Diazepam and Sedative Medication Policy

Fear of Flying, Scans, Dental Treatment and Other Procedures

Ball Tree Surgery does not prescribe diazepam (Valium®) or other sedative medications for:

• Fear of flying or to help with sleep during flights
• MRI or CT scans
• Dental treatment
• Hospital procedures where sedation may be required
• Other requests for short-term sedation

This policy is based on patient safety, national prescribing guidance, and current best practice. Many GP practices have adopted the same approach.

Why don’t we prescribe diazepam?

There are four main reasons:

1. Patient safety

Diazepam can cause drowsiness, slower reaction times, impaired judgement, and reduced coordination. It may also increase the risk of falls, blood clots during long journeys, and can occasionally cause agitation or aggressive behaviour. These effects may put both the patient and others at risk.

2. National prescribing guidance

The British National Formulary (BNF) advises that diazepam should not be prescribed for phobic conditions such as fear of flying and is not appropriate for the routine treatment of short-term mild anxiety. NICE guidance also recommends that medication should not routinely be used for mild or self-limiting anxiety.

3. Sedation should be provided by the treating team

Where sedation is clinically appropriate for scans, dental treatment or hospital procedures, national guidance states that it should be prescribed, administered, and monitored by the healthcare professionals carrying out the procedure.

This is supported by guidance from the Royal College of Radiologists and the Intercollegiate Advisory Committee for Sedation in Dentistry.

4. Safe and appropriate prescribing

Diazepam is a Class C / Schedule IV Controlled Drug. It can cause dependence, has the potential for misuse, and may interact with alcohol or other medicines. It may also be subject to legal restrictions in some countries and should only be prescribed when there is a clear clinical indication.

Further information

If you are travelling abroad, remember to declare any medical conditions and prescribed medications to your travel insurer, as failure to do so could affect your cover.

Learn more about carrying medication abroad and advice regarding falsified medication

If you have any questions about this policy, please speak to a member of our practice team.