Can a Dentist Prescribe Diazepam?

Patients with dental anxiety often ask: can a dentist prescribe diazepam?
In the UK, the answer is yes—but only in specific circumstances and under strict rules.

What is diazepam?

Diazepam is a benzodiazepine medicine that can reduce anxiety, relax muscles, and cause drowsiness. In dentistry, it is sometimes used to help very anxious patients feel calmer before treatment.

Can dentists prescribe diazepam in the UK?

Yes. UK dentists can prescribe diazepam, but only when it is:

• For dental-related anxiety or dental treatment, and
• For short-term use, usually linked to a specific appointment

Dentists cannot prescribe diazepam for general anxiety, sleep problems, or reasons unrelated to dentistry.

When might a dentist prescribe diazepam?

A dentist may consider diazepam if:

• You have severe dental anxiety or phobia
• Anxiety has stopped you from having dental treatment
• Other calming approaches have not worked

It is typically prescribed as a one-off dose or a very short course, not a long-term solution.

How is diazepam used for a dental appointment?

The exact approach depends on your dentist and your medical history, but commonly:

• A low dose is prescribed
• You take it before your appointment (sometimes the night before and/or on the day)
• You arrive feeling calmer and more relaxed

Because diazepam can make you drowsy:

• You must not drive
• You will need a responsible adult escort
• You should avoid alcohol

Are there restrictions on dental prescribing?

Yes. Dentists must follow prescribing guidance and only prescribe when it is clinically appropriate. They will review:

• Your medical history
• Any medicines you take
• Potential interactions or conditions that make diazepam unsuitable

Can a dentist prescribe diazepam on the NHS?

In many situations, diazepam for dental anxiety is prescribed privately, even if your dental treatment is NHS. This is because it is not routinely included as part of NHS dental care and prescribing is limited to certain circumstances. Your dentist will explain what applies to you and any costs involved.

Alternatives to diazepam

Diazepam is not the only option for nervous patients. Depending on your needs, your dentist may suggest:

• Inhalation sedation (gas and air)
• IV (intravenous) sedation
• Reassurance techniques and a slower, step-by-step approach
• Shorter or staged appointments

Is diazepam safe for dental anxiety?

When prescribed appropriately and taken as directed, diazepam is generally safe for short-term use.
However, it can cause drowsiness and memory effects, and it is not suitable for everyone. This is why dentists prescribe it cautiously.

What if a dentist cannot prescribe it?

If diazepam isn’t suitable, your dentist may:

• Recommend sedation dentistry instead
• Offer alternative anxiety-management options
• Suggest you discuss broader anxiety medication with your GP (for non-dental reasons)

Summary: can a dentist prescribe diazepam?

• Yes, UK dentists can prescribe diazepam
• It must be directly related to dental treatment
• It is usually a short-term or one-off prescription
• It is often prescribed privately
• Alternatives (including sedation) may be available

If dental anxiety is stopping you from getting care, speak openly with your dentist. They can advise whether diazepam is appropriate or recommend a safer, more effective alternative.