Our practice does not prescribe diazepam or other medications for fear of flying or flight anxiety.
This decision is based on national clinical guidance and patient safety considerations including advice from the National institute for health and care excellence (NICE).
Why we do not prescribe these medications for flying
- NICE guidance does not recommend benzodiazepines for the treatment of phobias or mild to moderate anxiety, including fear of flying
- Diazepam is a sedative and can reduce awareness and reaction times, which may be dangerous in the event of an in-flight emergency
- These medications can increase the risk of blood clots (DVT) during long flights due to reduced movement
- Some people experience paradoxical reactions such as increased agitation, disinhibition or confusion
- Benzodiazepines can impair breathing especially at altitude and may interact with alcohol
- They are not licensed for the treatment of fear of flying
Because of these risks, prescribing diazepam for flying is not considered safe or appropriate medical practice.
Recommended alternatives
NICE recommends non-medication approaches for phobias and anxiety, such as:
- Cognitive Behavioural therapy (CBT)
- Fear of flying courses run by airlines
- Anxiety management techniques (breathing exercises, relaxation strategies)
These options are safer and more effective in the long term.
Thank you for your understanding and cooperation.