Fear of Flying

Medication for Fear of Flying

Many patients ask whether we can prescribe diazepam (Valium) or similar medication to help with anxiety before flying.

This policy follows current national prescribing guidance and is consistent with many GP practices across the UK.

Why don't we prescribe diazepam?

Safety during emergencies

Diazepam slows reaction times, reduces concentration and affects judgement. Although emergencies are rare, passengers should be able to respond quickly to instructions from cabin crew.

Risk of blood clots (DVT)

Sedative medicines can cause prolonged, unnaturally deep sleep. This reduces movement during flights and may increase the risk of developing Deep Vein Thrombosis (DVT), particularly on longer journeys.

Unexpected side effects

Although many people become sleepy, some experience agitation, aggression, confusion or disinhibition. These reactions can make travelling more stressful for both the passenger and others onboard.

Dependence and addiction

Diazepam belongs to a group of medicines called benzodiazepines, which can cause dependence. These medicines should only be prescribed when clinically appropriate.

National prescribing guidance

Current guidance advises that benzodiazepines should not be prescribed for simple phobias, including fear of flying, or for mild short-term anxiety associated with travel.

What can help instead?

There are many effective alternatives that can help manage flight anxiety without medication.

• Cognitive Behavioural Therapy (CBT)
• Breathing and relaxation techniques
• Mindfulness exercises
• Talking therapies
• Fear of Flying courses run by airlines

Airline Fear of Flying Courses

If your anxiety affects everyday life

If your anxiety is not limited to flying and is affecting your daily life, work or relationships, please book an appointment with one of our clinicians.

We can assess your symptoms and discuss the most appropriate treatment and support available.

Practice Policy

Thank you for your understanding and helping us ensure prescribing remains safe, evidence-based and consistent with national guidance.