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What do you give a child before flying?

If you can't give them an antihistamine, giving them ibuprofen or acetaminophen before the flight can help reduce pain. If your child is prone to severe ear pain when flying, you might give them both Benadryl and Tylenol before take-off.



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Movies, music, books, games, puzzles, and any number of other distractions can help reduce anxiety before and during the flight. Playing “I spy” or some other similar game with your child during the flight may provide distraction and comfort to both of you.

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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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Parents can try giving their child 0.5-1mg of melatonin 30 minutes to 2 hours before bed. It's better to try it before travel to make sure there are no side effects – none are expected to be serious, but some children may paradoxically have their sleep disrupted rather than helped by melatonin.

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5 Tips to Help Your Toddler Sleep on a Plane
  1. Follow your bedtime/naptime routine as closely as you can on the plane. ...
  2. Keep distractions to a minimum. ...
  3. Consider using your toddler's car seat on the plane. ...
  4. No sugary drinks or snacks.
  5. Consider something containing oatmeal and milk as a bedtime snack.


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If they are inconsolable, try taking your baby to the back of the plane where the hum of the engine may mask their crying. Try to remain calm – a good distraction is to gently talk to your baby – or try letting them look out the window where they may see other planes or perhaps a nice view.

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Deep breathing is known to trigger a comfort response and will help prevent hyperventilation. Reading a book or listening to a good podcast can refocus your mind and attention. Distracting yourself from the fact that you are flying can be a great way to keep calm if you're a nervous flyer..

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I recommend melatonin as a natural supplement to my patients with flight-related anxiety. Melatonin induces sleep and adjusts your circadian clock to help you function better when you reach your destination.

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It has been noted that earplugs do help in keeping noise and air pressure from causing ear pain in either kids or adults. Of course, it matters you choose the right earplugs and not just anything.

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Spray Afrin nasal decongestant spray twice into each nostril one hour prior to flying. Begin taking a decongestant, like Sudafed, one hour before the flight. Both of these medications can be purchased over-the-counter in a drug store.

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3. Take your medication at least an hour before your flight. If you're taking antihistamines, decongestants, or over-the-counter pain medicine like ibuprofen or acetaminophen, it's important to take your medication at least an hour before your flight so it has time to work before your plane takes off.

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The American Academy of Pediatrics discourages medicating to sedate babies and children on plane rides. Giving the medicine has more risks than benefits because it can have serious side effects if you give them repeated doses.

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The bassinet will give your baby ample space to lay down completely for an uninterrupted sleep during the flight. If bassinets are not available, invest in an inflatable foot pillow or footrest.

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If you have nasal congestion from allergies, a cold, or are prone to painful ears on airplane descent, then taking an over-the-counter decongestant or antihistamine may help equalize the pressure in the ear.

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Many pilots are unaware that there are wait times after each use of sedating antihistamines. For cetirizine (Zyrtec®) and levocetirizine (Xyzal®), you should not fly for 48 hours after taking the last dose. For diphenhydramine or doxylamine, you should not fly for 60 hours after taking the last dose.

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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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