Diazepam in the UK is a Class C/Schedule IV controlled drug. The following short guide outlines the issues surrounding its use for flying and why the surgery no longer prescribes such medications for this purpose.

West Quay Medical Centre has taken a policy decision to stop prescribing diazepam outside the terms of its license, including as a sedative for aircraft flights. This policy decision has been made by the GP Partners and will be adhered to by all prescribers working in the practice. The reasons for this can be found below:

  1. Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight, it may impair your ability to concentrate, follow instructions, and react to the situation. This could have serious safety consequences for you and those around you.
  2. Sedative drugs can make you fall asleep, however, when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can increase you risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can sometimes be fatal. This risk is even greater if your flight is greater than 4 hours.
  3. Whilst most people find benzodiazepines like diazepam sedating, a small number have paradoxical agitation and aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact your safety as well as that of other passengers and could also get you into trouble with the law. This is particularly likely if they are combined with alcohol.
  4. Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.
  5. Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.

We appreciate that the fear of flying is real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines.

We have listed a number of these below.