How to beat altitude sickness in La Paz

To survive the 3,640-meter elevation, commit your first 48 hours to rest, hydration, and minimal physical exertion. Avoid alcohol, heavy meals, and nicotine until your body acclimates to the thinner air.

  1. Acclimate upon arrival. Do not schedule any hiking or heavy sightseeing for your first 48 hours. Check into your accommodation and stay in bed or sit quietly. Let your body adjust to the 12,000-foot elevation naturally.
  2. Hydrate aggressively. Drink at least 3 liters of water per day. The air in La Paz is extremely dry, and your body processes water faster at high altitudes. Avoid caffeine, as it acts as a diuretic.
  3. Use local remedies. Drink 'mate de coca' (coca leaf tea) available at every hotel lobby. It is the most effective local remedy for alleviating headaches and nausea caused by altitude.
  4. Monitor your vitals. If you experience severe shortness of breath while resting, persistent vomiting, or confusion, descend to a lower altitude immediately or visit a clinic. Do not ignore symptoms hoping they will pass.
  5. Speak to a doctor about medication. Consult your physician before traveling about prescription Diamox (acetazolamide). Start taking it 24 hours before you arrive and continue for the first two days of your trip.
Is it better to fly into La Paz or take the bus?
Flying drops you at 4,000 meters instantly, which is harder on the body. Taking a bus from a lower altitude allows for a more gradual climb, which is easier for acclimatization.
Will drinking alcohol help me sleep?
No. Alcohol is a depressant and will worsen your dehydration and altitude symptoms significantly. Avoid it for the first 3 days.