Fear of Flying – Why We Do Not Prescribe Sedatives
Upon review and in keeping with guidance and other GP practices we will no longer and will not prescribe sedatives for flying. This stance is supported by NHS england and local prescribing committees, and the BNF (British National Formulary).
We understand that fear of flying can be very distressing. For some people it causes significant anxiety in the lead-up to travel and during the flight itself. We take these concerns seriously and want to support you in managing them safely and effectively.
However, our practice does not prescribe sedative medication (such as benzodiazepines) for fear of flying. This is in keeping with other practices,
Below we explain why.
1. Unpredictable Effects
Sedative medications can affect people very differently.
- Some people experience the expected calming effect.
- Others may become paradoxically agitated, restless, or disinhibited.
- Older adults are particularly at risk of confusion or agitation.
It is not possible to reliably predict how an individual will respond, even based on having previously taken this medication, especially in a stressful environment such as air travel.
2. Increased Risks During Air Travel
Aircraft cabins operate at altitude, where oxygen levels are lower than at sea level. Although this is safe for most passengers, everyone on board is relatively more hypoxic (has lower oxygen levels) than usual.
Sedatives can:
- Suppress breathing
- Increase drowsiness and reduce alertness
- Interact with alcohol or other medications
- Have stronger or more prolonged effects depending on your general health
- Increase the risk of DVT (Deep vein thrombosis)
This combination can make taking these medications at altitude potentially unsafe.
3. Safety in an Emergency
In the unlikely event of an emergency, all passengers must be able to:
- Follow instructions quickly
- Evacuate the aircraft promptly
- Assist dependants if necessary
Sedation can slow reaction times, impair coordination, and reduce awareness. This may put you and others at risk and could obstruct emergency procedures.
4. Legal and Travel Considerations
Many sedative medications are controlled drugs. Some countries have strict rules regarding their importation. Carrying them without appropriate documentation may cause legal difficulties while travelling.
5. It Does Not Treat the Underlying Anxiety
Sedatives may temporarily suppress symptoms, but they do not address the underlying fear or anxiety. In some cases, reliance on medication can make long-term anxiety management more difficult.
Evidence-based approaches such as cognitive behavioural therapy (CBT) and structured fear-of-flying programmes are far more effective for lasting improvement.
What Can Help
We are committed to helping you manage your fear of flying in safer, more effective ways. Options include:
· British Airways – Flying With Confidence
- Virgin Atlantic – Flying Without Fear
- EasyJet – Fearless Flyer
Some private providers may offer alternative assessments if you wish to explore that route independently.
Your safety and wellbeing are our priority.