We are often asked to prescribe sedative medications such as diazepam for short-term anxiety related to specific situations, for example:
- Fear of flying
- Dental procedures
- MRI or CT scans
Based on current national guidance and local commissioning advice, our practice does not routinely prescribe benzodiazepines or sedatives for these indications. This page explains why, and who is responsible when sedation may be appropriate.
Fear of Flying
We do not prescribe diazepam or other sedatives for fear of flying.
Why?
Stokes Medical Group has reviewed its benzodiazepine prescribing and based on current national guidance it advises against prescribing benzodiazepines for flying because they:
- Increase the risk of breathing problems, particularly at altitude
- Reduce awareness and reaction time in an emergency
- Increase the risk of blood clots due to reduced movement
- Can be addictive, even with short-term use
For more detail, please see:
Diazepam for Fear of Flying – The Humbleyard Practice
Dental Procedures
We do not prescribe sedatives for dental treatment
If anxiety management or sedation is required, it should be discussed with your dentist
Dentists can arrange appropriate options such as:
- Behavioural techniques
- Conscious sedation
- Referral to specialist dental services
GPs are not commissioned to provide sedation for dental procedures.
MRI or CT scans (Radiological Procedures)
GPs do not routinely prescribe sedation for MRI or CT scans. If sedation is considered clinically appropriate, it is usually the responsibility of the clinician who requested the scan.
GPs should not be asked to prescribe sedation by a consultant team requesting an MRI.
If you are concerned about claustrophobia or anxiety during a scan, please discuss this when the scan is being arranged.
Radiology departments can offer alternatives such as:
- Additional support and reassurance
- Different scanner options
- Hospital-led sedation pathways if appropriate
For more details, please see:
Sedatives for Radiological Procedures (CT/MRI Scans) – The Crouch Oak Family Practice
