Xanax, a member of the same pharmaceutical family (benzodiazepines) as diazepam, is a strong one. Take it about two to three hours before you fly, and do not mix it with alcohol. There is a risk of dependency, though, with these benzodiazepines, but only if you are taking them more than once a week.
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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.
Doctors normally prescribe their anxiety patients with limited doses of . 25mg-0.5mg. 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.
Guide for Aviation Medical Examiners: Pharmaceuticals, Do Not Issue Do Not Fly— from angina to weight-loss medications, including these psychiatric medications: antidepressants (certain SSRIs may be allowed – see SSRI policy) antianxiety drugs – e.g.: alprazolam (Xanax)antipsychotics.
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.