Requests for Sedative Medication for Flying, Dental Treatment and Medical Procedures
Sedative Medication for Fear of Flying
We are often asked to prescribe diazepam or similar sedative medications to help with fear of flying, anxiety during flights, or sleep while travelling. Diazepam belongs to a group of medicines called benzodiazepines, which can cause drowsiness and relaxation.
After careful consideration of national prescribing guidance and patient safety, our practice does not prescribe diazepam or other sedative medications for fear of flying.
Why We Do Not Prescribe Diazepam for Flying
National prescribing guidance
The British National Formulary (BNF), which provides guidance for healthcare professionals, states that benzodiazepines should not be used to treat phobias, including fear of flying. It also advises that their use for short-term, mild anxiety is generally inappropriate.
Safety during air travel
Sedative medications can reduce awareness, concentration and reaction times. In the unlikely event of an in-flight emergency, this could impair a passenger’s ability to respond quickly and safely, potentially putting themselves and others at risk.
Increased risk of blood clots
Although sedatives may help people sleep, the sleep they induce differs from natural sleep. Reduced movement during long periods of inactivity may increase the risk of developing a blood clot, known as Deep Vein Thrombosis (DVT). This risk is already higher during longer journeys, particularly flights lasting more than four hours.
Unexpected reactions
While many people become sleepy after taking diazepam, some experience the opposite effect, including agitation, restlessness, aggression or disinhibited behaviour. Such reactions can be distressing and may create safety concerns during travel.
Legal and travel considerations
Diazepam and similar controlled drugs are subject to different legal restrictions around the world. In some countries they may be prohibited or require specific documentation. Travellers are responsible for ensuring they comply with local regulations and informing their travel insurer of any medical conditions and prescribed medications.
Alternative Support
Many airlines offer resources and courses designed to help passengers manage fear of flying. We encourage patients to explore these options and consider evidence-based approaches such as cognitive behavioural therapy (CBT), relaxation techniques and fear-of-flying programmes.
As fear of flying is not covered within the core NHS General Medical Services contract, GP practices are not required to prescribe medication for this purpose. Patients who wish to explore medication options may choose to seek advice from an appropriately qualified private healthcare provider.
Sedative Medication for Dental Procedures
GPs do not prescribe sedative medications, including diazepam, for dental procedures.
If sedation is considered clinically appropriate, it is the responsibility of the treating dentist to assess the patient and prescribe any necessary medication. Dentists are authorised to prescribe diazepam where appropriate and should issue the prescription directly.
Patients who are anxious about dental treatment should discuss their concerns with their dentist, who can advise on suitable options and support.
Sedative Medication for MRI Scans and Other Medical Procedures
GPs do not prescribe diazepam or other sedative medications for MRI scans or similar procedures.
We understand that some patients experience anxiety or claustrophobia during scans. However, national guidance recommends that sedation, where required, should be assessed, prescribed and administered by appropriately trained healthcare professionals involved in the procedure itself.
If you are concerned about an upcoming MRI scan or medical procedure, please contact the hospital department or radiology team in advance. They can discuss the options available and determine whether additional support or sedation is appropriate.
There are also many online resources, videos and patient information guides that explain what to expect during an MRI scan and can help reduce anxiety before the appointment.
Our Practice Policy
In line with national guidance and patient safety recommendations, we do not prescribe diazepam or similar sedative medications for:
- Fear of flying
- Dental procedure-related anxiety
- MRI scan-related anxiety or claustrophobia
- Anxiety associated with other routine medical procedures
Thank you for your understanding.
June 2026