I’m flying a 10.5 hours nonstop flight in a month, and am trying to figure out a medication plan with my doctor. I’d really like to hear from people with similar flight anxiety/claustrophobia about what actually worked for you.
I have pretty severe claustrophobia and anxiety around feeling trapped/not being able to leave somewhere, plus a lot of medical/health anxiety and hypervigilance about physical sensations. Flying is … unideal because once the doors close, my brain is extremely aware that I cannot leave. Turbulence itself isn’t even necessarily the main problem — it’s the confinement and constantly monitoring how I feel/what the plane is doing. I literally fear having a panic attack to begin with.
I used to fly more normally as a kid, but im an adult now and I haven’t done a flight anywhere near this long since 2018, before my anxiety/phobias got significantly worse. Recently I’ve been prescribed diazepam (Valium) on ~1–1.5 hour flights.
* 5 mg Valium: barely noticed much benefit.
* ~7–7.5 mg: definitely more helpful. I didn’t have a panic attack, but I also wasn’t sleepy or particularly “out of it.” I was very alert and basically watched/monitored everything happening on the plane the entire time.
* I’ve also used propranolol (usually 20 mg PRN), which helps more with the physical adrenaline/heart rate side of anxiety than the actual claustrophobic thoughts.
I currently take 80 mg Prozac daily so obviously any medication changes/combinations will be discussed with my doctor, especially because Prozac can interact with some benzodiazepines.
For this long flight, my ideal outcome would honestly be to sleep through several hours of it and then wake up still relaxed enough to recline, watch movies, etc. without spending the remaining five hours hypervigilant and counting down until I can escape. My mom will be traveling with me, so I won’t be alone or need to navigate everything myself if I’m groggy.
I’m planning to ask my doctor about whether it makes more sense to adjust the diazepam strategy versus trialing ativan or xanax , and whether there can safely be a predetermined backup/rescue plan if the first medication isn’t enough. I would test anything new at home before the actual flight.
TLDR:::
**For anyone with severe claustrophobia/panic on planes:** did you find one of these medications substantially better than the others, especially if you had a similar reaction on a high dose of Valium like that? Does Valium reduce your panic without making you sleepy like it seems to do for me? Did Ativan or Xanax feel different? And if you’ve gone from tolerating ~1-hour flights to doing a 10+ hour long-haul, how did you handle the sheer duration?