Travel Vaccinationsglobal air travel

If you require any vaccinations relating to foreign travel you need to make an appointment with the practice nurse to discuss your travel arrangements. This will include which countries and areas within countries that you are visiting to determine what vaccinations are required.

There is further information about countries and vaccinations required on the links below

 

Europe Europe & Russia North America North America
Central America Central America South America South America
Caribbean Caribbean Africa Africa
Middle East Middle East Central Asia Central Asia
East Asia East Asia Australasia Australasia and Pacific

It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.


Travel Health Questionnaire

To help us offer the appropriate advice, please fill out the online form before coming to see the nurse.

clock2 Travel Questionnaire


Travelling in Europe

If you are travelling to Europe the EU has published useful information for travellers on the European website.


Sedative Prescribing: Fear of Flying

Dr Solway & Dr Roy's Practice does not prescribe sedatives for fear of flying; the reasons for this can be found below:

  1. Sedating medications (such as diazepam) make you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
  2. Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than four hours.
  3. Whilst most people find these medications to be sedating, a small number have paradoxical agitation and aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
  4. According to the prescribing guidelines doctors follow (BNF) benzodiazepines and similar medications are contraindicated (not recommended) in the treatment of phobia. A Doctor would be taking a significant risk by prescribing against these guidelines.
  5. Diazepam and similar drugs are illegal in many countries. They may be confiscated, or you may find yourself in trouble with the police.
  6. Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing, you may fail this having taken diazepam.

Dr Solway & Dr Roy's Practice appreciates that a fear of flying is very real and very frightening, several airlines and travel insurance firms provide support for the management of this problem.

The following links are not endorsed by Orchard Medical Centre but might be useful for further information:

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