Make https://travelhealthpro.org.uk/ your first destination when Travelling abroad for vaccination and other travel health information. http://NHSFife.org has information on Travel Vaccines available on the NHS and how to access their vaccination service
Medication for going abroad
Travelling out of the country for less than 3 months. For patients who inform us they will be out of the country for less than 3 months we will provide sufficient medications for an existing condition for the period while the patient is away, where it is safe to do so. Drugs that require frequent monitoring may not be prescribed where there are safety concerns. Patients who inform us they will be travelling out of the country for more than 3 months will be prescribed sufficient medication to enable them to make alternative arrangements at their destination (up to a 3 month supply where it is safe to do so). They will also be removed from our Practice list. We will be pleased to register patients on their return to our Practice area. Electronic medical notes are kept by NHS Scotland for reference for your return. In the case of illness whilst abroad, please seek medical help using your Travel Insurance, Global Health Insurance Card or privately.
Medication for Fear of Flying: Why we do not prescribe
People sometimes ask the doctor or nurse to prescribe diazepam, or similar drugs like lorazepam temazepam or clonazepam, for fear of flying or to help sleep during flights.
Prescribing these drugs is not recommended any more for these reasons:
- Although plane emergencies are rare, taking Diazepam reduces awareness and reaction times for patients so you risk not being able to react to save your life if you have to escape quickly. You may also put other people in danger by getting in their way or making them help you.
- The use of these drugs can make you sleep in an unnaturally deep sleep. This means you won’t move around as much as during natural sleep so you have a bigger risk of getting a blood clot (Deep Vein Thrombosis – DVT) in the leg or lungs. Blood clots are very dangerous and can kill. This risk is bigger if your flight is longer than 4 hours.
- They have short term bad effects on memory, co-ordination, concentration and reaction times, and are addictive if used for a long time, with withdrawal leading to fits, hallucinations, agitation and confusion. They have also become widely used drugs of abuse since they first came on the market. Diazepam in the UK is a controlled drug. The prescribing guidelines doctors have to follow say that that use to treat short-term ‘mild’ anxiety is inappropriate. They are only to be used short term for a ‘crisis in generalised anxiety’. But if you are having such a crisis you are not likely to be fit to fly. Fear of flying in isolation is not a generalised anxiety disorder.
- Some people get agitated and aggressive after taking diazepam and similar drugs, and behave in a way that they would not normally, which can pose a risk on the plane. This affects everyone’s safety and could get you into trouble with the law. A similar effect can be seen with alcohol, which has led to people being removed from flights.
- There is evidence use of these drugs stops the normal adjustment response that would gradually lessen anxiety over time, and may increase anxiety in the long term, especially if used repeatedly.
- Diazepam and similar controlled drugs are illegal in a number of countriesi. They may be confiscated or you may find yourself in trouble with the police.
- Diazepam stays in your system for some time. If your job or sport needs you to have random drug testing you may fail this having taken diazepam.
- It is important to tell your travel insurer about your medical conditions and medications you take. If not, there is a risk of your insurer not paying if you try to make a claim.
So we will no longer be providing Diazepam or similar drugs for flight anxiety. Instead please try one of these aviation industry recommended flight anxiety courses.
Fly And Be Calm™
Fly And Be Calm™ is an instant download and comes with a money back guarantee (Guarantee does not apply to app versions).6 MP3 tracks which include instructions, the fear removal tool and two hypnotic tracks. Visit the website: https://flyandbecalm.co.uk/
The least expensive option, takes very little time, works on the root cause of your problem. If you are not 100% happy you can get a full refund.
Easy Jet
www.fearlessflyer.easyjet.com
British Airways
https://www.britishairways.com/en-gb/information/travelassistance/flying-with-confidence
Virgin Atlantic
https://www.flyingwithoutfear.co.uk/
FIT TO FLY – PREGNANCY
We do not assess for Fit to Fly here at the Practice, check with your airline what they might require, if anything. The ante natal service on 01592 729 089 can book you a fit to fly appointment, we believe there is £30 payable at the cash office at the hospital prior to attending the appointment. The ante natal care service will give you more information.
Pre Flight Assessment for patients with lung disease [hypoxic challenge test] – The pre flight assessment is undertaken to determine if you need oxygen when flying.
This assessment is not the same as assessing your general fitness to fly.
The health care professional making the referral will only do so, if they feel you are fit enough to fly
but need an oxygen assessment to ensure you can fly safely ask at Reception for a leaflet and further information about referral
GENERAL PRACTICES IN FIFE NO LONGER PROVIDE A TRAVEL SERVICE