GPs will generally not prescribe diazepam or other benzodiazepines specifically for fear of flying or travel anxiety. This is because the potential risks may outweigh the benefits, and these medicines are not considered an appropriate treatment for specific phobias such as fear of flying.
It can reduce your mobility– Long periods of sitting still during air travel can increase the risk of deep vein thrombosis (DVT) in some people. Sedation may make you less likely to move around during a flight, potentially adding to this risk.
It can sometimes have the opposite effect– Although diazepam is intended to reduce anxiety, some people can experience an unusual reaction, including: agitation, confusion, disinhibition, irritability or aggression. This can be particularly problematic when travelling.
Prescribing a sedative solely for an anticipated situation such as flying may fall outside the usual circumstances in which NHS general medical services prescribe these medicines. Individual GP practices may have their own prescribing policies.
Some airlines and specialist organisations offer courses specifically designed to help people overcome fear of flying.
These may include information about aviation, turbulence and what happens during a flight, as well as practical techniques for managing anxiety.
CBT is an evidence-based talking therapy that can help you understand and change the thoughts, feelings and behaviours associated with fear of flying.
Exposure-based techniques can gradually help you become more comfortable with situations that cause anxiety.
Practising techniques before your journey can help you manage physical symptoms of anxiety.
If you are worried about flying:
Although diazepam may seem like an easy solution, sedation does not treat the underlying phobia and can carry risks. Psychological approaches such as CBT, together with education, gradual exposure and relaxation techniques, can provide a safer and more effective long-term approach.
If you are concerned about flying, speak to your GP or another healthcare professional about the most appropriate treatment for you.
