Travel Information

 

BACK TO MAIN INDEX

 

We no longer offer travel advice so please book an appointment at your local travel clinic or one of the larger pharmacies.  However if you need vaccinations funded by the NHS for e.g. typhoid, diphtheria, tetanus etc, please ask the travel clinic/pharmacy for a print out of what you need and book an appointment for our nurse to administer this free of charge. 

There is further information about countries and vaccinations required on the Fit For Travel website

 

Travelling in Europe

If you are travelling to Europe the EU has published useful information for travellers on the European website.

 

Fear of Flying Policy

Prescribing of diazepam or other hypnotics for fear of flying will not be provided on NHS prescriptions unless in exceptional circumstances. This is because of lack of evidence for the use of these medicines and the risk of adverse effects, as outlined below. 

The following websites provide information to help with a fear of flying: 

 

Fit For Travel

  • Fear of flying is common despite flying being safer than road or rail travel in most developed countries.
  • Try distraction by talking with other passengers, watching a film, listening to music or reading. 
  • Tell the cabin crew. Reassurance about routine aircraft sounds and in flight activities can help. 
  • Research shows that Cognitive Behaviour Therapy (CBT) can be helpful for more severe cases. The person identifies what they actually fear and then learns different ways of overcoming it. 

A number of airlines run courses aimed at alleviating travellers fears, such as: 

 

Clinical considerations 

  • NICE: Benzodiazepines (e.g. diazepam) are associated with a less good outcome in the long term and should not be prescribed for the treatment of individuals with panic disorder.
  • Sedative-hypnotics (e.g. diazepam) should not be combined with alcohol (which is commonly consumed by nervous flyers) because there is a risk of excessive sedation and respiratory suppression.
  • Sedative-hypnotics (e.g. diazepam) should not be taken by individuals who may be called upon to make important decisions (e.g. parents responsible for the care of young children or in case of an inflight emergency) because they can cause excess sedation and impair decision-making.
  • Benzodiazepines (e.g. diazepam) may cause drowsiness, impair concentration and impair decision making which may impair a person’s ability to drive when they reach their destination.
  • The risk of adverse effects is increased in older adults, especially those who are older than 75 years.

DEVELOPED BY ST LAWRENCE SURGERY JANUARY 2020. ACKNOWLEDGEMENT: THIS DOCUMENT WAS ADAPTED FROM A DOCUMENT DEVELOPED BY BRIGHTON & HOVE CCG.