Our nurses offer a full range of travel immunisations including yellow fever. They also give advice on healthy travel and private prescriptions for anti-malarials. Please fill in a travel Immunisations form and hand in to reception prior to your appointment. This will allow our nurses to advise you fully when you attend the surgery.
Think ahead! Ideally book your travel immunisation appointment 8 weeks prior to travel so your immunity has chance to develop before you go.
Not all travel immunisations are part of NHS care. However we do offer travel advice and travel immunisations at Carlton House Surgery where possible. All travel forms must be completed and handed to reception staff at least 8 weeks before the proposed date of travel. Travel appointments will be offered, subject to there being sufficient nurse appointments available. We reserve the right not to offer some appointments if doing so could prejudice our being able to meet our NHS requirements.
Reasons why benzodiazepines are no longer prescribed for fear of flying
- The use of any sort of CNS depressant during a flight could put the passenger at significant risk of not being able to act in a manner which could save their life in the event of a safety critical scenario
- The use of any sort of CNS depressant has the potential to increase the risk of a DVT. These drugs can induce non-REM sleep which tends to be of a type where there is less movement in sleep therefore increasing the risk of sitting without moving for more than 4 hours (the length of time which has been shown to increase the risk of developing a DVT)
- A paradoxical increase in aggression has been reported by some patients taking BDZs and this therefore has the potential to put other occupants of the aircraft at risk
- BDZs are contra-indicated for phobias
- In some countries it is illegal to import these drugs and so the patient will need a different strategy for the homeward-bound journey and/or any subsequent legs of the journey
- NICE guidelines suggest that medication should not be used for mild and/or self-limited mental health disorders. In more significant anxiety-related states, BDZs should never be prescribed. BDZs are only advised for short term use for a crisis in generalised anxiety disorder – if a patient is having a GAD crisis they are not fit to fly. Fear of flying in isolation is not GAD.