Can you take lorazepam for fear of flying?

Following a review of prescribing safety at the GP Practice, our new policy is to no longer prescribe benzodiazepines or sedatives (such as diazepam) to patients for fear of flying.



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Dosage and strength The usual dose is: anxiety in adults – 1mg to 4mg each day. Your doctor will tell you how often you need to take it. sleeping problems in adults – 1mg to 2mg before bedtime (lorazepam will start to work in around 20 to 30 minutes)

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Flight anxiety medication
  • fluvoxamine (Faverin)
  • citalopram (Celexa)
  • escitalopram (Lexapro)
  • paroxetine (Paxil)


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People often come to us requesting the doctor or nurse to prescribe diazepam for fear of flying or assist with sleep during flights. Diazepam is a sedative, which means it makes you sleepy and more relaxed.

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For example, deep breathing or meditation during take-off, landing or turbulence can reduce your symptoms of anxiety. You can also learn to “talk back” to negative thoughts about flying when they arise.

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The two main medication classes most often prescribed are:
  • Benzodiazepines, such as the antianxiety drugs alprazolam (Xanax®), clonazepam (Klonopin®) and diazepam (Valium®).
  • Selective serotonin reuptake inhibitors, such as paroxetine (Paxil®) or escitalopram (Lexapro®).


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Pharmacological treatment Medication is sometimes prescribed on a temporary basis to treat the symptoms of a flying phobia, such as anxiety and nausea. These drugs are usually taken shortly before a flight. They include: Anti-anxiety medication, such as diazepam (Valium) or alprazolam (Xanax).

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Take a melatonin pill. That's the hormone that our bodies use to put us to sleep naturally. Pop the pill a few hours before the flight.

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The use of any sort of benzodiazepines causes longer reaction times & slowed thinking, which during a flight will put the passenger at significant risk of not being able to act in a manner which could save their life, or that of a loved one or co-passenger, in the event of a safety critical incident.

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People often come to us requesting the doctor or nurse to prescribe diazepam for fear of flying or assist with sleep during flights. Diazepam is a sedative, which means it makes you sleepy and more relaxed.

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Ambien (zolpidem) is among the most popular — and potent — sleeping pills for travel. Classified as a sedative-hypnotic drug, Ambien works by slowing down your brain, making it easier for you to fall asleep. It comes in two forms, Ambien and Ambien CR (controlled release), both of which require a prescription.

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Treat congestion before your trip
If you're congested from allergies or an upper respiratory infection, it's important to do what you can to resolve the congestion before you fly. Common treatments for congestion include antihistamines, decongestants, and nasal steroid sprays.

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How the FAA is Reducing the Stigma of Mental Health, Help Pilots Receive Care. The FAA encourages pilots to seek help if they have a mental health condition since most, if treated, do not disqualify a pilot from flying.

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Seeking a prescription to sedative medication and having them available in-flight can help you relax, even if you don't end up taking it. You should not try to cope alone with a panic disorder and related fear of flying. Even a couple sessions with a therapist can give you tools to make flying more comfortable.

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Official answer. Ativan and Xanax are both benzodiazepines used for the treatment of anxiety, and both are equally effective for this use. The differences are: Xanax has a quicker onset of effect, but a shorter duration of action (4 to 6 hours) compared with Ativan's 8 hours.

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The use of psychopharmacologic drugs can aid in the various stages of treatment during exposure therapy. Benzodiazepines, such as clonazepam, help reduce anticipatory anxiety and can enable a patient to manage fear and anxiety during the initial stages of exposure therapy [15].

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Consider an aisle seat to help with your fear of flying Having more space to move around and to get up and walk around when needed could make all the difference in helping you feel at ease. “If you're plagued by claustrophobia, make sure you pick an aisle seat before flying,” says Lloyd.

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This article discusses some strategies for managing panic attacks on a plane, including:
  1. Taking medication for panic attacks.
  2. Using visualization.
  3. Practicing relaxation techniques.
  4. Finding healthy distractions.
  5. Taking classes to combat fear of flying.
  6. Seeking support from other fliers.
  7. Thinking realistically.


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