- There are lots of things that happen during flights that can be anxiety producing.
- There are things you can do to make the trip a little bit smoother if you still want to try flying.
- We talked to people who work on planes to get tips on making flights easier.
When it comes to phobias, aviophobia, or "fear of flying" counts among the most widely-held. The tight cabin quarters, unpredictable turbulence, and fluctuating temperatures can all contribute to an unpleasant environment, and if you're already prone to anxiety, these factors will only exacerbate the problem.
Luckily, plenty of options exist to help ease your flight-related fears and get you from Point A to Point B with your serenity intact. INSIDER asked nine medical professionals and flight specialists for their favorite flight medications and relaxation techniques, and here's what we learned.
Be sure to test any medications at home before taking them aboard your flight.

Whether you choose to use an over-the-counter medication or a prescription pill to smooth out your flight anxiety, it's important to try the drug at home before relying on it while you're in the air. According to co-founder Dr. Polly Meyers of Break Free from Anxiety, "people with genetic anxiety (which is most of us) are generally very sensitive. [Because of] this genetic variation, we can overreact or have a bad response to medications."
Also, a University of Cincinnati report indicated that high altitude can affect the potency of certain medications, citing an increase in red blood cells and a reduction in plasma proteins as the culprit.
For these reasons, you'll want to establish a strong baseline with your anti-anxiety medication before trying them out in flight. Obtaining your OTC or prescription medication a couple of weeks before your flight and beginning your regimen in advance will acclimate your body to the drugs and make their in-flight effects less unpredictable.
Xanax and Ativan are fast-acting prescription options for combating anxiety.

If you're in the market for a prescription anti-anxiety medication to take on your travels, a version that works quickly and can sustain your level mood for the duration of a cross-country or international trip will likely be your best bet. Los Angeles-based psychiatrist and travel blogger Dr. Brian Cassmassi of The Ambitious Trekker particularly recommends two popular prescription meds for this purpose: Xanax and Ativan.
"Physicians can prescribe medications as needed for flight anxiety. The most common class includes benzodiazepines like Xanax and Ativan, which are relatively fast-acting to relieve anxiety and stay in the body for several hours, which is the duration for most cross-country flights. Some people may feel a bit groggy after the flight with these medications. They can become addictive with frequent use, so caution is advised, and they should not be mixed with alcohol, as the effects are additive and can lead to over-sedation or decreased breathing," Cassmassi told INSIDER.
Melatonin can help you sleep on the flight and can also reduce jet lag when you arrive at your destination.

Overnight flights can prove particularly stressful for the anxiety-prone, due to the potential for sleep disruption. In these circumstances, the use of melatonin, a natural supplement that can be purchased over-the-counter, may prove useful.
"I recommend melatonin as a natural supplement to my patients with flight-related anxiety. Melatonin induces sleep and adjusts your circadian clock to help you function better when you reach your destination. I suggest taking melatonin a few days before your trip so that you're ready to sleep thirty minutes to an hour earlier than normal. It will decrease jet lag if taken close to your target bedtime at your destination, and there are no major side effects to worry about. Plus, your flight will be over before you know it!" advised Dr. Khalid Saeed of Tampa Bay Concierge Doctor.
See the rest of the story at Business Insider