How to Beat Altitude Sickness in the Bolivian Andes
Combat altitude sickness by spending your first 48 hours in La Paz or Uyuni resting, staying hydrated with at least 3 liters of water daily, and taking Acetazolamide (Diamox) if recommended by your doctor. Avoid heavy meals and alcohol for the first 3 days to help your body acclimatize to elevations above 3,500 meters.
- Consult your doctor before departure. Ask for a prescription for Acetazolamide (Diamox). Start taking it 24 hours before you ascend to high altitude and continue for the first few days.
- Acclimatize in stages. If flying into La Paz (3,640m), do not plan strenuous hikes for the first 2 days. If arriving by bus from a low-altitude area, try to stop at an intermediate elevation (like Sucre at 2,800m) for 2 days first.
- Monitor your hydration and diet. Drink 3 liters of water per day. Avoid alcohol and heavy, greasy foods, which put extra strain on your digestive system and blood oxygen levels.
- Use local remedies cautiously. Coca tea (mate de coca) is widely available and helps with mild symptoms. Drink it in the morning, but avoid it before bed as it can cause insomnia.
- Recognize when to descend. If you experience severe headache, confusion, or shortness of breath while resting, descend at least 500-1,000 meters immediately and seek medical attention.
- Is coca tea actually effective?
- It provides a mild stimulant effect similar to strong coffee and can help soothe stomach discomfort, but it is not a cure for Acute Mountain Sickness (AMS).
- How long does it take to feel better?
- Most people feel significant improvement after 48 to 72 hours of steady rest at the same altitude.
- Can I use oxygen canisters?
- Yes, many pharmacies in La Paz sell supplemental oxygen canisters. They are useful for emergency relief but are not a substitute for proper acclimatization.