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Will a doctor prescribe diazepam for a long haul flight?

117 replies

LudlowStreet · 11/11/2024 23:03

Not scared for flying or anything. Just have a long overnight flight, arrives at destination in the morning, and I'm sat in economy. If I take some diazepam I should be able to sleep, if I don't, I won't.

OP posts:
user44221 · 12/11/2024 12:41

This reply has been hidden

This reply has been hidden until the MNHQ team can have a look at it.

user44221 · 12/11/2024 12:42

MNHQ - I think my post was hidden because I mentioned a brand name that I'm prescribed - nothing sinister. Can you unblock?

DancingArucanaFeather · 12/11/2024 12:43

notimagain · 12/11/2024 11:51

It may well be but I suspect the theory is that it’s fairly easy for crew to monitor what’s being drunk rather than what is being popped….though there’s still the pre loading problem. As for the physiology you need to talk to a medic…

I still can’t find either a CAA or NICE master document but if you look on-line just about every practice in the UK seems to be reading from the same script when it comes to this subject so it looks like word has come down from on high. I don’t know about NICE but the CAA tend to be quite evidence driven so I’d speculate if this has come from the CAA they’ve seen something in the incident reports or other data that they really don’t like…

Here’s another example in part of the pretty much standard script from:

www.ormistonmedicalpractice.scot.nhs.uk/2024/08/01/gps-will-no-longer-be-prescribing-diazepam-for-flying/

“Our concerns around using diazepam in patient who are nervous about flying are as follows:
• Diazepam is a sedative, which means it makes you sleepy, more relaxed and can significantly delay your reaction times. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation.
• 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. There is concern this can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung which can be dangerous. This risk is greater if your flight is greater than four hours.
• Whilst most people find sedative medications like diazepam have a relaxing effect, a small number of people can actually feel more agitated or even aggressive after taking it. Diazepam can also cause disinhibition and lead you to behave in a way that you would not normally”…

I had a rebound reaction to diazepam. Got extremely agitated and, whilst I didn’t get aggressive directly towards people, I did get physical with a couple of doors that I couldn’t get open (they were locked!). It was fine, albeit a bit scary, as I was in a medical setting and they knew I’d been given it… wouldn’t have been good on a plane!

Interested in this thread?

Then you might like threads about this subject:

potatocakesinprogress · 12/11/2024 12:53

Well with that attitude of course you're not going to sleep. Just don't get much sleep the night before and you'll be fine falling asleep.

Starlightstarbright3 · 12/11/2024 19:08

These kind of threads I read shaking my head .
I find the logic that using the nhs to have a drug induced sleep when people with ill health are struggling to get appointments .

It is not only a waste of Go’s time . The cost of a nhs prescription on top is not something that should be supported.

Seeingadistance · 12/11/2024 19:31

Can you not just read a book or do crosswords?

Or as a pp suggests, sleep less the night before ...?

ZewitewichOVcrismas · 12/11/2024 19:36

@DancingArucanaFeather that sounds scary!
Was that the first time you had taken it?

ihaveliterallynoidea · 12/11/2024 19:41

I had them prescribed years ago (literally 2 pills) for a 12hr night flight as I had severe fear of flying (not any more) and was flying alone. Didn't end up taking them in the end. Don't think they prescribe them anymore.

LudlowStreet · 12/11/2024 19:44

Starlightstarbright3 · 12/11/2024 19:08

These kind of threads I read shaking my head .
I find the logic that using the nhs to have a drug induced sleep when people with ill health are struggling to get appointments .

It is not only a waste of Go’s time . The cost of a nhs prescription on top is not something that should be supported.

Well if you'd read the thread, you'd see I wasn't planning on trying to get an NHS appointment (you can't get one anyway even if I wanted one). I don't want to spend money on a private GP only to be told 'no'.

OP posts:
GoldenSunflowers · 12/11/2024 19:59

I doubt a private GP, who doesn’t have access to your full medical history, would say yes to a controlled drug. Even if it’s for a piddly dose.

LudlowStreet · 12/11/2024 20:04

ihaveliterallynoidea · 12/11/2024 19:41

I had them prescribed years ago (literally 2 pills) for a 12hr night flight as I had severe fear of flying (not any more) and was flying alone. Didn't end up taking them in the end. Don't think they prescribe them anymore.

You haven't still got them have you ? Grin

OP posts:
Starlightstarbright3 · 12/11/2024 20:04

LudlowStreet · 12/11/2024 19:44

Well if you'd read the thread, you'd see I wasn't planning on trying to get an NHS appointment (you can't get one anyway even if I wanted one). I don't want to spend money on a private GP only to be told 'no'.

It wasn’t directed at just you ..

There seems an idea it is reasonable to take drugs ( prescribed or over the counter ) to sleep through a flight ..

it seems like a change of approach is needed .

DancingArucanaFeather · 12/11/2024 20:05

ZewitewichOVcrismas · 12/11/2024 19:36

@DancingArucanaFeather that sounds scary!
Was that the first time you had taken it?

Yes - It was the first time. I don’t know whether it always happens on the first dose if it’s going to happen.

ZewitewichOVcrismas · 12/11/2024 20:08

I think clearly for first timers it needs to be given with great caution esp afterwards dancing experience!!

However it's patronising to say how experienced users will be react.
It's our NHS, our health and if we want someone on a flight knowing it won't fall asleep etc then they should give ut6

Thevelvelletes · 12/11/2024 20:11

ShinyAppleDreamingOfTheSea · 11/11/2024 23:15

I wouldn't do this. There's been something in the media only recently about people dying because of fake drugs such as zopiclone/diazepam.

Street valium is a serious problem in Scotland..many deaths attributed to it.

letmego24 · 12/11/2024 20:16

No because it's completely unnecessary and can be harmful?? Isn't that obvious?

caringcarer · 12/11/2024 20:30

If you said you were afraid of flying and got panic when you had to get on to a plane you might get 4 pills. 2 for flight over and 2 for flight back. When my dearest aunty died and I felt totally overwhelmed and had to organise funeral my GP gave me 1 pill a day for a week. I've never needed them again. A few odd tablets won't make you addicted.

Havalona · 12/11/2024 20:33

I'm in EU and have to pay for GP and scripts. I cannot take anything like night nurse/anti histamines or melatonin due to cardiac (and other) health issues.

So without any fuss at all, my GP prescribes 10 x 5mg benzodiazepine each month. I would use one if having a bad Afib (cardiac rhythm issue) episode and it calms me down, it doesn't stop the Afib but it helps ME.

I have now built up a stash since I haven't used many and will ask GP to reduce the 10 to 5 or less per month at next appt.

GP tells me every time that it's a controlled drug and to only take if needed, see above... But he understands why having them on hand is important for me. I don't need them for flying, but I'd say I would be given two or three if I asked.

I feel sorry for those who are very anxious and panicky about flying. I suppose a private script is the way to go. Worth the money for a better journey. I doubt anyone is going to become an addict having taken one tablet each way now are they?

LudlowStreet · 12/11/2024 21:30

caringcarer · 12/11/2024 20:30

If you said you were afraid of flying and got panic when you had to get on to a plane you might get 4 pills. 2 for flight over and 2 for flight back. When my dearest aunty died and I felt totally overwhelmed and had to organise funeral my GP gave me 1 pill a day for a week. I've never needed them again. A few odd tablets won't make you addicted.

I remember when my sibling died in the 90s, my lovely dear auntie can round about an hour before the funeral started and gave us all a tablet of something. Bless her, it made such a difference and made it much easier to get through. I never asked and didn't know what it was, I think it was diazepam.

OP posts:
LudlowStreet · 12/11/2024 21:33

DizzyBumble · 12/11/2024 11:49

No they definitely won't as you won't move around so increased risk of DVT.

I tend to take a couple of night nurse tablets & drink a sleepy tea

I do think about DVT, especially as a young relative died from a blood clot (not flight related). I always take half an aspirin just boarding a long flight anyway.

OP posts:
Floofypuppy · 12/11/2024 21:39

Yes I have been prescribed on the last few months for flying. No, not all doctors are the same. No, I’ve never ever had a problem getting it when I explain why I need it and how infrequently that is.

Every thread on Valium people insist because their doctor won’t prescribe it that none will. It’s just not true, it’s a very prescribed drug!

LudlowStreet · 12/11/2024 21:40

It's such a gruelling journey coming. Overnight flight- 10 hour wait - another overnight flight arriving in final destination in the morning so I can't (shouldn't) just sleep when I get there. Have to go for various reasons and direct was massively more expensive and unaffordable. I really do just want to sleep through both flights. I don't sleep easily (or at all) on planes. I have taken diazepam for flights before and its worked a treat, slept right through.

OP posts:
MagentaRavioli · 12/11/2024 21:46

Get a decent eye mask and some ear plugs. Not a prescription for an addictive drug.

princesspadam · 12/11/2024 22:02

Try the Zopiclone
Honestly I never ask for diazepam now only this
It's changed long haul flying for us

princesspadam · 12/11/2024 22:04

Also some of the OTT responses on here are hilarious
MN is full of pearl clutchers who won't ask for a drug from a GP but will rush to A&E for their dcs swollen finger