Managing Altitude Sickness in Bolivia
To survive high altitudes in Bolivia, spend your first 48 hours resting in lower-altitude cities like Sucre (2,810m) before heading to La Paz or Uyuni. Prioritize hydration with at least 3 liters of water daily and speak to your doctor about a Diamox (acetazolamide) prescription before you leave home.
- Acclimatize gradually. Do not fly directly into La Paz (3,640m) if possible. If you must, treat the first two days as complete rest days. Avoid strenuous hiking or heavy exercise for at least 72 hours.
- Use local remedies correctly. Drink coca tea (mate de coca) or chew coca leaves, which are widely available. While these help with mild symptoms, they are not a cure for severe altitude sickness.
- Monitor for danger signs. If you experience a persistent cough, fluid in your lungs, or a severe headache that doesn't subside with painkillers, descend immediately. These are signs of HAPE (High Altitude Pulmonary Edema) or HACE (High Altitude Cerebral Edema), which require medical evacuation.
- Hydrate and eat light. Your body processes food slower at high altitudes. Stick to simple carbohydrates and avoid heavy, greasy meals. Continue drinking water even if you don't feel thirsty, as dry air dehydrates you faster.
- Does everyone get altitude sickness?
- No, but most people will feel some effects—shortness of breath, mild headaches, or sleep disturbances—above 2,500m. It is not dependent on your physical fitness.
- Can I drink alcohol in La Paz?
- Avoid alcohol for the first 3 days. Alcohol dehydrates you and masks the symptoms of altitude sickness, making it much harder for your body to adjust.
- Is bottled oxygen worth buying?
- Yes. You can buy small canisters of oxygen at pharmacies in La Paz. They provide temporary relief if you are feeling faint or have a severe headache.