What can I take for severe flying anxiety?

Anti-anxiety medication (usually an SSRI or an SRNI) is helpful to some people who experience panic while flying, but they must be willing to take the drugs every day for a prolonged period of time.



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Successful treatment of aviophobia often involves exposure therapy. Participants face their fears, gradually and in a safe space, working their way back into the air.

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While Xanax may be useful for flying on an airplane, it will not help you with your anxiety. It may help in the moment but you will not tackle your fear of flying if you are asleep the whole flight. If you ran out of your medication or left it at home, the anxiety will still exist if you go on an airplane again.

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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.

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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 list of triggers is long: turbulence, take-off, landings, terrorism, crashes, social anxieties, or being too far from home. Some people fear fire, illness spread through the air system, using the toilets, or violence on a plane.

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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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Take melatonin 20 to 30 minutes before sleep (for eastward travel, melatonin can also be taken en route, 30 minutes prior to the target bedtime at your destination. It doesn't need to be taken en route for westward travel).

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13 Tips for Surviving a Long-Haul Flight
  1. Choose your seat. ...
  2. Power up. ...
  3. Get comfy. ...
  4. Bring some snacks. ...
  5. Always bring a scarf or shawl. ...
  6. Pack a pillow and blanket. ...
  7. See no evil, hear no evil. ...
  8. Hydrate, hydrate, hydrate.


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Taking a melatonin supplement when you first get on a flight— if traveling overnight—is a great way to ease yourself to sleep, so you wake up refreshed and rested when you land. However, this should only be done for flights longer than 6 hours, as this is how long it takes melatonin to leave your system.

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That reality can make it tempting to just pop a sleeping pill in order to pass a few hours of a flight snoozing—but again, you'd be better off only taking one at a time when you would typically be asleep in the place where you're headed, so as not to throw off your circadian rhythm and worsen your jet lag once you ...

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If you aren't sure whether your medication falls into one of these categories, you should check with your AME:
  • Tranquilizers, such as but not limited to Valium, Librium, Ativan.
  • Most antidepressants. ...
  • Opiates, such as Morphine, Codeine, Lortab, Percodan, Oxycontin.
  • Muscle relaxants, such as Soma, Sonata, Flexeril.


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If you suffer from allergies, consider a non-sedating antihistamine instead, such as loratadine (Claritin®) or fexofenadine (Allegra). Claritin and Allegra do not have wait times (after the initial ground trial).

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People who have panic attacks are often susceptible to faulty or negative thinking that can contribute to symptoms and fears. 9 Even if you feel fearful, try to remind yourself that thousands of flights are traveling safely. Reassure yourself that you too will make it to your destination safely.

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Intended use: Most over-the-counter medications that you might take for anxiety, such as antihistamines, while approved by the Food and Drug Administration (FDA) as safe, have not been approved for alleviating symptoms of anxiety.

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