How high is too high in Bolivia?

La Paz sits at 11,500 feet, and most people feel symptoms there. Above 14,000 feet (like some Uyuni salt flat tours), altitude sickness becomes more serious. The train to Chile reaches 15,700 feet.

Should I take altitude pills before arriving?

Start acetazolamide 24 hours before reaching altitude if you're flying direct to La Paz. Take 125mg twice daily. Continue for 2-3 days at altitude. Get prescription from your doctor before traveling.

Can I exercise at altitude in Bolivia?

Avoid strenuous exercise for 48-72 hours. Even walking up stairs in La Paz will leave you breathless. Save hiking and trekking for after you've acclimatized.

What if I have heart or lung conditions?

Consult your doctor before traveling to Bolivia. High altitude puts extra strain on your cardiovascular system. Consider staying below 10,000 feet or having an evacuation plan.

How to Handle Altitude Sickness While Traveling in Bolivia

Bolivia's high altitude affects most travelers, with symptoms starting above 8,000 feet. Prevent altitude sickness by arriving in La Paz gradually, staying hydrated, avoiding alcohol for 48 hours, and taking it easy your first 2-3 days. If symptoms worsen, descend immediately.

Arrive gradually if possible. Fly into Santa Cruz (1,365 feet) first, then take a bus or domestic flight to La Paz after 1-2 days. This gives your body time to adjust. If flying direct to La Paz, plan nothing demanding for your first day.
Recognize the symptoms early. Headache, nausea, fatigue, and shortness of breath are normal above 11,000 feet. Severe symptoms include confusion, difficulty walking, or fluid in lungs. Mild symptoms usually improve in 24-48 hours.
Drink water constantly. Aim for 4-5 liters daily in high altitude. Your urine should be light yellow. Dehydration makes altitude sickness worse. Avoid alcohol and limit caffeine for your first 48 hours.
Take rest days seriously. Plan 2-3 easy days in La Paz before attempting day trips. Walk slowly. If you feel dizzy or nauseous, sit down immediately. Your body is working overtime to process oxygen.
Try coca tea and local remedies. Coca tea (mate de coca) helps with mild symptoms and is available everywhere. Local pharmacies sell Sorojchi pills (acetazolamide) for $3-5. Take as directed on package.
Know when to descend. If symptoms worsen after 48 hours, or if you experience severe headache, vomiting, or confusion, get to lower altitude immediately. Descend at least 1,500 feet.

How high is too high in Bolivia?: La Paz sits at 11,500 feet, and most people feel symptoms there. Above 14,000 feet (like some Uyuni salt flat tours), altitude sickness becomes more serious. The train to Chile reaches 15,700 feet.
Should I take altitude pills before arriving?: Start acetazolamide 24 hours before reaching altitude if you're flying direct to La Paz. Take 125mg twice daily. Continue for 2-3 days at altitude. Get prescription from your doctor before traveling.
Can I exercise at altitude in Bolivia?: Avoid strenuous exercise for 48-72 hours. Even walking up stairs in La Paz will leave you breathless. Save hiking and trekking for after you've acclimatized.
What if I have heart or lung conditions?: Consult your doctor before traveling to Bolivia. High altitude puts extra strain on your cardiovascular system. Consider staying below 10,000 feet or having an evacuation plan.