At UVMP, your safety and wellbeing are our top priorities. Following updated guidance from aviation medicine specialists and in line with national prescribing standards, our clinicians will no longer prescribe sedative medications such as Diazepam or Zopiclone for fear of flying.
Why we do not prescribe these medications
There are several important medical and safety reasons why prescribing sedatives for flight anxiety is not appropriate or safe:
- Safety during the flight
Sedative medications such as Diazepam and Zopiclone can make you drowsy and slow your reactions. In the event of an in-flight emergency, this could reduce your ability to respond quickly, follow safety instructions, or evacuate the aircraft if needed. This poses a risk not only to you but also to other passengers. - Increased risk of blood clots (DVT)
These medications can cause a deep, unnatural sleep where you move less than during normal rest. Reduced movement on a flight — especially those lasting more than four hours — increases your risk of developing a deep vein thrombosis (DVT) or pulmonary embolism, both of which can be life-threatening. - Unexpected or paradoxical reactions
Although Diazepam is generally calming, a small number of people may experience paradoxical agitation, increased aggression, or disinhibition (acting out of character). This can lead to unsafe or disruptive behaviour during the flight, potentially resulting in removal from the aircraft or legal consequences. - Guidance from the British National Formulary (BNF)
The BNF, which provides national prescribing guidance for UK doctors, does not recommend benzodiazepines for treating phobias such as fear of flying. These medicines are licensed only for short-term use in acute anxiety crises, under medical supervision. Prescribing them for aviophobia would be outside UK clinical and legal guidance. - Legal restrictions abroad
Diazepam and similar medications are controlled substances in many countries. Carrying them may lead to confiscation, fines, or legal difficulties at your destination.
Alternative support options
We understand that fear of flying is a genuine and often distressing condition. The most effective and sustainable treatments are non-medication approaches, such as Fear of Flying courses offered by major airlines. These are designed by aviation professionals and psychologists to help you manage anxiety safely and confidently.
You may find the following resources helpful:
- British Airways – Flying with Confidence
- Virgin Atlantic – Flying Without Fear
- easyJet – Fearless Flyer Course
If you experience ongoing anxiety or panic that affects your daily life, please speak with one of our clinicians. We can provide access to talking therapies, CBT, or mental health support services that can help you manage anxiety in a safe and sustainable way.