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Hello, I believe I may be able to help you with your question. I am very sorry that you suffered from this resurgence in your panic attacks, I can understand how distressing this can be for you. It sounds like your new psychiatrist is putting you on a good as needed treatment plan to help lessen your overall anxiety and panic while on the flight. The Xanax works fairly quickly (30-60 minutes), so taking the prescribed dose around 30-45 minutes before take off will probably work well for you or if your anxiety and panic starts in the airport, you can take it at that time too. This medication may only be effective for you for around 6-8 hours, so if during your flight you feel more anxious you may be required to take another dose of the Xanax while on the flight or just one .5mg pill, so be prepared for that.
The Inderal is a good beta blocker and is used as an off-label treatment for anxiety. This medication works by helping to lessen the physical symptoms of the anxiety and panic so that you will not have a racing heartrate, your breathing will be normal, no sweating
, etc...The goal here is for the Inderal to make you feel relaxed in a physical sense so that your own body's sensations do not trigger a panic attack in your mind.
Another technique you can try on the plane or before your flight (minutes before), would be Progressive Muscle Relaxation (PMR). This is a great technique meant to help you achieve a sense of calm and peace in a matter of minutes so that you do not feel as anxious, and so that it will not lead to a panic attack.
In addition, here are some other great relaxation techniques that you can use alongside the medications including deep breathing.
And lastly, I would also recommend bringing music or videos that you find relaxing while on the plane and at the airport, as this can be a very good distraction for you and help you to better cope with the stress
of the situation.
I hope this answers your questions and provides you with some guidance on this issue. I truly wish you all the best with your flight and I hope the prescribed treatment works well for you and you do not have any panic or anxiety issues on your trip.
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