Fear of Flying

Fear of Flying – Information from Tavyside Health Centre

We understand that a fear of flying can be a very real and distressing experience. However, we do not prescribe medications such as Diazepam for this purpose. Here are the reasons why:

✈️ Safety during flights
Diazepam is a sedative. While it may make you feel more relaxed or sleepy, it also slows reaction times and impairs concentration. In the event of an emergency, this could affect your ability to respond quickly or follow safety instructions.

🛌 Increased risk of blood clots
Sedatives like Diazepam can reduce natural movement during sleep. On long flights (especially over four hours), this may increase your risk of developing a deep vein thrombosis (DVT) – a blood clot in the leg or lungs, which can be serious.

⚠️ Unpredictable side effects
Although most people feel calmer with sedatives, a small number may experience the opposite: increased anxiety, agitation, aggression, or disinhibition (acting out of character).

📚 Not recommended in clinical guidelines
Current medical guidelines (the BNF – British National Formulary) advise against using benzodiazepines like Diazepam for treating phobias, including fear of flying. Prescribing it in this context would go against these national recommendations.

🌍 Legal issues abroad
Diazepam is a controlled drug and is illegal in several countries. Carrying it across borders can lead to it being confiscated or, in some cases, legal action.

🧪 Workplace drug testing
Diazepam can remain in your system for some time. If your job includes random drug testing, you could test positive and face professional consequences.

A better, long-term approach

Instead of using medication, we recommend addressing fear of flying in a safe, structured way. Many airlines offer specialised Fear of Flying courses, designed to help you overcome your anxiety and feel more in control. Some options include:

You can also find helpful guidance and techniques online:
👉 How to manage a fear of flying and flying anxiety | Patient.info

We’re here to support your health and wellbeing and encourage you to explore safer, evidence-based options to help manage your fear.