10/06/2025
Prescribing Diazepam for Flight Anxiety
**The Doctors at Loch Lomond Surgery will no longer be prescribing Diazepam for fear of flying**
Diazepam in the UK is a Class C/Schedule IV controlled drug. We have outlined below the reasons why we will no longer be prescribing it for fear of flying. Patients are welcome to seek the opinion of a private GP if they still wish to request a prescription for this purpose. We would also advise speaking to your pharmacist about alternatives that can be bought over-the-counter.
You can find further information and useful courses in the links below.
How to manage a fear of flying and flying anxiety | Patient
https://www.fearlessflyer.easyjet.com/
https://www.britishairways.com/en-gb/information/travel-assistance/flying-with-confidence
https://www.flyingwithoutfear.com/
Air Travel - Fit for Travel
There are a number of very good reasons why prescribing this drug is not recommended.
Diazepam is a sedative. This means, the medication makes you sleepy and more relaxed. If there would be an emergency during the flight, this could impair your ability to concentrate, follow instructions, or react to the situation. This could seriously affect the safety of you and the people around you.
Sedative drugs can make you fall asleep, however, when you sleep it is an unnatural non-REM sleep. This means, your movements during sleep are reduced and this can place you at an increased risk of developing blood clots (DVT). These blood clots are very dangerous and can even prove fatal. This risk further increases if your flight is over 4 hours long.
Although most people respond to benzodiazepines like Diazepam with sedation, a small proportion experiences the opposite effect and can become aggressive. They can also lead to disinhibition and make you behave in ways you normally wouldn’t. This could also impact on your safety and the safety of your fellow passengers or could lead you to get in trouble with the law.
According to the prescribing guidelines doctors follow (British National Formulary) diazepam is contraindicated (not allowed) in treating phobic states. It also states that “the use of benzodiazepines to treat short-term ‘mild’ anxiety is inappropriate”. Your doctor would be taking a significant legal risk by prescribing against these national guidelines. Benzodiazepines are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight; benzodiazepine doses used for flying previously are not likely control an acute crisis in generalised anxiety disorder.
Many thanks,
Loch Lomond Surgery
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