A fear of flying, clinically known as aviophobia, is a common issue that can make air travel a source of significant distress. While for some it is a minor discomfort, for others it can be a debilitating phobia that prevents them from traveling altogether. Fortunately, a range of solutions exists to help manage these feelings, from medications to therapeutic techniques.
Prescription calming tablets for flying
For severe flight anxiety, a healthcare provider may determine that a prescription medication is appropriate to help manage symptoms. These are typically short-term solutions and are not a cure for the phobia itself.
Benzodiazepines
Commonly referred to as "benzos," these medications are frequently prescribed for situational anxiety. They work as central nervous system depressants to promote relaxation. Common types include Alprazolam (Xanax) which is known for rapid action and shorter duration, and Lorazepam (Ativan) for a longer duration. Diazepam (Valium) is another option, though cautioned due to its long-lasting effects.
Beta-blockers
Beta-blockers, like propranolol, can be prescribed off-label for anxiety to manage physical symptoms such as a rapid heart rate, without altering brain chemistry.
Hydroxyzine
This antihistamine can manage anticipatory anxiety before a flight and carries fewer long-term risks compared to benzodiazepines.
Over-the-counter options for flight anxiety
For milder anxiety, OTC options are available but may be less potent. These include sedating antihistamines like Dramamine or Benadryl. Melatonin can aid sleep and manage jet lag. Herbal supplements like valerian root, chamomile, and passionflower are also used, though evidence for their effectiveness is largely anecdotal. CBD products are an anecdotal option, but legality varies by location.
Risks and limitations of medication for flying
Medication for flight anxiety comes with risks. Concerns include impaired awareness, increased risk of DVT on long flights due to reduced movement, potential for benzodiazepine dependence, and rare paradoxical effects. Some research suggests benzodiazepines might impede long-term anxiety adaptation, and international travel with controlled substances can present legal issues.
Non-pharmacological alternatives for fearful flyers
Addressing the root cause of anxiety often involves non-drug approaches. Strategies include Cognitive Behavioral Therapy (CBT) to challenge anxious thoughts, exposure therapy for gradual desensitization, relaxation techniques like deep breathing, distractions such as entertainment, and flight preparation.
Comparing Options for Flight Anxiety
| Option | Type | Speed of Relief | Best Use Case | Considerations |
|---|---|---|---|---|
| Benzodiazepines | Prescription Medication | Rapid | Severe situational anxiety | Potential for dependence, sedation, legal issues abroad |
| Beta-blockers | Prescription Medication | Moderate | Managing physical anxiety symptoms | Primarily targets physical, not psychological, symptoms |
| Hydroxyzine | Prescription Medication | Moderate | Anticipatory anxiety | Fewer long-term risks than benzodiazepines |
| Sedating Antihistamines | OTC Medication | Moderate | Mild anxiety, promoting sleep | Can cause drowsiness |
| Melatonin | OTC Supplement | Moderate | Sleep aid, managing jet lag | Effectiveness for anxiety alone can vary |
| Herbal Supplements | OTC Supplement | Varies | Mild anxiety, general relaxation | Limited scientific evidence, varying efficacy |
| Cognitive Behavioral Therapy (CBT) | Therapy | Long-term | Addressing root cause, developing coping skills | Requires professional help and commitment |
| Relaxation Techniques | Behavioral Strategy | Immediate/Short-term | Managing acute anxiety during flight | Requires practice |
A detailed comparison of calming options, including types, speed of relief, best use cases, and considerations for each (like dependency risk for benzodiazepines or the need for professional help for therapy), can be found on Business Insider.
Conclusion
Calming tablets for flying, whether prescription or over-the-counter, are available but should be used cautiously with professional guidance. Medication provides temporary symptom relief but has potential risks including dependence. Non-drug strategies offer a long-term approach without medication drawbacks. A comprehensive approach involving professional advice, understanding risks, and exploring all options is recommended for managing flight anxiety. For further resources, you can consult organizations like the Anxiety & Depression Association of America.
Disclaimer: This information is for general knowledge and should not be taken as medical advice. Consult with a healthcare professional before starting any new supplement or medication regimen.
