What medication is used for plane anxiety?

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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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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People sometimes ask the doctor or nurse to prescribe diazepam, or similar drugs like lorazepam temazepam or clonazepam, for fear of flying or to help sleep during flights. Prescribing these drugs is not recommended any more for these reasons: The Grange Practice does NOT prescript sedatives for fear of flying.

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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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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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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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Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Common reasons for panic attacks on a plane include a fear of flying, but they can also be caused by claustrophobia or the fear of enclosed spaces.

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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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Some people who don't have chronic anxiety may also take beta-blockers to help fight specific situational anxiety or phobias. For example, if you are afraid of flying, you might take one before a flight.

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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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Travel anxiety is not an officially diagnosed mental health issue, but can be severe enough to interfere with people's daily lives. People with travel anxiety may be unable to see family and friends, go on vacation, or travel for work.

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She told the group what worried her. “I am afraid of dying.” Fear of flying, or aviophobia, is an anxiety disorder.

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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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Many people can work on overcoming their fear of flying with psychotherapy. Your healthcare provider may recommend: Cognitive behavioral therapy (CBT): CBT focuses on helping you change the way you think about flying.

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