You’re finally realizing that dream to make it to Peru or Bolivia! But altitude sickness (soroche) can put a damper on all those sightseeing plans and tours that you’ve been planning… Its troublesome symptoms can vary in strength, and include fatigue, nausea, headaches, dizziness and shortness of breath. It can even lead to vomiting and other symptoms, and can become so severe that you’d need to be taken to a clinic and hooked up to an oxygen tank and IV- definitely something to be avoided! Ideally, your trip will allow you sufficient time for acclimatization, allowing your body to adjust to the lower amount of oxygen at higher altitudes, but sometimes this just isn’t possible with limited vacation days and so much to see.

 

Pre-Trip Tips

Itinerary Planning: Gradually Increase Your Altitude

If you’re planning on visitingvarious cities, you can try to structure your itinerary in order to gradually increase your altitude level. Rather than going from sea level to Cusco (flying in from Lima) or Puno, you can put in an intermediary city like Arequipa in order to acclimatize as you go

• Many times visitors to Cusco take advantage of a Sacred Valley Tour to spend some time at a lower altitude than Cusco.
• Planning on tackling some of the famous peaks surrounding La Paz? You must spend a few days in the city of La Paz itself (the world’s highest capital), because your chances of altitude sickness are high!

 

Medicate: Pre-Trip Pill Popping

 

Acetazolamide, sold under the name Diamox and available as a generic drug, can help prevent altitude sickness. It is taken prophylactically, starting a few days before going to higher altitudes. If you’re going from sea level to over 3,000 meters (9800 feet) or ascending more than 600 meters (2000ft per day). If you have a history of suffering from acute altitude sickness, this may be the choice for you. You take a half tablet starting one day in advance and continuing until the third day of your trip. Once started you need to take Diamox three days, even if you start to feel ok

 

Preparations: The Day Before

Avoid alcoholic beverages and hard-to-digest foods the day before you travel, and make sure to get a full night’s sleep! You also don’t want to have sleeping pills or tranquilizers in your system when you begin your trip.

 

During your Trip

 

Take It Easy

On your first day or two, stay hydrated (avoiding alcohol), and don’t plan too much for Day 01- you want a leisurely pace and time to rest if need be. You can plan a day of rest, or if you don’t want to lose a day stick to a restful morning and then a half-day tour or some independent exploring in the afternoon.

Coca Tea

The local remedy is drinking a tea of steeped coca leaves- you’ll find it available in most hotels and hostels and in the little stores and markets in either loose leaves or tea bags. Limit yourself to no more than five cups per day, as it’s also a stimulant. (A lot of people ask whether they can fly back home with coca leaves- the official answer is no if they’re loose leaves, but yes if they’re packages in tea bags.

 

Carb Loading & Going Bananas

Bananas are a great choice as an energy snack, as they’ll help replace the potassium that high altitudes can leached from the body. Also, you’ll want to forget any restrictive diet you might be on and treat yourself to carbohydrate-heavy foods!

Local Pharmacy Solutions

Other options are the sorojchi pills which you’ll find easily in the local pharmacies, but be aware that they’re mostly just aspirin and caffeine, so if headaches are your problem, you might be better off with just Ibuprofen or Paracetamol. Many local pharmacies and tourist supply stores (there are lots) also provide mini-oxygen bottles