Why We Do Not Prescribe Sedatives for Flying

Why We Do Not Prescribe Sedatives for Flying

At Eltham Medical Practice, we follow current medical guidance and do not prescribe sedating medications such as diazepam or other benzodiazepines for fear of flying. While we understand that flying can be an anxious experience for some patients, these medications pose significant risks during air travel.

Why Are Sedatives Not Recommended?

Sedating medications can have serious effects during a flight, including:

  • Reduced ability to react in an emergency – In the event of an evacuation or sudden change in cabin pressure, sedation can impair judgment and response time.
  • Increased risk of blood clots (deep vein thrombosis – DVT) – Remaining still for long periods while sedated raises the risk of developing dangerous blood clots.
  • Lowered oxygen levels – Benzodiazepines can cause respiratory depression, leading to dangerously low oxygen levels in an already low-oxygen cabin environment.
  • Unpredictable side effects – Sedatives can cause increased agitation, confusion, or disinhibition, which may make flying more distressing rather than less.

Alternative Support for Fear of Flying

If you experience significant anxiety about flying, airlines offer specialist courses to help manage your fear safely and effectively:

We encourage patients to explore these courses, as they offer long-term solutions without the risks associated with sedative medications. If your fear of flying is severe, you may benefit from discussing anxiety management strategies with your GP.