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Madison, MS
A 53-year-old male asked:

In regard to flight anxiety for overseas trips, please go over your recommendation on which anxioytic to use, ativan (lorazepam) or valium and the proper dosage.additionally, what is a good hypnotic for sleeping good at night?

4 doctor answers9 doctors weighed in
Dr. Bac Nguyen
Family Medicine 23 years experience
Just to mellow out: Either med should work fine, but just take a small dose enough to mellow-out and not knocked-out. Prolonged immobility at high altitude increases risk of blood clot, so move around often when u can. Flying across time zones will likely cause some jet lag sx, so start sleeping earlier and earlier before flying east and later if flying west. This reduces time-differences. Melatonin may help.
Dr. Bac Nguyen
Dr. Bac Nguyen commented
Family Medicine 23 years experience
Provided original answer
You are welcome. Have a safe and fun trip
Aug 31, 2012
Dr. Cyma Khalily
Psychiatry 35 years experience
SHORTER ACTING: I would recommend the shorter acting xanax or Ativan as these are more manageable to avoid over-sedation and lasting too long into the trip. As far as sleep aids to help with the whole time change thing, consider melatonin over the counter or even sonata (zaleplon).
Dr. Pamela Pappas
Psychiatry 42 years experience
Ativan (lorazepam): I agree with my colleagues about the advantages of shorter-acting meds (like ativan) over longer-acting ones (like valium). You don't want to be "schnockered" on your flight -- you also need to be drinking water to avoid dehydration, and moving in the cabin every so often too! for potential jet lag, a combination homeopathic product called "no jet lag" also helps many. Hypnotic: 1-3 mg melatonin.
Dr. Krishna Kumar
Psychiatry 55 years experience
Flight Anxiety: Overseas trips can be long and being confined in the plane for 8 to 14 hours can cause Anxiety Prior to taking flight, let Wise Person in you reflect about Anxiety: •Duration •Symptoms •What gives Relief- which Medications and for how long; •Stresses in life Discuss with a Psychiatrist: •Therapy •Desensitization •Ativan or Xanax for Anxiety based upon severity of Anxiety •Melatonin forsleep.

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Last updated Dec 25, 2017

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