substitutions in place?
Any other trials and tribulations to share?

Thanks so much!

Karin L Terry, Pharm.D., CPPS
Medication Safety Pharmacist
OSF HealthCare
530 NE Glen Oak Avenue| Peoria, IL. | 61637
w: (309) 655-3390
www.osfhealthcare.org

“Serving with the Greatest Care and Love”

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