How long does it take to feel normal again?

Most people feel significantly better after 2-3 days. Full acclimatization takes 1-2 weeks, but you'll be functional for activities much sooner.

Can I exercise or do tours right away?

Wait at least 2-3 days before strenuous activities. Even then, start slowly. The Death Road bike tour or hiking should wait until day 4-5 minimum.

Is it safe to sleep at this altitude?

Yes, sleeping at La Paz altitude is safe for most people, though you may have restless sleep initially. If you can't sleep at all or feel worse lying down, that's concerning.

Should I buy travel insurance that covers altitude sickness?

Absolutely. Make sure your policy covers emergency evacuation and medical treatment related to altitude sickness. Standard policies often exclude it.

How to handle altitude sickness in La Paz, Bolivia

La Paz sits at 11,975 feet, so altitude sickness is common. Arrive slowly if possible, stay hydrated, avoid alcohol for 48 hours, and rest on your first day. Most symptoms resolve within 2-3 days as your body acclimates.

Prepare before arrival. Start taking acetazolamide (Diamox) 1-2 days before arriving if you're prone to altitude sickness. Consult your doctor first. Arrive in stages if possible—fly to Santa Cruz (1,365 feet) and take a day there, or stop in Sucre (9,022 feet) first.
Take it easy on day one. Don't plan activities for your arrival day. Check into your hotel and rest. Walk slowly—even climbing stairs will leave you breathless. Avoid the temptation to explore immediately, no matter how excited you are.
Stay aggressively hydrated. Drink 3-4 liters of water daily. Buy bottled water or use purification tablets—tap water isn't safe. Avoid alcohol completely for your first 48 hours, then limit it severely. Alcohol makes altitude sickness worse.
Recognize the symptoms. Headaches, nausea, fatigue, and difficulty sleeping are normal. Loss of appetite is common. Concerning signs: severe headache that doesn't respond to painkillers, vomiting, confusion, or difficulty walking. These require immediate medical attention.
Use local remedies wisely. Coca tea (mate de coca) helps with mild symptoms and is available everywhere. Chew coca leaves if comfortable doing so. Locals swear by soroche pills from pharmacies—they're inexpensive and widely available.
Know when to descend. If symptoms worsen after 2-3 days or become severe, descend immediately. Even dropping 1,000-2,000 feet to nearby towns can provide relief. Don't tough it out—severe altitude sickness can be life-threatening.

How long does it take to feel normal again?: Most people feel significantly better after 2-3 days. Full acclimatization takes 1-2 weeks, but you'll be functional for activities much sooner.
Can I exercise or do tours right away?: Wait at least 2-3 days before strenuous activities. Even then, start slowly. The Death Road bike tour or hiking should wait until day 4-5 minimum.
Is it safe to sleep at this altitude?: Yes, sleeping at La Paz altitude is safe for most people, though you may have restless sleep initially. If you can't sleep at all or feel worse lying down, that's concerning.
Should I buy travel insurance that covers altitude sickness?: Absolutely. Make sure your policy covers emergency evacuation and medical treatment related to altitude sickness. Standard policies often exclude it.