Long story short, tomorrow I leave for spring break to visit my brother in Europe with one of my roommates. It's a quick 40 minute flight to Detroit and then around 8 hours to Paris. I've only flown twice since the beginning of 2021 (about 1.5 hours each way) and I don't necessarily remember how I felt on those trips but I vividly remember the flight I took in October 2020 (around the same length), where I had the second-worst panic attack of my life and I was about three seconds away from begging the flight attendants to ask to land so I can get off.

Recently, for my daily anxiety, I've started 30mg of buspirone 2x a day (I only take 10mg maybe 2x a day because anything higher makes me super dizzy). I don't know if it helps but it might be too early. Knowing I have a long flight tomorrow, I called my psychiatrist and said, "if I have a panic attack on this 8 hour flight I don't know what I'm gonna do. Can you prescribe me something just for the flights there and back?" And she prescribed me a supply of propranolol. Now I don't have much experience with beta-blockers but I know they focus on the physical manifestations of anxiety, where as I think 99% of my anxiety comes from my brain and sometimes I feel the the racing heartbeat/sweating deriving from that. She prescribed me this a few days ago, and I've taken from 20-40mg each day to test it out and I feel like it does nothing. Am I not taking enough? I'm a  6'1, 225-ish pound guy. I know I'm large but 40mg should make me feel at least something. In addition, I called back today asking for a small dose of Xanax/Ativan (I don't drink, no history of addiction, and I have never taken them before) and she refused to prescribe anything more than the buspirone and the propranolol. super frustrating.

My last resort is the vyvanse I take. I know stimulants can be a big source of anxiety, and while I don't necessarily think that's where mine is stemming from, I wonder if I just skip my vyvanse dose for tomorrow will that help with the flight anxiety?

Thank you guys so much in advance for anything. I'd also just appreciate tips/tricks on how you guys have been able to combat/maybe get rid of flight anxiety.